ClinVar Genomic variation as it relates to human health
NM_181523.3(PIK3R1):c.1425+1G>A
The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.
Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.
No data submitted for somatic clinical impact
No data submitted for oncogenicity
Variant Details
- Identifiers
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NM_181523.3(PIK3R1):c.1425+1G>A
Variation ID: 372467 Accession: VCV000372467.41
- Type and length
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single nucleotide variant, 1 bp
- Location
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Cytogenetic: 5q13.1 5: 68293835 (GRCh38) [ NCBI UCSC ] 5: 67589663 (GRCh37) [ NCBI UCSC ]
- Timeline in ClinVar
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First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.
Last submission Help The date of the most recent submission for each type of classification for this variant.
Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline Jan 9, 2017 Nov 17, 2024 Nov 1, 2023 - HGVS
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Nucleotide Protein Molecular
consequenceNM_181523.3:c.1425+1G>A MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.
splice donor NM_001242466.2:c.336+1G>A splice donor NM_181504.4:c.615+1G>A splice donor NM_181524.2:c.525+1G>A splice donor NC_000005.10:g.68293835G>A NC_000005.9:g.67589663G>A NG_012849.2:g.83080G>A LRG_453:g.83080G>A LRG_453t1:c.1425+1G>A - Protein change
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- Other names
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NM_181523.3:c.1425+1G>A
IVS11DS, G-A, +1
- Canonical SPDI
- NC_000005.10:68293834:G:A
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Functional
consequence HelpThe effect of the variant on RNA or protein function, based on experimental evidence from submitters.
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sequence_variant_affecting_splicing; Sequence Ontology [ SO:1000071]Intron inclusion between exons 11 & 12, based on review of RNA-seq in TCGA-D7-8572-01A tumor which has PIK3R1 NM_181523.3:c.1425+1G>A variant [submitted by MutSpliceDB: a database of splice sites variants effects on splicing, NIH]
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Global minor allele
frequency (GMAF) HelpThe global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.
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Allele frequency
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The frequency of the allele represented by this VCV record.
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- Links
Genes
Gene | OMIM | ClinGen Gene Dosage Sensitivity Curation |
Variation Viewer
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Links to Variation Viewer, a genome browser to view variation data from NCBI databases. |
Related variants | ||
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HI score
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The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
TS score
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The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
Within gene
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The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants. |
All
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The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene. |
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PIK3R1 | - | - |
GRCh38 GRCh37 |
546 | 562 |
Conditions - Germline
Condition
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The condition for this variant-condition (RCV) record in ClinVar. |
Classification
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The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions) |
Review status
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The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. |
Last evaluated
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The most recent date that a submitter evaluated this variant for the condition. |
Variation/condition record
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The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page. |
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Pathogenic (4) |
criteria provided, multiple submitters, no conflicts
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Nov 1, 2023 | RCV000413301.25 | |
Pathogenic (1) |
no assertion criteria provided
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Mar 15, 2023 | RCV000515768.3 | |
Pathogenic (1) |
criteria provided, single submitter
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Dec 15, 2017 | RCV001266930.3 | |
Pathogenic/Likely pathogenic (3) |
criteria provided, multiple submitters, no conflicts
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Jul 27, 2022 | RCV000987525.4 | |
Pathogenic (2) |
criteria provided, multiple submitters, no conflicts
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Oct 5, 2023 | RCV000705809.10 | |
