WRAP53 c.-1-992G>C, p.?

NM_001143990.1:c.-1-992G>C

Classification Summary

Variant of Uncertain Significance (VUS)

The variant NM_001143990.1:c.-1-992G>C in WRAP53 is classified as a Variant of Uncertain Significance due to a single Moderate pathogenic criterion (PM2) and a single Supporting benign criterion (BP4) resulting in conflicting evidence and insufficient data for a definitive classification.

Population Frequency
0.0796%
Common
ClinVar Classification
Unknown
0 publications
REVEL Score
N/A
Not Available
COSMIC Recurrence
0 occurrences
No Criteria Applied
Classification Evidence
Very Strong (PVS)
None applied
Strong (PS/BS)
None applied
Moderate (PM/BA)
PM2
Supporting (PP/BP)
BP4
Created: 2025-04-28T15:05:11.087687

Genetic Information

Gene & Transcript Details
Gene
WRAP53
Transcript
NM_001143990.2
Total Exons
11
Strand
Forward (+)
Reference Sequence
NC_000017.10
Alternative Transcripts
ID Status Details
NM_001143990.1 Alternative 11 exons | Forward
Variant Details
HGVS Notation
NM_001143990.1:c.-1-992G>C
Protein Change
?
Location
Exon 1 (Exon 1 of 11)
1
5' Exon Structure (11 total) 3'
Functional Consequence
Loss of Function
Related Variants
Variant interpretation based on transcript NM_001143990.2

Clinical Evidence

Population Frequency
Global Frequency
0.0796%
Common
Highest in Population
African/African American
0.287%
Common
Global: 0.0796%
African/African American: 0.287%
0%
0.0005%
0.001%
0.01%
0.05%
1%+
Allele Information
Total: 31398 Alt: 25 Homozygotes: 0
ACMG Criteria Applied
PM2
This variant is present in gnomAD (MAF= 0.0796%, 25/31398 alleles, homozygotes = 0) and at a higher frequency in the African/African American population (MAF= 0.287%, 25/8716 alleles, homozygotes = 0). The variant is rare (MAF < 0.1%), supporting PM2 criterion application.
ClinVar 2025-04-28T15:04:04.215942
Classification
Unknown
Publications
0 publications
Clinical Statement
COSMIC
COSMIC ID
Unknown
Recurrence
0 occurrences
PM1 Criteria
Not Applied
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Functional Domain
Hotspot Status
Not a hotspot
Domain Summary

This variant is not located in a mutational hotspot or critical domain (0 mutations).

Related Variants in This Domain

Functional Studies

Functional Impact
Summary
The variant -1-992G>C has not been functionally characterized.

Computational Evidence

Pathogenicity Predictions
Predictor Consensus
Mixed/VUS
PP3 Applied
No
Additional Predictors
Benign:
CADD: 0.35
SpliceAI Scores Window: ±500bp
Effect Type Score Position
- Acceptor Loss
0.02
466 bp
- Donor Loss
0.21
-59 bp
+ Acceptor Gain
0.0
-148 bp
+ Donor Gain
0.0
27 bp
High impact (≥0.5)
Medium impact (0.2-0.49)
Low impact (<0.2)

