ClinVar Miner

Submissions for variant NR_023343.3(RNU4ATAC):n.51G>A

gnomAD frequency: 0.00038  dbSNP: rs188343279
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Total submissions: 15
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Department of Medical Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences RCV000023096 SCV001451936 pathogenic Osteodysplastic primordial dwarfism, type 1 criteria provided, single submitter research
Beijing Key Laboratry for Genetics of Birth Defects, Beijing Children's Hospital RCV000202312 SCV001739477 likely pathogenic Roifman syndrome 2020-02-28 criteria provided, single submitter clinical testing
Blueprint Genetics RCV001596939 SCV001832417 pathogenic not provided 2019-11-30 criteria provided, single submitter clinical testing
Genetic Services Laboratory, University of Chicago RCV001596939 SCV002070508 pathogenic not provided 2021-06-25 criteria provided, single submitter clinical testing The non-coding variant, n.51G>A, has been described in gnomAD with an allele frequency of 0.054% in the South Asian sub-population (dbSNP rsrs181195449). This sequence change is located in the 5' stem loop critical region. The n.51G>A is a known pathogenic sequence change and has been reported in multiple cases with microcephalic osteodysplastic primordial dwarfism either in the homozygous or compound heterozygous state (PMIDs: 21474760, 23794361, 32628740, 29265708, 27312855, 26522830). Functional studies have also demonstrated that this sequence change reduced U12-dependent splicing activity by 90% compared to wildtype (PMID:21474760). Based on this information this variant is being classified as pathogenic.
Labcorp Genetics (formerly Invitae), Labcorp RCV001596939 SCV002243422 pathogenic not provided 2024-01-04 criteria provided, single submitter clinical testing This variant occurs in the RNU4ATAC gene, which encodes an RNA molecule that does not result in a protein product. This variant is present in population databases (rs188343279, gnomAD 0.07%). This variant has been observed in individual(s) with RNU4ATAC-related conditions (PMID: 21474760, 26522830). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 30178). Functional studies have shown that this variant disrupts ncRNA function (PMID: 21474760). This variant is located within the 5' stem-loop region of the RNU4ATAC RNA, which includes the 15.5K binding site and is important for spliceosome assembly (PMID: 32628740). A significant number of disease-associated RNU4ATAC variants are found in this region (PMID: 32628740, 30368667). For these reasons, this variant has been classified as Pathogenic.
Fulgent Genetics, Fulgent Genetics RCV002482901 SCV002793874 pathogenic Osteodysplastic primordial dwarfism, type 1; Lowry-Wood syndrome; Roifman syndrome 2022-02-27 criteria provided, single submitter clinical testing
CeGaT Center for Human Genetics Tuebingen RCV001596939 SCV002822684 pathogenic not provided 2024-08-01 criteria provided, single submitter clinical testing RNU4ATAC: PM3:Very Strong, PS3:Moderate, PM2:Supporting
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000202312 SCV003934281 pathogenic Roifman syndrome 2023-05-09 criteria provided, single submitter clinical testing Variant summary: RNU4ATAC n.51G>A alters a nucleotide in the non-coding RNA. The variant allele was found at a frequency of 0.00043 in 130510 control chromosomes. n.51G>A has been reported in the literature in multiple individuals affected with Microcephalic osteodysplastic primordial dwarfism, type I or Roifman Syndrome. These data indicate that the variant is very likely to be associated with disease. At least one publication reports experimental evidence evaluating an impact on protein function. The most pronounced variant effect results in <10% of normal activity (He_2012). The following publications have been ascertained in the context of this evaluation (PMID: 21474760, 26522830). Seven clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
Institute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU Dresden RCV001596939 SCV004026349 pathogenic not provided 2023-04-19 criteria provided, single submitter clinical testing PS4_MOD, PP1, PS3, PM3
PreventionGenetics, part of Exact Sciences RCV003415730 SCV004115105 pathogenic RNU4ATAC-related disorder 2022-09-26 criteria provided, single submitter clinical testing The RNU4ATAC n.51G>A is a noncoding alteration. This variant has been reported in the homozygous and compound heterozygous states in multiple individuals with RNU4ATAC-related disorders, and functional studies support its pathogenicity (He et al. 2011. PubMed ID: 21474760; Abdel-Salam et al. 2013. PubMed ID: 23794361; Merico et al. 2015. PubMed ID: 26522830; Farach et al. 2017. PubMed ID: 29265708; Benoit-Pilven et al. 2020. PubMed ID: 32628740). This variant is reported in 0.063% of alleles in individuals of Latino descent in gnomAD (http://gnomad.broadinstitute.org/variant/2-122288506-G-A). This variant is interpreted as pathogenic.
Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen RCV000023096 SCV005400655 pathogenic Osteodysplastic primordial dwarfism, type 1 2024-11-19 criteria provided, single submitter clinical testing
OMIM RCV000023096 SCV000044387 pathogenic Osteodysplastic primordial dwarfism, type 1 2015-11-02 no assertion criteria provided literature only
OMIM RCV000202312 SCV000257312 pathogenic Roifman syndrome 2015-11-02 no assertion criteria provided literature only
OMIM RCV001255662 SCV001432227 pathogenic Lowry-Wood syndrome 2015-11-02 no assertion criteria provided literature only
Service de Génétique Moléculaire, Hôpital Robert Debré RCV000023096 SCV001432350 pathogenic Osteodysplastic primordial dwarfism, type 1 no assertion criteria provided clinical testing

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