Pathogenic (1) |
criteria provided, single submitter
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Jan 1, 2019 | RCV001027613.2 | |
See cases
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Pathogenic (1) |
criteria provided, single submitter
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Dec 21, 2022 | RCV003156092.2 |
PIK3R1-related disorder
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Pathogenic (1) |
no assertion criteria provided
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Jan 11, 2024 | RCV003922673.3 |
Submissions - Germline
Classification
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The submitted germline classification for each SCV record. (Last evaluated) |
Review status
Help
Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria) |
Condition
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The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant. |
Submitter
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The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
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This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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Pathogenic
(Dec 07, 2016)
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criteria provided, single submitter
Method: clinical testing
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Not Provided
Affected status: yes
Allele origin:
germline
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GeneDx
Accession: SCV000490721.1
First in ClinVar: Jan 09, 2017 Last updated: Jan 09, 2017 |
Comment:
The c.1425+1G>A pathogenic variant has been reported previously in association with PASLI disease (Lucas et al., 2014). cDNA studies indicated that c.1425+1G>A results in the … (more)
The c.1425+1G>A pathogenic variant has been reported previously in association with PASLI disease (Lucas et al., 2014). cDNA studies indicated that c.1425+1G>A results in the skipping of exon 11 (Lucas et al., 2014). This splice site variant destroys the canonical splice donor site in intron 11. It is predicted to cause abnormal gene splicing, either leading to an abnormal message that is subject to nonsense mediated mRNA decay, or to an abnormal protein product if the message is used for protein translation. The c.1425+1G>A variant was not observed in approximately 6,400 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. Therefore, we interpret this variant to be pathogenic. (less)
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Pathogenic
(Oct 19, 2018)
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criteria provided, single submitter
Method: clinical testing
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Not provided
Affected status: yes
Allele origin:
germline
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Blueprint Genetics
Accession: SCV000928008.1
First in ClinVar: Jul 25, 2019 Last updated: Jul 25, 2019
Comment:
Patient analyzed with Primary Immunodeficiency Panel
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Likely pathogenic
(May 28, 2019)
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criteria provided, single submitter
Method: clinical testing
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SHORT syndrome
Affected status: unknown
Allele origin:
unknown
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Mendelics
Accession: SCV001136838.1
First in ClinVar: Jan 09, 2020 Last updated: Jan 09, 2020 |
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Pathogenic
(Jan 01, 2019)
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criteria provided, single submitter
Method: research
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Inherited Immunodeficiency Diseases
Affected status: yes
Allele origin:
germline
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NIHR Bioresource Rare Diseases, University of Cambridge
Accession: SCV001190185.1
First in ClinVar: Mar 26, 2020 Last updated: Mar 26, 2020 |
Clinical Features:
Abnormality of the respiratory system (present) , B lymphocytopenia (present) , Elevated proportion of CD4-negative, CD8-negative, alpha-beta regulatory T cells (present) , IgA deficiency (present) … (more)
Abnormality of the respiratory system (present) , B lymphocytopenia (present) , Elevated proportion of CD4-negative, CD8-negative, alpha-beta regulatory T cells (present) , IgA deficiency (present) , Recurrent infections (present) (less)
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Pathogenic
(Feb 21, 2020)
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criteria provided, single submitter
Method: clinical testing
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SHORT syndrome
Affected status: yes
Allele origin:
unknown
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Baylor Genetics
Accession: SCV001520009.1
First in ClinVar: Mar 22, 2021 Last updated: Mar 22, 2021 |
Comment:
This variant was determined to be pathogenic according to ACMG Guidelines, 2015 [PMID:25741868].
