Can you help clarify which of the recommendations apply to these kinds of variants:
The genomic event: NC_000007.13:g.140434397_140434402del deletes the last coding codon and the stop codon of the transcript: NM_004333.6:c.2296_2301del
It isn't clear to me what rules should apply here at the protein level. NP_004324.2:p.H766_*767del doesn't seem correct as we are lengthening the amino acid sequence.
We have:
https://hgvs-nomenclature.org/stable/recommendations/protein/deletion/variants extending the amino acid sequence at the C-terminal end with one or more amino acids, are described as an Extension.
However the syntax of an extension doesn't work as it needs to look similar p.*110Gext*17 where the description must start with p.* and can not have an amino acid range.
The closest rule seems to be under:
https://hgvs-nomenclature.org/stable/recommendations/protein/delins/Even though this isn't a deletion-insertion, it seems to be in the spirit of:
deletion-insertion variants on the DNA or RNA level that start N-terminal (5') of and including the translation termination (stop) codon, are described as frameshift.
So I'd lean towards a description similar to: NP_004324.2:p.H766fsN*? where we might be able to calculate the value for ? but I'm not for this toy example.
But when I enter this variant into online resources the results don't make sense:
Variant Validator and Mutalyzer both describe it as a delins at the protein level
NC_000007.13(NP_004324.2):p.(His766delinsAsnLys)
Where I see what they are doing as continuing to translate into the UTR results in a Asn-Lys-Ter amino acid sequence. But this doesn't seem correct as what would we do if there weren't a stop codon in the UTR?
Ensembl's Variant Effect Predictor (for GRCh37) doesn't seem to conform with any recommendations and reports:
NP_004324.2:p.His766_Ter767delextTer1
Any guidance is greatly appreciated.