15-100879950-A-G

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBS1BS2

The NM_000693.4(ALDH1A3):​c.43A>G​(p.Arg15Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00859 in 1,472,488 control chromosomes in the GnomAD database, including 81 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0057 ( 7 hom., cov: 33)
Exomes 𝑓: 0.0089 ( 74 hom. )

Consequence

ALDH1A3
NM_000693.4 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 0.655

Publications

4 publications found
Variant links:
Genes affected
ALDH1A3 (HGNC:409): (aldehyde dehydrogenase 1 family member A3) This gene encodes an aldehyde dehydrogenase enzyme that uses retinal as a substrate. Mutations in this gene have been associated with microphthalmia, isolated 8, and expression changes have also been detected in tumor cells. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jun 2014]
ALDH1A3 Gene-Disease associations (from GenCC):
  • isolated anophthalmia-microphthalmia syndrome
    Inheritance: AD, AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P
  • isolated microphthalmia 8
    Inheritance: AR Classification: STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 13 curated pathogenic missense variants (we use a threshold of 10). The gene has 4 curated benign missense variants. Gene score misZ: 2.2359 (below the threshold of 3.09). Trascript score misZ: 2.2507 (below the threshold of 3.09). GenCC associations: The gene is linked to isolated anophthalmia-microphthalmia syndrome, isolated microphthalmia 8.
BP4
Computational evidence support a benign effect (MetaRNN=0.0028638542).
BP6
Variant 15-100879950-A-G is Benign according to our data. Variant chr15-100879950-A-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 235693.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0057 (865/151884) while in subpopulation NFE AF = 0.00948 (644/67906). AF 95% confidence interval is 0.00888. There are 7 homozygotes in GnomAd4. There are 339 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 7 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALDH1A3NM_000693.4 linkc.43A>G p.Arg15Gly missense_variant Exon 1 of 13 ENST00000329841.10 NP_000684.2 P47895A0A024RC95
ALDH1A3NM_001293815.2 linkc.43A>G p.Arg15Gly missense_variant Exon 1 of 10 NP_001280744.1 P47895H0Y2X5Q7Z3A2
LOC124903575XM_047433433.1 linkc.-147T>C upstream_gene_variant XP_047289389.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALDH1A3ENST00000329841.10 linkc.43A>G p.Arg15Gly missense_variant Exon 1 of 13 1 NM_000693.4 ENSP00000332256.5 P47895

Frequencies

GnomAD3 genomes
AF:
0.00570
AC:
865
AN:
151776
Hom.:
7
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00181
Gnomad AMI
AF:
0.0736
Gnomad AMR
AF:
0.00256
Gnomad ASJ
AF:
0.00375
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.000861
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00950
Gnomad OTH
AF:
0.00575
GnomAD2 exomes
AF:
0.00463
AC:
389
AN:
84108
AF XY:
0.00455
show subpopulations
Gnomad AFR exome
AF:
0.00240
Gnomad AMR exome
AF:
0.000828
Gnomad ASJ exome
AF:
0.00384
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00113
Gnomad NFE exome
AF:
0.0103
Gnomad OTH exome
AF:
0.00516
GnomAD4 exome
AF:
0.00892
AC:
11785
AN:
1320604
Hom.:
74
Cov.:
30
AF XY:
0.00861
AC XY:
5601
AN XY:
650560
show subpopulations
African (AFR)
AF:
0.00101
AC:
27
AN:
26726
American (AMR)
AF:
0.00124
AC:
33
AN:
26638
Ashkenazi Jewish (ASJ)
AF:
0.00362
AC:
84
AN:
23206
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27956
South Asian (SAS)
AF:
0.00137
AC:
99
AN:
72388
European-Finnish (FIN)
AF:
0.00117
AC:
49
AN:
41852
Middle Eastern (MID)
AF:
0.000975
AC:
5
AN:
5130
European-Non Finnish (NFE)
AF:
0.0107
AC:
11127
AN:
1042546
Other (OTH)
AF:
0.00667
AC:
361
AN:
54162
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
652
1303
1955
2606
3258
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
454
908
1362
1816
2270
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00570
AC:
865
AN:
151884
Hom.:
7
Cov.:
33
AF XY:
0.00457
AC XY:
339
AN XY:
74246
show subpopulations
African (AFR)
AF:
0.00181
AC:
75
AN:
41514
American (AMR)
AF:
0.00255
AC:
39
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00375
AC:
13
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5128
South Asian (SAS)
AF:
0.00124
AC:
6
AN:
4820
European-Finnish (FIN)
AF:
0.000861
AC:
9
AN:
10458
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00948
AC:
644
AN:
67906
Other (OTH)
AF:
0.00569
AC:
12
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
47
93
140
186
233
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00786
Hom.:
8
Bravo
AF:
0.00581
ESP6500AA
AF:
0.00138
AC:
4
ESP6500EA
AF:
0.00499
AC:
27
ExAC
AF:
0.00170
AC:
45

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:6
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ALDH1A3: BS2 -

Jul 28, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

May 09, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Isolated microphthalmia 8 Benign:2
Jan 24, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 11, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

ALDH1A3-related disorder Benign:1
Jul 30, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
12
DANN
Benign
0.62
DEOGEN2
Benign
0.26
T;T;T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.021
N
LIST_S2
Benign
0.58
T;T;T
MetaRNN
Benign
0.0029
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N;.;.
PhyloP100
0.66
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-0.97
N;D;N
REVEL
Benign
0.11
Sift
Benign
0.44
T;T;T
Sift4G
Benign
0.43
T;T;T
Polyphen
0.0
B;.;.
Vest4
0.093
MVP
0.46
MPC
0.71
ClinPred
0.00030
T
GERP RS
-3.5
PromoterAI
-0.15
Neutral
Varity_R
0.072
gMVP
0.39
Mutation Taster
=98/2
polymorphism

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

Other links and lift over

dbSNP: rs1130737; hg19: chr15-101420155; COSMIC: COSV105210727; API