2-240869268-C-T

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000030.3(AGXT):​c.264C>T​(p.Ala88Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.181 in 1,613,658 control chromosomes in the GnomAD database, including 29,448 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.15 ( 2031 hom., cov: 33)
Exomes 𝑓: 0.19 ( 27417 hom. )

Consequence

AGXT
NM_000030.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts U:1B:7

Conservation

PhyloP100: -2.96

Publications

14 publications found
Variant links:
Genes affected
AGXT (HGNC:341): (alanine--glyoxylate aminotransferase) This gene is expressed only in the liver and the encoded protein is localized mostly in the peroxisomes, where it is involved in glyoxylate detoxification. Mutations in this gene, some of which alter subcellular targetting, have been associated with type I primary hyperoxaluria. [provided by RefSeq, Jul 2008]
AGXT Gene-Disease associations (from GenCC):
  • alanine glyoxylate aminotransferase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • primary hyperoxaluria type 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Myriad Women’s Health, Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP6
Variant 2-240869268-C-T is Benign according to our data. Variant chr2-240869268-C-T is described in ClinVar as Benign. ClinVar VariationId is 204030.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-2.96 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.199 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AGXTNM_000030.3 linkc.264C>T p.Ala88Ala synonymous_variant Exon 2 of 11 ENST00000307503.4 NP_000021.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AGXTENST00000307503.4 linkc.264C>T p.Ala88Ala synonymous_variant Exon 2 of 11 1 NM_000030.3 ENSP00000302620.3

Frequencies

GnomAD3 genomes
AF:
0.146
AC:
22140
AN:
152118
Hom.:
2028
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0603
Gnomad AMI
AF:
0.253
Gnomad AMR
AF:
0.119
Gnomad ASJ
AF:
0.179
Gnomad EAS
AF:
0.000963
Gnomad SAS
AF:
0.0735
Gnomad FIN
AF:
0.237
Gnomad MID
AF:
0.180
Gnomad NFE
AF:
0.202
Gnomad OTH
AF:
0.159
GnomAD2 exomes
AF:
0.148
AC:
37132
AN:
250912
AF XY:
0.150
show subpopulations
Gnomad AFR exome
AF:
0.0613
Gnomad AMR exome
AF:
0.0809
Gnomad ASJ exome
AF:
0.182
Gnomad EAS exome
AF:
0.000326
Gnomad FIN exome
AF:
0.245
Gnomad NFE exome
AF:
0.203
Gnomad OTH exome
AF:
0.169
GnomAD4 exome
AF:
0.185
AC:
270691
AN:
1461422
Hom.:
27417
Cov.:
35
AF XY:
0.182
AC XY:
132468
AN XY:
727020
show subpopulations
African (AFR)
AF:
0.0608
AC:
2034
AN:
33478
American (AMR)
AF:
0.0836
AC:
3738
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.178
AC:
4653
AN:
26128
East Asian (EAS)
AF:
0.000327
AC:
13
AN:
39700
South Asian (SAS)
AF:
0.0763
AC:
6578
AN:
86256
European-Finnish (FIN)
AF:
0.239
AC:
12665
AN:
53032
Middle Eastern (MID)
AF:
0.165
AC:
951
AN:
5766
European-Non Finnish (NFE)
AF:
0.207
AC:
229864
AN:
1111966
Other (OTH)
AF:
0.169
AC:
10195
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
13435
26871
40306
53742
67177
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
7774
15548
23322
31096
38870
<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:
0.145
AC:
22145
AN:
152236
Hom.:
2031
Cov.:
33
AF XY:
0.144
AC XY:
10704
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.0603
AC:
2507
AN:
41550
American (AMR)
AF:
0.119
AC:
1820
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.179
AC:
620
AN:
3472
East Asian (EAS)
AF:
0.000966
AC:
5
AN:
5178
South Asian (SAS)
AF:
0.0744
AC:
359
AN:
4824
European-Finnish (FIN)
AF:
0.237
AC:
2513
AN:
10608
Middle Eastern (MID)
AF:
0.180
AC:
53
AN:
294
European-Non Finnish (NFE)
AF:
0.202
AC:
13706
AN:
67992
Other (OTH)
AF:
0.157
AC:
332
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
969
1939
2908
3878
4847
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
246
492
738
984
1230
<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:
0.154
Hom.:
1390
Bravo
AF:
0.135
Asia WGS
AF:
0.0340
AC:
117
AN:
3478
EpiCase
AF:
0.203
EpiControl
AF:
0.200

ClinVar

Significance: Benign
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Primary hyperoxaluria, type I Uncertain:1Benign:3
Nov 27, 2014
Clinical Biochemistry Laboratory, Health Services Laboratory
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

Sep 09, 2019
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 13, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

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

- -

not specified Benign:1
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.82
CADD
Benign
4.8
DANN
Benign
0.33
PhyloP100
-3.0
PromoterAI
-0.010
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=100/0
polymorphism (auto)

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: rs35698882; hg19: chr2-241808685; COSMIC: COSV56756090; COSMIC: COSV56756090; API