ClinVar Miner

Submissions for variant NM_000271.5(NPC1):c.302T>G (p.Phe101Cys)

gnomAD frequency: 0.00001  dbSNP: rs548191894
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Total submissions: 4
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Eurofins Ntd Llc (ga) RCV000597242 SCV000706422 uncertain significance not provided 2017-02-17 criteria provided, single submitter clinical testing
Invitae RCV001377830 SCV001575265 pathogenic Niemann-Pick disease, type C1 2024-01-29 criteria provided, single submitter clinical testing This sequence change replaces phenylalanine, which is neutral and non-polar, with cysteine, which is neutral and slightly polar, at codon 101 of the NPC1 protein (p.Phe101Cys). This variant is present in population databases (rs548191894, gnomAD 0.02%). This missense change has been observed in individual(s) with Niemann-Pick disease type C (PMID: 26981555; Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 500461). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt NPC1 protein function with a positive predictive value of 95%. For these reasons, this variant has been classified as Pathogenic.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV002222562 SCV002500677 uncertain significance not specified 2022-03-28 criteria provided, single submitter clinical testing Variant summary: NPC1 c.302T>G (p.Phe101Cys) results in a non-conservative amino acid change located in the Niemann-Pick C1, N-terminal domain (IPR032190) of the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 2.4e-05 in 251334 control chromosomes (gnomAD). c.302T>G has been reported in the literature in compound heterozygous individuals affected with Niemann-Pick Disease Type C (Reunert_2016, and Panigrahi_2019). These data indicate that the variant may be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 and classified the variant as likely pathogenic (n=1), and as uncertain significance (n=1). Based on the evidence outlined above, the variant was classified as VUS-possibly pathogenic.
Neuberg Supratech Reference Laboratories Pvt Ltd, Neuberg Centre for Genomic Medicine RCV001377830 SCV004171361 likely pathogenic Niemann-Pick disease, type C1 criteria provided, single submitter clinical testing

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