13-23337420-A-G
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 2P and 7B. PM2BP4_StrongBP6_ModerateBP7
The NM_014363.6(SACS):c.6456T>C(p.Gly2152Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,474 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: not found (cov: 33) 
 Exomes 𝑓:  6.8e-7   (  0   hom.  ) 
Consequence
 SACS
NM_014363.6 synonymous
NM_014363.6 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  -0.443  
Publications
0 publications found 
Genes affected
 SACS  (HGNC:10519):  (sacsin molecular chaperone) This gene encodes the sacsin protein, which includes a UbL domain at the N-terminus, a DnaJ domain, and a HEPN domain at the C-terminus. The gene is highly expressed in the central nervous system, also found in skin, skeletal muscles and at low levels in the pancreas. This gene includes a very large exon spanning more than 12.8 kb. Mutations in this gene result in autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS), a neurodegenerative disorder characterized by early-onset cerebellar ataxia with spasticity and peripheral neuropathy. The authors of a publication on the effects of siRNA-mediated sacsin knockdown concluded that sacsin protects against mutant ataxin-1 and suggest that "the large multi-domain sacsin protein is able to recruit Hsp70 chaperone action and has the potential to regulate the effects of other ataxia proteins" (Parfitt et al., PubMed: 19208651). A pseudogene associated with this gene is located on chromosome 11. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2013] 
SACS Gene-Disease associations (from GenCC):
- Charlevoix-Saguenay spastic ataxiaInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), Myriad Women’s Health
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ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -5 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.83). 
BP6
Variant 13-23337420-A-G is Benign according to our data. Variant chr13-23337420-A-G is described in ClinVar as Likely_benign. ClinVar VariationId is 586437.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP7
Synonymous conserved (PhyloP=-0.443 with no splicing effect.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
33
GnomAD2 exomes  AF:  0.00000401  AC: 1AN: 249668 AF XY:  0.00   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1
AN: 
249668
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  6.85e-7  AC: 1AN: 1460474Hom.:  0  Cov.: 37 AF XY:  0.00  AC XY: 0AN XY: 726436 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
1
AN: 
1460474
Hom.: 
Cov.: 
37
 AF XY: 
AC XY: 
0
AN XY: 
726436
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33370
American (AMR) 
 AF: 
AC: 
0
AN: 
44584
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26052
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39682
South Asian (SAS) 
 AF: 
AC: 
1
AN: 
85938
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53372
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5752
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111408
Other (OTH) 
 AF: 
AC: 
0
AN: 
60316
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.575 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
GnomAD4 genome  
GnomAD4 genome 
Cov.: 
33
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
not provided    Benign:1 
Nov 06, 2017
Athena Diagnostics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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