11-90152327-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_005467.4(NAALAD2):ā€‹c.639A>Gā€‹(p.Ile213Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000687 in 1,455,822 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 Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.9e-7 ( 0 hom. )

Consequence

NAALAD2
NM_005467.4 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.281
Variant links:
Genes affected
NAALAD2 (HGNC:14526): (N-acetylated alpha-linked acidic dipeptidase 2) This gene is a member of the N-acetylated alpha-linked acidic dipeptidase (NAALADase) gene family. The representative member of this family is the gene encoding human prostate-specific membrane antigen (PSM), which is a marker of prostatic carcinomas and is the first to be shown to possess NAALADase activity. NAALADase cleaves N-acetyl-L-aspartate-L-glutamate (NAAG), which is a neuropeptide expressed both in the central nervous systems and in the periphery and is thought to function as a neurotransmitter. The product of this gene is a type II integral membrane protein. Transient transfection of this gene confers both NAALADase and dipetidyl peptidase IV activities to mammalian cells. This gene is highly expressed in ovary and testis as well as within discrete brain areas. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2014]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.22108325).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NAALAD2NM_005467.4 linkuse as main transcriptc.639A>G p.Ile213Met missense_variant 6/19 ENST00000534061.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NAALAD2ENST00000534061.6 linkuse as main transcriptc.639A>G p.Ile213Met missense_variant 6/191 NM_005467.4 P1Q9Y3Q0-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250390
Hom.:
0
AF XY:
0.00000739
AC XY:
1
AN XY:
135292
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
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:
6.87e-7
AC:
1
AN:
1455822
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
723368
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000253
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000756

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 GeneticsMay 31, 2023The c.639A>G (p.I213M) alteration is located in exon 6 (coding exon 6) of the NAALAD2 gene. This alteration results from a A to G substitution at nucleotide position 639, causing the isoleucine (I) at amino acid position 213 to be replaced by a methionine (M). 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
0.068
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
19
DANN
Benign
0.94
DEOGEN2
Benign
0.072
T;.;T;.
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.48
FATHMM_MKL
Benign
0.49
N
M_CAP
Benign
0.0081
T
MetaRNN
Benign
0.22
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Pathogenic
3.5
M;.;.;M
MutationTaster
Benign
0.84
D;D;D;D
PrimateAI
Benign
0.30
T
PROVEAN
Benign
0.060
N;N;N;N
REVEL
Benign
0.12
Sift
Benign
0.11
T;T;T;T
Sift4G
Benign
0.12
T;T;T;T
Polyphen
0.0080
B;.;B;.
Vest4
0.26
MutPred
0.61
Gain of MoRF binding (P = 0.0973);Gain of MoRF binding (P = 0.0973);Gain of MoRF binding (P = 0.0973);Gain of MoRF binding (P = 0.0973);
MVP
0.28
MPC
0.12
ClinPred
0.13
T
GERP RS
-1.3
Varity_R
0.086
gMVP
0.60

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: rs775929591; hg19: chr11-89885495; API