12-102958346-GGCCGCAGCCGCGGCGGCCGCAGCC-G
Variant summary
Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP3BS2
The NM_004316.4(ASCL1):c.111_134del(p.Ala40_Ala47del) variant causes a inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000062 in 1,435,264 control chromosomes in the GnomAD database, including 2 homozygotes. Variant has been reported in ClinVar as Uncertain significance (no stars).
Frequency
Genomes: 𝑓 0.000040 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000065 ( 2 hom. )
Consequence
ASCL1
NM_004316.4 inframe_deletion
NM_004316.4 inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 2.34
Genes affected
ASCL1 (HGNC:738): (achaete-scute family bHLH transcription factor 1) This gene encodes a member of the basic helix-loop-helix (BHLH) family of transcription factors. The protein activates transcription by binding to the E box (5'-CANNTG-3'). Dimerization with other BHLH proteins is required for efficient DNA binding. This protein plays a role in the neuronal commitment and differentiation and in the generation of olfactory and autonomic neurons. Mutations in this gene may contribute to the congenital central hypoventilation syndrome (CCHS) phenotype in rare cases. [provided by RefSeq, Jul 2008]
PAH (HGNC:8582): (phenylalanine hydroxylase) This gene encodes a member of the biopterin-dependent aromatic amino acid hydroxylase protein family. The encoded phenylalanine hydroxylase enzyme hydroxylates phenylalanine to tyrosine and is the rate-limiting step in phenylalanine catabolism. Deficiency of this enzyme activity results in the autosomal recessive disorder phenylketonuria. [provided by RefSeq, Aug 2017]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -5 ACMG points.
BP3
Nonframeshift variant in repetitive region in NM_004316.4
BS2
High AC in GnomAd4 at 6 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
ASCL1 | NM_004316.4 | c.111_134del | p.Ala40_Ala47del | inframe_deletion | 1/2 | ENST00000266744.4 | |
PAH | NM_001354304.2 | c.-271_-248del | 5_prime_UTR_variant | 1/14 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
ASCL1 | ENST00000266744.4 | c.111_134del | p.Ala40_Ala47del | inframe_deletion | 1/2 | 1 | NM_004316.4 | P1 | |
PAH | ENST00000551337.5 | 5_prime_UTR_variant | 1/5 | 3 | |||||
PAH | ENST00000547319.1 | n.41_64del | non_coding_transcript_exon_variant | 1/3 | 4 |
Frequencies
GnomAD3 genomes AF: 0.0000400 AC: 6AN: 150044Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.000248 AC: 16AN: 64606Hom.: 1 AF XY: 0.000289 AC XY: 11AN XY: 38060
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GnomAD4 exome AF: 0.0000646 AC: 83AN: 1285220Hom.: 2 AF XY: 0.0000758 AC XY: 48AN XY: 632884
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GnomAD4 genome AF: 0.0000400 AC: 6AN: 150044Hom.: 0 Cov.: 32 AF XY: 0.0000546 AC XY: 4AN XY: 73272
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
Haddad syndrome Uncertain:1
Uncertain significance, no assertion criteria provided | literature only | OMIM | Dec 01, 2003 | - - |
Computational scores
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Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at