10-45374343-A-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_000698.5(ALOX5):ā€‹c.64A>Gā€‹(p.Ile22Val) variant causes a missense change. The variant allele was found at a frequency of 0.00019 in 1,538,490 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00016 ( 0 hom., cov: 33)
Exomes š‘“: 0.00019 ( 0 hom. )

Consequence

ALOX5
NM_000698.5 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.66
Variant links:
Genes affected
ALOX5 (HGNC:435): (arachidonate 5-lipoxygenase) This gene encodes a member of the lipoxygenase gene family and plays a dual role in the synthesis of leukotrienes from arachidonic acid. The encoded protein, which is expressed specifically in bone marrow-derived cells, catalyzes the conversion of arachidonic acid to 5(S)-hydroperoxy-6-trans-8,11,14-cis-eicosatetraenoic acid, and further to the allylic epoxide 5(S)-trans-7,9-trans-11,14-cis-eicosatetrenoic acid (leukotriene A4). Leukotrienes are important mediators of a number of inflammatory and allergic conditions. Mutations in the promoter region of this gene lead to a diminished response to antileukotriene drugs used in the treatment of asthma and may also be associated with atherosclerosis and several cancers. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06958532).
BS2
High AC in GnomAd4 at 25 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ALOX5NM_000698.5 linkuse as main transcriptc.64A>G p.Ile22Val missense_variant 1/14 ENST00000374391.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALOX5ENST00000374391.7 linkuse as main transcriptc.64A>G p.Ile22Val missense_variant 1/141 NM_000698.5 P1P09917-1
ALOX5ENST00000542434.5 linkuse as main transcriptc.64A>G p.Ile22Val missense_variant 1/131 P09917-2

Frequencies

GnomAD3 genomes
AF:
0.000164
AC:
25
AN:
151992
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000309
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000130
AC:
19
AN:
145632
Hom.:
0
AF XY:
0.000151
AC XY:
12
AN XY:
79386
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000318
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000193
AC:
268
AN:
1386386
Hom.:
0
Cov.:
32
AF XY:
0.000181
AC XY:
124
AN XY:
685608
show subpopulations
Gnomad4 AFR exome
AF:
0.0000345
Gnomad4 AMR exome
AF:
0.0000296
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000257
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000239
Gnomad4 OTH exome
AF:
0.000122
GnomAD4 genome
AF:
0.000164
AC:
25
AN:
152104
Hom.:
0
Cov.:
33
AF XY:
0.000121
AC XY:
9
AN XY:
74368
show subpopulations
Gnomad4 AFR
AF:
0.0000482
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000309
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000230
Hom.:
0
Bravo
AF:
0.000136
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000234
AC:
2
ExAC
AF:
0.000136
AC:
16

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 16, 2023The c.64A>G (p.I22V) alteration is located in exon 1 (coding exon 1) of the ALOX5 gene. This alteration results from a A to G substitution at nucleotide position 64, causing the isoleucine (I) at amino acid position 22 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.093
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.56
CADD
Benign
21
DANN
Benign
0.76
DEOGEN2
Benign
0.096
.;T;T
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.38
FATHMM_MKL
Benign
0.72
D
M_CAP
Uncertain
0.28
D
MetaRNN
Benign
0.070
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.28
N;N;.
MutationTaster
Benign
0.99
D;D
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
-0.46
N;N;.
REVEL
Benign
0.078
Sift
Benign
0.24
T;T;.
Sift4G
Benign
0.79
T;T;T
Polyphen
0.0010
.;B;.
Vest4
0.16
MVP
0.20
MPC
0.25
ClinPred
0.19
T
GERP RS
4.8
Varity_R
0.22
gMVP
0.33

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: rs375546109; hg19: chr10-45869791; API