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Pathogenic
(Mar 29, 2022)
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criteria provided, single submitter
Method: clinical testing
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SHORT syndrome
Agammaglobulinemia 7, autosomal recessive Immunodeficiency 36
Affected status: unknown
Allele origin:
unknown
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Fulgent Genetics, Fulgent Genetics
Accession: SCV002813280.1
First in ClinVar: Dec 31, 2022 Last updated: Dec 31, 2022 |
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Pathogenic
(Dec 15, 2017)
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criteria provided, single submitter
Method: clinical testing
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Inborn genetic diseases
Affected status: yes
Allele origin:
germline
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Ambry Genetics
Accession: SCV001445111.2
First in ClinVar: Nov 21, 2020 Last updated: Jan 07, 2023 |
Number of individuals with the variant: 1
Sex: female
Ethnicity/Population group: Caucasian/N European/Irish/Hispanic/Nicaraguan
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Pathogenic
(Dec 21, 2022)
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criteria provided, single submitter
Method: clinical testing
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See cases
Affected status: yes
Allele origin:
de novo
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Center for Personalized Medicine, Children's Hospital Los Angeles
Accession: SCV003845300.1
First in ClinVar: Apr 01, 2023 Last updated: Apr 01, 2023 |
Clinical Features:
Abnormal T cell morphology (present) , Bifid nose (present) , Delayed skeletal maturation (present) , Depressed nasal bridge (present) , Dolichocephaly (present) , Failure to … (more)
Abnormal T cell morphology (present) , Bifid nose (present) , Delayed skeletal maturation (present) , Depressed nasal bridge (present) , Dolichocephaly (present) , Failure to thrive (present) , Immunodeficiency (present) , Fetal growth restriction (present) , Microcephaly (present) , Midface retrusion (present) , Neonatal hypoglycemia (present) , Precocious puberty (present) , Renal tubular acidosis (present) , Short stature (present) (less)
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Pathogenic
(Oct 05, 2023)
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criteria provided, single submitter
Method: clinical testing
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SHORT syndrome
Immunodeficiency 36 Agammaglobulinemia 7, autosomal recessive
Explanation for multiple conditions: Uncertain.
The variant was classified for several related diseases, possibly a spectrum of disease; the variant may be associated with one or more the diseases.
Affected status: unknown
Allele origin:
germline
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Labcorp Genetics (formerly Invitae), Labcorp
Accession: SCV000834824.7
First in ClinVar: Oct 10, 2018 Last updated: Feb 28, 2024 |
Comment:
This sequence change affects a donor splice site in intron 11 of the PIK3R1 gene. RNA analysis indicates that disruption of this splice site induces … (more)
This sequence change affects a donor splice site in intron 11 of the PIK3R1 gene. RNA analysis indicates that disruption of this splice site induces altered splicing and likely results in a shortened protein product. This variant is not present in population databases (gnomAD no frequency). Disruption of this splice site has been observed in individual(s) with hypogammaglobulinemia with elevated IgM, activated PI3K-delta syndrome, and SHORT syndrome (PMID: 25488983, 25939554, 27076228, 27116393, 27693481, 28302518). In at least one individual the variant was observed to be de novo. This variant is also known as g.67589663G>A. ClinVar contains an entry for this variant (Variation ID: 372467). Studies have shown that disruption of this splice site results in skipping of exon 11, but is expected to preserve the integrity of the reading-frame (PMID: 27076228). For these reasons, this variant has been classified as Pathogenic. (less)
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Pathogenic
(Nov 01, 2023)
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criteria provided, single submitter
Method: clinical testing
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not provided
Affected status: yes
Allele origin:
germline
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CeGaT Center for Human Genetics Tuebingen
Accession: SCV001961884.20
First in ClinVar: Oct 08, 2021 Last updated: Oct 20, 2024 |
Comment:
PIK3R1: PM6:Strong, PM2, PS4:Moderate, PP3, PS3:Supporting
Number of individuals with the variant: 3
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Pathogenic
(Jul 27, 2022)
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criteria provided, single submitter
Method: clinical testing
