12-102958393-C-CGCAGCAGCAGCAGCAGCAGCA

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_004316.4(ASCL1):​c.166_186dup​(p.Gln56_Gln62dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Uncertain significance (no stars).

Frequency

Genomes: 𝑓 0.00078 ( 0 hom., cov: 0)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

ASCL1
NM_004316.4 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: 0.219
Variant links:
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 -4 ACMG points.

BS2
High AC in GnomAd4 at 117 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ASCL1NM_004316.4 linkuse as main transcriptc.166_186dup p.Gln56_Gln62dup inframe_insertion 1/2 ENST00000266744.4
PAHNM_001354304.2 linkuse as main transcriptc.-295_-294insTGCTGCTGCTGCTGCTGCTGC 5_prime_UTR_variant 1/14

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ASCL1ENST00000266744.4 linkuse as main transcriptc.166_186dup p.Gln56_Gln62dup inframe_insertion 1/21 NM_004316.4 P1
PAHENST00000547319.1 linkuse as main transcriptn.17_18insTGCTGCTGCTGCTGCTGCTGC non_coding_transcript_exon_variant 1/34
PAHENST00000551337.5 linkuse as main transcript upstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.000779
AC:
117
AN:
150120
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.00259
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000462
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000197
Gnomad SAS
AF:
0.000210
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000297
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.000119
AC:
162
AN:
1356934
Hom.:
0
Cov.:
17
AF XY:
0.000118
AC XY:
79
AN XY:
669230
show subpopulations
Gnomad4 AFR exome
AF:
0.00225
Gnomad4 AMR exome
AF:
0.000297
Gnomad4 ASJ exome
AF:
0.0000833
Gnomad4 EAS exome
AF:
0.000779
Gnomad4 SAS exome
AF:
0.000171
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000302
Gnomad4 OTH exome
AF:
0.000213
GnomAD4 genome
AF:
0.000779
AC:
117
AN:
150210
Hom.:
0
Cov.:
0
AF XY:
0.000791
AC XY:
58
AN XY:
73326
show subpopulations
Gnomad4 AFR
AF:
0.00259
Gnomad4 AMR
AF:
0.000462
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000198
Gnomad4 SAS
AF:
0.000210
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000297
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

ASCL1-related disorder Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 03, 2024The ASCL1 c.166_186dup21 variant is predicted to result in an in-frame duplication (p.Gln56_Gln62dup). To our knowledge, this variant has not been reported in the literature or in a large population database, indicating this variant is rare. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs3832799; hg19: chr12-103352171; API