12-48569177-C-T

Variant summary

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

The NM_002289.3(LALBA):​c.197G>A​(p.Ser66Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000177 in 1,613,574 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00018 ( 1 hom. )

Consequence

LALBA
NM_002289.3 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.414
Variant links:
Genes affected
LALBA (HGNC:6480): (lactalbumin alpha) This gene encodes alpha-lactalbumin, a principal protein of milk. Alpha-lactalbumin forms the regulatory subunit of the lactose synthase (LS) heterodimer and beta 1,4-galactosyltransferase (beta4Gal-T1) forms the catalytic component. Together, these proteins enable LS to produce lactose by transfering galactose moieties to glucose. As a monomer, alpha-lactalbumin strongly binds calcium and zinc ions and may possess bactericidal or antitumor activity. A folding variant of alpha-lactalbumin, called HAMLET, likely induces apoptosis in tumor and immature cells. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

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=0.10741967).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LALBANM_002289.3 linkc.197G>A p.Ser66Asn missense_variant 2/4 ENST00000301046.6 NP_002280.1 P00709A0A080YV01
LALBANM_001384350.1 linkc.197G>A p.Ser66Asn missense_variant 3/5 NP_001371279.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LALBAENST00000301046.6 linkc.197G>A p.Ser66Asn missense_variant 2/41 NM_002289.3 ENSP00000301046.2 P00709
LALBAENST00000549817.1 linkc.197G>A p.Ser66Asn missense_variant 2/35 ENSP00000449780.1 F8VWU1

Frequencies

GnomAD3 genomes
AF:
0.000105
AC:
16
AN:
152152
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000220
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000135
AC:
34
AN:
251108
Hom.:
0
AF XY:
0.000162
AC XY:
22
AN XY:
135710
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:
0.000277
Gnomad NFE exome
AF:
0.000229
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000185
AC:
270
AN:
1461306
Hom.:
1
Cov.:
31
AF XY:
0.000184
AC XY:
134
AN XY:
727006
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000187
Gnomad4 NFE exome
AF:
0.000220
Gnomad4 OTH exome
AF:
0.000248
GnomAD4 genome
AF:
0.000105
AC:
16
AN:
152268
Hom.:
0
Cov.:
32
AF XY:
0.000107
AC XY:
8
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000220
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000199
Hom.:
0
Bravo
AF:
0.0000945
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000107
AC:
13
EpiCase
AF:
0.000273
EpiControl
AF:
0.000178

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 GeneticsMar 24, 2023The c.197G>A (p.S66N) alteration is located in exon 2 (coding exon 2) of the LALBA gene. This alteration results from a G to A substitution at nucleotide position 197, causing the serine (S) at amino acid position 66 to be replaced by an asparagine (N). 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
0.097
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
5.7
DANN
Benign
0.93
DEOGEN2
Uncertain
0.55
D;.
Eigen
Benign
-0.71
Eigen_PC
Benign
-0.80
FATHMM_MKL
Benign
0.012
N
LIST_S2
Benign
0.76
T;T
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.11
T;T
MetaSVM
Benign
-0.63
T
MutationAssessor
Uncertain
2.6
M;.
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-1.9
N;N
REVEL
Benign
0.14
Sift
Benign
0.075
T;T
Sift4G
Benign
0.27
T;T
Polyphen
0.0
B;.
Vest4
0.068
MVP
0.69
MPC
0.44
ClinPred
0.041
T
GERP RS
1.1
Varity_R
0.35
gMVP
0.60

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs138577105; hg19: chr12-48962960; COSMIC: COSV56395741; API