Description
The alteration results in an amino acid change:_x000D_ _x000D_ The c.3463G>A (p.D1155N) alteration is located in exon 28 (coding exon 27) of the FBN1 gene. This change occurs in the last base pair of coding exon 27, which makes it likely to have some effect on normal mRNA splicing. In addition to potential splicing impact, this alteration causes the aspartic acid (D) at amino acid position 1155 to be replaced by an asparagine (N). The alteration is rare in population databases: _x000D_ _x000D_ Based on data from the Genome Aggregation Database (gnomAD), the c.3463G>A alteration was observed in 0.0032% (1/31,402) of total alleles studied. The alteration has been observed in affected individuals:_x000D_ _x000D_ This alteration has been reported in multiple individuals in association with Marfan syndrome and related features including ectopia lentis and aortic disease (Milewicz, 1996; Biggin, 2004; Comeglio, 2007; Stheneur, 2009; Aragon-Martin, 2010). Functional analysis reveals a damaging effect of the amino acid alteration: _x000D_ _x000D_ In one study utilizing in vitro analyses, this alteration did not significantly impact RNA splicing but demonstrated less fibrillin-1 deposition in the extracellular matrix compared with control cells (Milewicz, 1996). The alteration is predicted inconclusive by in silico modeling:_x000D_ _x000D_ BayesDel in silico prediction for the p.D1155N alteration is inconclusive. Based on the BDGP and ESEfinder splice site in silico tools, this alteration is predicted to weaken the native splice donor site. Based on the available evidence, this alteration is classified as pathogenic.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | unknown | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |