2-201733390-C-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_020919.4(ALS2):​c.2466G>A​(p.Val822Val) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.571 in 1,612,934 control chromosomes in the GnomAD database, including 274,463 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.47 ( 19749 hom., cov: 32)
Exomes 𝑓: 0.58 ( 254714 hom. )

Consequence

ALS2
NM_020919.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:16

Conservation

PhyloP100: -0.0570
Variant links:
Genes affected
ALS2 (HGNC:443): (alsin Rho guanine nucleotide exchange factor ALS2) The protein encoded by this gene contains an ATS1/RCC1-like domain, a RhoGEF domain, and a vacuolar protein sorting 9 (VPS9) domain, all of which are guanine-nucleotide exchange factors that activate members of the Ras superfamily of GTPases. The protein functions as a guanine nucleotide exchange factor for the small GTPase RAB5. The protein localizes with RAB5 on early endosomal compartments, and functions as a modulator for endosomal dynamics. Mutations in this gene result in several forms of juvenile lateral sclerosis and infantile-onset ascending spastic paralysis. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.48).
BP6
Variant 2-201733390-C-T is Benign according to our data. Variant chr2-201733390-C-T is described in ClinVar as [Benign]. Clinvar id is 261368.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-201733390-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.057 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.607 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ALS2NM_020919.4 linkuse as main transcriptc.2466G>A p.Val822Val synonymous_variant 13/34 ENST00000264276.11 NP_065970.2 Q96Q42-1A8K4R4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ALS2ENST00000264276.11 linkuse as main transcriptc.2466G>A p.Val822Val synonymous_variant 13/341 NM_020919.4 ENSP00000264276.6 Q96Q42-1

Frequencies

GnomAD3 genomes
AF:
0.468
AC:
71090
AN:
151862
Hom.:
19747
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.167
Gnomad AMI
AF:
0.674
Gnomad AMR
AF:
0.604
Gnomad ASJ
AF:
0.557
Gnomad EAS
AF:
0.355
Gnomad SAS
AF:
0.393
Gnomad FIN
AF:
0.564
Gnomad MID
AF:
0.500
Gnomad NFE
AF:
0.612
Gnomad OTH
AF:
0.486
GnomAD3 exomes
AF:
0.539
AC:
134219
AN:
248966
Hom.:
38834
AF XY:
0.538
AC XY:
72667
AN XY:
135102
show subpopulations
Gnomad AFR exome
AF:
0.153
Gnomad AMR exome
AF:
0.666
Gnomad ASJ exome
AF:
0.548
Gnomad EAS exome
AF:
0.348
Gnomad SAS exome
AF:
0.399
Gnomad FIN exome
AF:
0.577
Gnomad NFE exome
AF:
0.613
Gnomad OTH exome
AF:
0.558
GnomAD4 exome
AF:
0.582
AC:
850622
AN:
1460954
Hom.:
254714
Cov.:
46
AF XY:
0.579
AC XY:
420628
AN XY:
726788
show subpopulations
Gnomad4 AFR exome
AF:
0.153
Gnomad4 AMR exome
AF:
0.652
Gnomad4 ASJ exome
AF:
0.548
Gnomad4 EAS exome
AF:
0.355
Gnomad4 SAS exome
AF:
0.408
Gnomad4 FIN exome
AF:
0.579
Gnomad4 NFE exome
AF:
0.617
Gnomad4 OTH exome
AF:
0.545
GnomAD4 genome
AF:
0.468
AC:
71089
AN:
151980
Hom.:
19749
Cov.:
32
AF XY:
0.467
AC XY:
34678
AN XY:
74268
show subpopulations
Gnomad4 AFR
AF:
0.166
Gnomad4 AMR
AF:
0.604
Gnomad4 ASJ
AF:
0.557
Gnomad4 EAS
AF:
0.356
Gnomad4 SAS
AF:
0.392
Gnomad4 FIN
AF:
0.564
Gnomad4 NFE
AF:
0.612
Gnomad4 OTH
AF:
0.482
Alfa
AF:
0.577
Hom.:
33519
Bravo
AF:
0.460
Asia WGS
AF:
0.318
AC:
1108
AN:
3476
EpiCase
AF:
0.614
EpiControl
AF:
0.610

ClinVar

Significance: Benign
Submissions summary: Benign:16
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 03, 2018- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsNov 17, 2017- -
Infantile-onset ascending hereditary spastic paralysis Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Amyotrophic lateral sclerosis type 2, juvenile Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Juvenile primary lateral sclerosis Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
ALS2-related disorder Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.48
CADD
Benign
4.6
DANN
Benign
0.68

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs2276615; hg19: chr2-202598113; COSMIC: COSV51885375; API