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NM_004415.4(DSP):c.7214_7217del (p.Leu2405fs) AND Arrhythmogenic cardiomyopathy with wooly hair and keratoderma

Germline classification:
Likely pathogenic (1 submission)
Last evaluated:
Dec 18, 2023
Review status:
1 star out of maximum of 4 stars
criteria provided, single submitter
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV004006072.2

Allele description [Variation Report for NM_004415.4(DSP):c.7214_7217del (p.Leu2405fs)]

NM_004415.4(DSP):c.7214_7217del (p.Leu2405fs)

Gene:
DSP:desmoplakin [Gene - OMIM - HGNC]
Variant type:
Microsatellite
Cytogenetic location:
6p24.3
Genomic location:
Preferred name:
NM_004415.4(DSP):c.7214_7217del (p.Leu2405fs)
HGVS:
  • NC_000006.11:g.7584709_7584712del
  • NC_000006.12:g.7584474TC[1]
  • NG_008803.1:g.47838TC[1]
  • NM_001008844.3:c.5417_5420del
  • NM_001319034.2:c.5885_5888del
  • NM_004415.4:c.7214_7217delMANE SELECT
  • NP_001008844.1:p.Leu1806fs
  • NP_001305963.1:p.Leu1962fs
  • NP_004406.2:p.Leu2405Glnfs
  • NP_004406.2:p.Leu2405fs
  • LRG_423t1:c.7212_7213TC[1]
  • LRG_423:g.47838TC[1]
  • LRG_423p1:p.Leu2405Glnfs
  • NC_000006.11:g.7584707TC[1]
  • NC_000006.11:g.7584707_7584710del
  • NC_000006.11:g.7584709_7584712del
  • NM_004415.2:c.7212_7213TC[1]
Protein change:
L1806fs
Molecular consequence:
  • NM_001008844.3:c.5417_5420del - frameshift variant - [Sequence Ontology: SO:0001589]
  • NM_001319034.2:c.5885_5888del - frameshift variant - [Sequence Ontology: SO:0001589]
  • NM_004415.4:c.7214_7217del - frameshift variant - [Sequence Ontology: SO:0001589]
Observations:
1

Condition(s)

Name:
Arrhythmogenic cardiomyopathy with wooly hair and keratoderma
Synonyms:
Palmoplantar keratoderma with left ventricular cardiomyopathy and woolly hair; Epidermolytic palmoplantar keratoderma woolly hair and dilated cardiomyopathy; Dilated cardiomyopathy with woolly hair and keratoderma; See all synonyms [MedGen]
Identifiers:
MONDO: MONDO:0011581; MedGen: C1854063; Orphanet: 65282; OMIM: 605676

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV004841997All of Us Research Program, National Institutes of Health
criteria provided, single submitter

(ACMG Guidelines, 2015)
Likely Pathogenic
(Dec 18, 2023)
germlineclinical testing

PubMed (4)
[See all records that cite these PMIDs]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknown1not providednot provided108544not providedclinical testing

Citations

PubMed

Structures of two intermediate filament-binding fragments of desmoplakin reveal a unique repeat motif structure.

Choi HJ, Park-Snyder S, Pascoe LT, Green KJ, Weis WI.

Nat Struct Biol. 2002 Aug;9(8):612-20.

PubMed [citation]
PMID:
12101406

Interaction of the bullous pemphigoid antigen 1 (BP230) and desmoplakin with intermediate filaments is mediated by distinct sequences within their COOH terminus.

Fontao L, Favre B, Riou S, Geerts D, Jaunin F, Saurat JH, Green KJ, Sonnenberg A, Borradori L.

Mol Biol Cell. 2003 May;14(5):1978-92. Epub 2003 Jan 26.

PubMed [citation]
PMID:
12802069
PMCID:
PMC165091
See all PubMed Citations (4)

Details of each submission

From All of Us Research Program, National Institutes of Health, SCV004841997.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not provided1not providednot providedclinical testing PubMed (4)

Description

This variant deletes 4 nucleotides in exon 24 of the DSP gene, creating a frameshift and premature translation stop signal in the last exon. This variant is predicted to escape nonsense-mediated decay and be expressed as a truncated protein with disrupted plakin repeat domain B (a.a. 2244-2446) and downstream C-terminal sequence that have been reported to be essential for interaction with intermediate filaments (PMID: 12101406, 12802069, 21756917). In addition, truncating variants occurring downstream of this variant are known to be disease-causing (ClinVar variation ID: 1326970, 432027, 246676). To our knowledge, this variant has not been reported in individuals affected with DSP-related disorders in the literature. This variant has not been identified in the general population by the Genome Aggregation Database (gnomAD). Loss of DSP function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Likely Pathogenic.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknown108544not providednot provided1not providednot providednot provided

Last Updated: Sep 29, 2024