14-35627117-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 3P and 1B. PM2PP2BP4

The NM_001346249.2(RALGAPA1):ā€‹c.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

Scores

5
5
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.00
Variant links:
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]

Genome browser will be placed here

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
RALGAPA1NM_001346249.2 linkuse as main transcriptc.6830T>C p.Ile2277Thr missense_variant 34/42 ENST00000680220.1 NP_001333178.1 Q6GYQ0A0A7P0TAR5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RALGAPA1ENST00000680220.1 linkuse as main transcriptc.6830T>C p.Ile2277Thr missense_variant 34/42 NM_001346249.2 ENSP00000506280.1 A0A7P0TAR5

Frequencies

GnomAD3 genomes
AF:
0.000151
AC:
23
AN:
151844
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000508
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000965
GnomAD3 exomes
AF:
0.0000459
AC:
9
AN:
196266
Hom.:
0
AF XY:
0.0000378
AC XY:
4
AN XY:
105748
show subpopulations
Gnomad AFR exome
AF:
0.000591
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:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000927
AC:
13
AN:
1402836
Hom.:
0
Cov.:
33
AF XY:
0.00000864
AC XY:
6
AN XY:
694170
show subpopulations
Gnomad4 AFR exome
AF:
0.000292
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000510
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000346
GnomAD4 genome
AF:
0.000151
AC:
23
AN:
151844
Hom.:
0
Cov.:
31
AF XY:
0.000162
AC XY:
12
AN XY:
74166
show subpopulations
Gnomad4 AFR
AF:
0.000508
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000965
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.000204
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000412
AC:
5

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 submitterclinical testingAmbry GeneticsNov 14, 2023The 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: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.63
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Pathogenic
0.36
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.022
T;.;T;T;.;.
Eigen
Uncertain
0.37
Eigen_PC
Uncertain
0.44
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Uncertain
0.95
D;D;D;D;D;D
M_CAP
Benign
0.026
D
MetaRNN
Benign
0.42
T;T;T;T;T;T
MetaSVM
Benign
-0.52
T
MutationAssessor
Benign
1.4
L;L;.;.;.;.
PrimateAI
Pathogenic
0.90
D
PROVEAN
Benign
-0.54
N;N;N;.;N;N
REVEL
Pathogenic
0.75
Sift
Benign
0.078
T;T;T;.;T;T
Sift4G
Benign
0.10
T;T;T;.;T;T
Polyphen
0.79
P;D;.;.;.;D
Vest4
0.80
MVP
0.91
MPC
1.9
ClinPred
0.11
T
GERP RS
5.4
Varity_R
0.17
gMVP
0.54

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs373155996; hg19: chr14-36096323; API