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SHORT syndrome
(Autosomal dominant inheritance)
Affected status: yes
Allele origin:
germline
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Pittsburgh Clinical Genomics Laboratory, University of Pittsburgh Medical Center
Accession: SCV005397363.1
First in ClinVar: Nov 17, 2024 Last updated: Nov 17, 2024 |
Comment:
This sequence variant is a single nucleotide substitution (G>A) at the +1 position downstream of the exon 11 canonical splice donor site of the PIK3R1 … (more)
This sequence variant is a single nucleotide substitution (G>A) at the +1 position downstream of the exon 11 canonical splice donor site of the PIK3R1 gene. This is a previously reported variant (ClinVar) which has been observed as a de novo variant in multiple individuals with a combition of phenotypes including short stature, immunodeficiency, hyper IgM syndrome, and hyperactivation of PI3K and AKT (PMID: 28302518, 27076228, 27693481, 25939554, 25488983, 27116393). This variant is not present in approximately 210300 alleles in the gnomAD control population dataset. Splicing studies show that this variant leads to an in-frame deletion of exon 11 (PMID: 25488983, 27076228); the variant protein is constitutively active, due to its ibility to properly interact with p110delta (PMID: 25488983). Based on the available evidence, we consider this variant to be pathogenic. ACMG Criteria: PM1, PM2, PM4, PP3, PP4, PS2, PS3, PS4 (less)
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Pathogenic
(Mar 15, 2023)
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no assertion criteria provided
Method: literature only
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IMMUNODEFICIENCY 36 WITH LYMPHOPROLIFERATION
Affected status: not provided
Allele origin:
germline
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OMIM
Accession: SCV000611865.2
First in ClinVar: Dec 08, 2017 Last updated: Mar 18, 2023 |
Comment on evidence:
In a 5-year-old Chinese boy with immunodeficiency-36 with lymphoproliferation (IMD36; 616005), who also exhibited lymphadenopathy, hepatomegaly, and severe juvenile rheumatoid arthritis, Lucas et al. (2014) … (more)
In a 5-year-old Chinese boy with immunodeficiency-36 with lymphoproliferation (IMD36; 616005), who also exhibited lymphadenopathy, hepatomegaly, and severe juvenile rheumatoid arthritis, Lucas et al. (2014) identified heterozygosity for a c.1425+1G-A mutation (c.1425+1G-A, NM_181523.2) in intron 11 of the PIK3R1 gene. In a 9-month-old Albanian girl, a 3-year-old Italian boy, and a 3.5-year-old Swedish girl with recurrent respiratory infections and poor growth, who had hypogammaglobulinemia with elevated serum IgM levels and lymphoproliferation, Lougaris et al. (2015) identified heterozygosity for the c.1425+1G-A mutation in the PIK3R1 gene. The mutation was shown to have occurred de novo in 2 of the patients; the genotype of the Swedish parents was unknown. In 4 unrelated children (patients 1-4) with immunodeficiency and elevated IgM levels, lymphadenopathy, and short stature, Petrovski et al. (2016) identified heterozygosity for the c.1425+1G-A mutation in PIK3R1. The mutation was confirmed to have arisen de novo in 3 of the patients; it was not found in the fourth child's unaffected mother, but DNA was unavailable from the father. Analysis of PCR products from patient 1 and his parents demonstrated that the mutation causes skipping of exon 11, with direct exon 10 to exon 12 splicing. Results of functional analysis using patient cells were consistent with constitutive activation of the PI3K-mTOR (601231) signaling. Patient 4, a 5-year-old Caucasian girl, also exhibited features of SHORT syndrome (269880); the authors noted that no results of immune studies had been reported for SHORT syndrome patients. (less)
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Pathogenic
(Jan 11, 2024)
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no assertion criteria provided
Method: clinical testing
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PIK3R1-related condition
Affected status: unknown
Allele origin:
germline
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PreventionGenetics, part of Exact Sciences
Accession: SCV004744308.2
First in ClinVar: Mar 16, 2024 Last updated: Oct 08, 2024 |
Comment:
The PIK3R1 c.1425+1G>A variant is predicted to disrupt the GT donor site and interfere with normal splicing. This variant has been reported as a recurrent … (more)
