14-35627117-A-G
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Variant summary
Our verdict is Uncertain significance. Variant got 2 ACMG points: 3P and 1B. PM2PP2BP4
The NM_001346249.2(RALGAPA1):āc.6830T>Cā(p.Ile2277Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000232 in 1,554,680 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 Uncertain significance (ā ).
Frequency
Genomes: š 0.00015 ( 0 hom., cov: 31)
Exomes š: 0.0000093 ( 0 hom. )
Consequence
RALGAPA1
NM_001346249.2 missense
NM_001346249.2 missense
Scores
5
5
9
Clinical Significance
Conservation
PhyloP100: 4.00
Genes affected
RALGAPA1 (HGNC:17770): (Ral GTPase activating protein catalytic subunit alpha 1) This gene encodes a major subunit of the RAL-GTPase activating protein. A similar protein in mouse binds E12, a transcriptional regulator of immunoglobulin genes. The mouse protein also functions in skeletal muscle by binding to the regulatory 14-3-3 proteins upon stimulation with insulin or muscle contraction. A pseudogene of this gene has been identified on chromosome 9. [provided by RefSeq, Oct 2016]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 2 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RALGAPA1. . Gene score misZ 3.5271 (greater than the threshold 3.09). Trascript score misZ 5.347 (greater than threshold 3.09). GenCC has associacion of gene with neurodevelopmental disorder with hypotonia, neonatal respiratory insufficiency, and thermodysregulation, complex neurodevelopmental disorder.
BP4
Computational evidence support a benign effect (MetaRNN=0.4197998).
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
RALGAPA1 | NM_001346249.2 | c.6830T>C | p.Ile2277Thr | missense_variant | 34/42 | ENST00000680220.1 | NP_001333178.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
RALGAPA1 | ENST00000680220.1 | c.6830T>C | p.Ile2277Thr | missense_variant | 34/42 | NM_001346249.2 | ENSP00000506280.1 |
Frequencies
GnomAD3 genomes AF: 0.000151 AC: 23AN: 151844Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.0000459 AC: 9AN: 196266Hom.: 0 AF XY: 0.0000378 AC XY: 4AN XY: 105748
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GnomAD4 exome AF: 0.00000927 AC: 13AN: 1402836Hom.: 0 Cov.: 33 AF XY: 0.00000864 AC XY: 6AN XY: 694170
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GnomAD4 genome AF: 0.000151 AC: 23AN: 151844Hom.: 0 Cov.: 31 AF XY: 0.000162 AC XY: 12AN XY: 74166
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Nov 14, 2023 | The c.5312T>C (p.I1771T) alteration is located in exon 33 (coding exon 33) of the RALGAPA1 gene. This alteration results from a T to C substitution at nucleotide position 5312, causing the isoleucine (I) at amino acid position 1771 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
CADD
Benign
DANN
Uncertain
DEOGEN2
Benign
T;.;T;T;.;.
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Uncertain
D
LIST_S2
Uncertain
D;D;D;D;D;D
M_CAP
Benign
D
MetaRNN
Benign
T;T;T;T;T;T
MetaSVM
Benign
T
MutationAssessor
Benign
L;L;.;.;.;.
PrimateAI
Pathogenic
D
PROVEAN
Benign
N;N;N;.;N;N
REVEL
Pathogenic
Sift
Benign
T;T;T;.;T;T
Sift4G
Benign
T;T;T;.;T;T
Polyphen
P;D;.;.;.;D
Vest4
MVP
MPC
1.9
ClinPred
T
GERP RS
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gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at