10-49614464-C-G

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBP6

The NM_020549.5(CHAT):ā€‹c.275C>Gā€‹(p.Pro92Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000414 in 1,546,692 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P92Q) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.00021 ( 0 hom., cov: 33)
Exomes š‘“: 0.000023 ( 0 hom. )

Consequence

CHAT
NM_020549.5 missense

Scores

4
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: -1.29
Variant links:
Genes affected
CHAT (HGNC:1912): (choline O-acetyltransferase) This gene encodes an enzyme which catalyzes the biosynthesis of the neurotransmitter acetylcholine. This gene product is a characteristic feature of cholinergic neurons, and changes in these neurons may explain some of the symptoms of Alzheimer's disease. Polymorphisms in this gene have been associated with Alzheimer's disease and mild cognitive impairment. Mutations in this gene are associated with congenital myasthenic syndrome associated with episodic apnea. Multiple transcript variants encoding different isoforms have been found for this gene, and some of these variants have been shown to encode more than one isoform. [provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.04904315).
BP6
Variant 10-49614464-C-G is Benign according to our data. Variant chr10-49614464-C-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 582350.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CHATNM_020549.5 linkuse as main transcriptc.275C>G p.Pro92Arg missense_variant 1/15 ENST00000337653.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CHATENST00000337653.7 linkuse as main transcriptc.275C>G p.Pro92Arg missense_variant 1/151 NM_020549.5 P2P28329-1

Frequencies

GnomAD3 genomes
AF:
0.000211
AC:
32
AN:
152006
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000725
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000141
AC:
2
AN:
141742
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
76406
show subpopulations
Gnomad AFR exome
AF:
0.000144
Gnomad AMR exome
AF:
0.0000408
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000229
AC:
32
AN:
1394568
Hom.:
0
Cov.:
35
AF XY:
0.0000174
AC XY:
12
AN XY:
687944
show subpopulations
Gnomad4 AFR exome
AF:
0.000507
Gnomad4 AMR exome
AF:
0.0000280
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000126
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000130
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.000210
AC:
32
AN:
152124
Hom.:
0
Cov.:
33
AF XY:
0.000256
AC XY:
19
AN XY:
74348
show subpopulations
Gnomad4 AFR
AF:
0.000723
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:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000219

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Familial infantile myasthenia Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeNov 24, 2023- -
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityFeb 12, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
13
DANN
Benign
0.83
DEOGEN2
Benign
0.072
T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.0070
N
LIST_S2
Benign
0.23
T
M_CAP
Uncertain
0.089
D
MetaRNN
Benign
0.049
T
MetaSVM
Benign
-0.78
T
MutationAssessor
Benign
0.55
N
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
0.27
N
REVEL
Benign
0.24
Sift
Uncertain
0.027
D
Sift4G
Uncertain
0.0070
D
Polyphen
0.0
B
Vest4
0.054
MVP
0.56
MPC
0.26
ClinPred
0.070
T
GERP RS
-4.2
Varity_R
0.046
gMVP
0.11

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: rs372298555; hg19: chr10-50822510; API