VCEP Guidelines

Applied ACMG/AMP Criteria
PVS1
PVS1 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PVS1 is: "Null variant (nonsense, frameshift, canonical ±1 or 2 splice sites, initiation codon, single exon or multiexon deletion) in a gene where loss of function is a known mechanism of disease." The evidence for this variant shows: consequence unknown and it is not a null variant. Therefore, this criterion is not applied because the variant does not meet the null variant definition.
PS1
PS1 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PS1 is: "Same amino acid change as a previously established pathogenic variant regardless of nucleotide change." The evidence for this variant shows: no amino acid change is known. Therefore, this criterion is not applied because there is no protein change to compare.
PS2
PS2 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PS2 is: "De novo (both maternity and paternity confirmed) in a patient with the disease and no family history." The evidence for this variant shows: no de novo data available. Therefore, this criterion is not applied due to lack of de novo confirmation.
PS3
PS3 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PS3 is: "Well-established functional studies supportive of a damaging effect on the gene or gene product." The evidence for this variant shows: no functional studies have been performed. Therefore, this criterion is not applied because functional impact is unevaluated.
PS4
PS4 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PS4 is: "Prevalence in affected individuals significantly increased compared with controls." The evidence for this variant shows: no case‐control or affected individual data. Therefore, this criterion is not applied due to absence of case prevalence data.
PM1
PM1 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PM1 is: "Located in a mutational hot spot or well‐established functional domain without benign variation." The evidence for this variant shows: location and domain context are unknown. Therefore, this criterion is not applied.
PM2
PM2 (Moderate)
According to standard ACMG guidelines, the rule for PM2 is: "Absent from controls (or at extremely low frequency if recessive)." The evidence for this variant shows: MAF=0.0796% in gnomAD, extremely rare. Therefore, this criterion is applied at Moderate strength because the variant frequency is very low in population databases.
PM3
PM3 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PM3 is: "Detected in trans with a pathogenic variant for a recessive disorder." The evidence for this variant shows: no data on allelic phase. Therefore, this criterion is not applied.
PM4
PM4 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PM4 is: "Protein length changes due to in-frame deletions/insertions or stop-loss variants." The evidence for this variant shows: no protein coding change. Therefore, this criterion is not applied.
PM5
PM5 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PM5 is: "Novel missense change at an amino acid residue where a different pathogenic missense change has been seen." The evidence for this variant shows: no missense or amino acid change. Therefore, this criterion is not applied.
PM6
PM6 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PM6 is: "Assumed de novo, without confirmation of paternity and maternity." The evidence for this variant shows: no de novo assumption data. Therefore, this criterion is not applied.
PP1
PP1 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PP1 is: "Co‐segregation with disease in multiple affected family members." The evidence for this variant shows: no segregation data. Therefore, this criterion is not applied.
PP2
PP2 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PP2 is: "Missense variant in a gene with a low rate of benign missense variation and where missense variants are a common mechanism of disease." The evidence for this variant shows: not a missense change. Therefore, this criterion is not applied.
PP3
PP3 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PP3 is: "Multiple lines of computational evidence support a deleterious effect." The evidence for this variant shows: CADD score 0.35 and SpliceAI max 0.21, indicating no strong deleterious prediction. Therefore, this criterion is not applied.
PP4
PP4 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PP4 is: "Patient’s phenotype or family history is highly specific for a disease with a single genetic etiology." The evidence for this variant shows: no phenotype/family history data. Therefore, this criterion is not applied.
PP5
PP5 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for PP5 is: "Reputable source reports variant as pathogenic but without accessible evidence." The evidence for this variant shows: not reported in ClinVar or other sources. Therefore, this criterion is not applied.
BA1
BA1 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BA1 is: "Allele frequency is >5% in controls." The evidence for this variant shows: MAF=0.0796%, below 5%. Therefore, this criterion is not applied.
BS1
BS1 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BS1 is: "Allele frequency is greater than expected for disorder." The evidence for this variant shows: no disease prevalence data to define threshold. Therefore, this criterion is not applied.
BS2
BS2 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BS2 is: "Observed in a healthy adult individual for a dominant disorder with full penetrance expected early." The evidence for this variant shows: heterozygotes in population but unknown penetrance. Therefore, this criterion is not applied.
BS3
BS3 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BS3 is: "Well‐established functional studies show no damaging effect." The evidence for this variant shows: no functional studies. Therefore, this criterion is not applied.
BS4
BS4 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BS4 is: "Lack of segregation in affected family members." The evidence for this variant shows: no segregation data available. Therefore, this criterion is not applied.
BP1
BP1 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BP1 is: "Missense variant in a gene where only loss‐of‐function causes disease." The evidence for this variant shows: not a missense change. Therefore, this criterion is not applied.
BP2
BP2 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BP2 is: "Observed in trans with a pathogenic variant for a dominant disorder or in cis with a pathogenic variant." The evidence for this variant shows: no phasing or additional variant data. Therefore, this criterion is not applied.
BP3
BP3 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BP3 is: "In‐frame deletions/insertions in a repetitive region without known function." The evidence for this variant shows: not an indel. Therefore, this criterion is not applied.
BP4
BP4 (Supporting)
According to standard ACMG guidelines, the rule for BP4 is: "Multiple lines of computational evidence suggest no impact on gene or gene product." The evidence for this variant shows: CADD score 0.35 and SpliceAI max score 0.21, both below thresholds for impact. Therefore, this criterion is applied at Supporting strength because computational tools predict no functional effect.
BP5
BP5 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BP5 is: "Variant found in a case with an alternate molecular basis for disease." The evidence for this variant shows: no case data. Therefore, this criterion is not applied.
BP6
BP6 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BP6 is: "Reputable source reports variant as benign but without accessible evidence." The evidence for this variant shows: no such reports. Therefore, this criterion is not applied.
BP7
BP7 (Not Applied) Strength Modified
According to standard ACMG guidelines, the rule for BP7 is: "Synonymous variant with no predicted splicing impact." The evidence for this variant shows: not a synonymous coding change. Therefore, this criterion is not applied.