The PIK3R1 c.1425+1G>A variant is predicted to disrupt the GT donor site and interfere with normal splicing. This variant has been reported as a recurrent de novo mutation in multiple individuals with activated phosphoinositide 3-kinase δ syndrome type 2 (APDS2) (Lucas et al. 2014. PubMed ID: 25488983; Lougaris et al. 2015. PubMed ID: 25939554; Petrovski et al. 2016. PubMed ID: 27076228; Olbrich et al. 2016. PubMed ID: 27116393; Elkaim et al. 2016. PubMed ID: 27221134; Yazdani et al. 2019. PubMed ID: 30799802). RNA analysis has shown that this variant leads to an in-frame deletion of 42 amino acid residues, and in vitro functional studies using tranformed patient B cells have shown that this deletion leads to reduced p85α protein expression, constitutive activation of the PI3K complex, and upregulation of downstream AKT and mTOR signaling pathways (Petrovski et al. 2016. PubMed ID: 27076228). This variant has not been reported in a large population database, indicating this variant is rare. Several additional variants that disrupt the same splice donor site (c.1425+1G>C/T, +2T>A/G, +2_+3delTG, etc.) have been reported in multiple individuals with ADPS-related phenotypes (Deau et al. 2014. PubMed ID: 25133428; Elkaim et al. 2016. PubMed ID: 27221134). Variants that disrupt the consensus splice donor site in PIK3R1 are expected to be pathogenic. This variant is interpreted as pathogenic. (less)
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not provided
(-)
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no classification provided
Method: research
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not provided
Affected status: not applicable
Allele origin:
somatic
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MutSpliceDB: a database of splice sites variants effects on splicing, NIH
Accession: SCV002106363.2
First in ClinVar: Mar 19, 2022 Last updated: Mar 28, 2022 |
Comment on evidence:
Intron inclusion between exons 11 & 12, based on review of RNA-seq in TCGA-D7-8572-01A tumor which has PIK3R1 NM_181523.3:c.1425+1G>A variant
Method: Based on review of RNA-seq data in sample with variant.
Result:
Intron inclusion between exons 11 & 12
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Germline Functional Evidence
Functional
Help
The functional consequence of the variant, based on experimental evidence and provided by the submitter. consequence |
Method
Help
A brief description of the method used to determine the functional consequence of the variant. A citation for the method is included, when provided by the submitter. |
Result
Help
A brief description of the result of this method for this variant. |
Submitter
Help
The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
Help
This column includes more information supporting functional evidence for the germline classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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sequence_variant_affecting_splicing
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MutSpliceDB: a database of splice sites variants effects on splicing, NIH
Accession: SCV002106363.2
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Comment:
Intron inclusion between exons 11 & 12, based on review of RNA-seq in TCGA-D7-8572-01A tumor which has PIK3R1 NM_181523.3:c.1425+1G>A variant
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Citations for germline classification of this variant
HelpTitle | Author | Journal | Year | Link |
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Mutations in PIK3R1 can lead to APDS2, SHORT syndrome or a combination of the two. | Bravo García-Morato M | Clinical immunology (Orlando, Fla.) | 2017 | PMID: 28302518 |
Gain-of-function mutation in PIK3R1 in a patient with a narrow clinical phenotype of respiratory infections. | Martínez-Saavedra MT | Clinical immunology (Orlando, Fla.) | 2016 | PMID: 27693481 |
Activated PI3Kδ syndrome type 2: Two patients, a novel mutation, and review of the literature. | Olbrich P | Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology | 2016 | PMID: 27116393 |
Dominant Splice Site Mutations in PIK3R1 Cause Hyper IgM Syndrome, Lymphadenopathy and Short Stature. | Petrovski S | Journal of clinical immunology | 2016 | PMID: 27076228 |
Altered germinal center reaction and abnormal B cell peripheral maturation in PI3KR1-mutated patients presenting with HIGM-like phenotype. | Lougaris V | Clinical immunology (Orlando, Fla.) | 2015 | PMID: 25939554 |
Heterozygous splice mutation in PIK3R1 causes human immunodeficiency with lymphoproliferation due to dominant activation of PI3K. | Lucas CL | The Journal of experimental medicine | 2014 | PMID: 25488983 |
A human immunodeficiency caused by mutations in the PIK3R1 gene. | Deau MC | The Journal of clinical investigation | 2014 | PMID: 25133428 |
https://brb.nci.nih.gov/cgi-bin/splicing/splicing_evidence.cgi?caid=CA16042620 | - | - | - | - |
Text-mined citations for rs587777709 ...
HelpRecord last updated Nov 19, 2024
This date represents the last time this VCV record was updated. The update may be due to an update to one of the included submitted records (SCVs), or due to an update that ClinVar made to the variant such as adding HGVS expressions or a rs number. So this date may be different from the date of the “most recent submission” reported at the top of this page.