1-21573927-A-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000478.6(ALPL):​c.997+128A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.775 in 1,510,290 control chromosomes in the GnomAD database, including 454,038 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.76 ( 44445 hom., cov: 32)
Exomes 𝑓: 0.78 ( 409593 hom. )

Consequence

ALPL
NM_000478.6 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.386
Variant links:
Genes affected
ALPL (HGNC:438): (alkaline phosphatase, biomineralization associated) This gene encodes a member of the alkaline phosphatase family of proteins. There are at least four distinct but related alkaline phosphatases: intestinal, placental, placental-like, and liver/bone/kidney (tissue non-specific). The first three are located together on chromosome 2, while the tissue non-specific form is located on chromosome 1. The product of this gene is a membrane bound glycosylated enzyme that is not expressed in any particular tissue and is, therefore, referred to as the tissue-nonspecific form of the enzyme. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed to generate the mature enzyme. This enzyme may play a role in bone mineralization. Mutations in this gene have been linked to hypophosphatasia, a disorder that is characterized by hypercalcemia and skeletal defects. [provided by RefSeq, Oct 2015]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.91).
BP6
Variant 1-21573927-A-G is Benign according to our data. Variant chr1-21573927-A-G is described in ClinVar as [Benign]. Clinvar id is 1236467.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.783 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ALPLNM_000478.6 linkuse as main transcriptc.997+128A>G intron_variant ENST00000374840.8 NP_000469.3 P05186-1A0A024RAB4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ALPLENST00000374840.8 linkuse as main transcriptc.997+128A>G intron_variant 1 NM_000478.6 ENSP00000363973.3 P05186-1

Frequencies

GnomAD3 genomes
AF:
0.764
AC:
116101
AN:
152058
Hom.:
44408
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.707
Gnomad AMI
AF:
0.727
Gnomad AMR
AF:
0.792
Gnomad ASJ
AF:
0.742
Gnomad EAS
AF:
0.803
Gnomad SAS
AF:
0.769
Gnomad FIN
AF:
0.813
Gnomad MID
AF:
0.696
Gnomad NFE
AF:
0.783
Gnomad OTH
AF:
0.744
GnomAD4 exome
AF:
0.776
AC:
1054045
AN:
1358114
Hom.:
409593
AF XY:
0.776
AC XY:
515839
AN XY:
665040
show subpopulations
Gnomad4 AFR exome
AF:
0.704
Gnomad4 AMR exome
AF:
0.812
Gnomad4 ASJ exome
AF:
0.746
Gnomad4 EAS exome
AF:
0.810
Gnomad4 SAS exome
AF:
0.751
Gnomad4 FIN exome
AF:
0.816
Gnomad4 NFE exome
AF:
0.777
Gnomad4 OTH exome
AF:
0.767
GnomAD4 genome
AF:
0.763
AC:
116183
AN:
152176
Hom.:
44445
Cov.:
32
AF XY:
0.768
AC XY:
57115
AN XY:
74388
show subpopulations
Gnomad4 AFR
AF:
0.706
Gnomad4 AMR
AF:
0.793
Gnomad4 ASJ
AF:
0.742
Gnomad4 EAS
AF:
0.803
Gnomad4 SAS
AF:
0.768
Gnomad4 FIN
AF:
0.813
Gnomad4 NFE
AF:
0.783
Gnomad4 OTH
AF:
0.744
Alfa
AF:
0.769
Hom.:
53589
Bravo
AF:
0.755
Asia WGS
AF:
0.782
AC:
2717
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxAug 09, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.91
CADD
Benign
3.4
DANN
Benign
0.58

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2275370; hg19: chr1-21900420; COSMIC: COSV66376031; COSMIC: COSV66376031; API