2-29717663-A-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_004304.5(ALK):​c.702T>A​(p.Pro234Pro) variant causes a synonymous change. The variant allele was found at a frequency of 0.773 in 1,613,634 control chromosomes in the GnomAD database, including 494,258 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. P234P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.64 ( 35608 hom., cov: 32)
Exomes 𝑓: 0.79 ( 458650 hom. )

Consequence

ALK
NM_004304.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 3.80

Publications

36 publications found
Variant links:
Genes affected
ALK (HGNC:427): (ALK receptor tyrosine kinase) This gene encodes a receptor tyrosine kinase, which belongs to the insulin receptor superfamily. This protein comprises an extracellular domain, an hydrophobic stretch corresponding to a single pass transmembrane region, and an intracellular kinase domain. It plays an important role in the development of the brain and exerts its effects on specific neurons in the nervous system. This gene has been found to be rearranged, mutated, or amplified in a series of tumours including anaplastic large cell lymphomas, neuroblastoma, and non-small cell lung cancer. The chromosomal rearrangements are the most common genetic alterations in this gene, which result in creation of multiple fusion genes in tumourigenesis, including ALK (chromosome 2)/EML4 (chromosome 2), ALK/RANBP2 (chromosome 2), ALK/ATIC (chromosome 2), ALK/TFG (chromosome 3), ALK/NPM1 (chromosome 5), ALK/SQSTM1 (chromosome 5), ALK/KIF5B (chromosome 10), ALK/CLTC (chromosome 17), ALK/TPM4 (chromosome 19), and ALK/MSN (chromosome X).[provided by RefSeq, Jan 2011]
ALK Gene-Disease associations (from GenCC):
  • neuroblastoma, susceptibility to, 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56).
BP6
Variant 2-29717663-A-T is Benign according to our data. Variant chr2-29717663-A-T is described in ClinVar as Benign. ClinVar VariationId is 259274.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.808 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004304.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALK
NM_004304.5
MANE Select
c.702T>Ap.Pro234Pro
synonymous
Exon 2 of 29NP_004295.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALK
ENST00000389048.8
TSL:1 MANE Select
c.702T>Ap.Pro234Pro
synonymous
Exon 2 of 29ENSP00000373700.3Q9UM73
ALK
ENST00000618119.4
TSL:5
c.-430T>A
5_prime_UTR
Exon 1 of 28ENSP00000482733.1A0A087WZL3

Frequencies

GnomAD3 genomes
AF:
0.640
AC:
97210
AN:
151990
Hom.:
35610
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.251
Gnomad AMI
AF:
0.917
Gnomad AMR
AF:
0.720
Gnomad ASJ
AF:
0.823
Gnomad EAS
AF:
0.764
Gnomad SAS
AF:
0.707
Gnomad FIN
AF:
0.737
Gnomad MID
AF:
0.718
Gnomad NFE
AF:
0.813
Gnomad OTH
AF:
0.707
GnomAD2 exomes
AF:
0.741
AC:
186258
AN:
251412
AF XY:
0.750
show subpopulations
Gnomad AFR exome
AF:
0.235
Gnomad AMR exome
AF:
0.729
Gnomad ASJ exome
AF:
0.820
Gnomad EAS exome
AF:
0.745
Gnomad FIN exome
AF:
0.747
Gnomad NFE exome
AF:
0.814
Gnomad OTH exome
AF:
0.782
GnomAD4 exome
AF:
0.786
AC:
1149377
AN:
1461526
Hom.:
458650
Cov.:
47
AF XY:
0.786
AC XY:
571704
AN XY:
727086
show subpopulations
African (AFR)
AF:
0.224
AC:
7505
AN:
33478
American (AMR)
AF:
0.730
AC:
32645
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.824
AC:
21521
AN:
26132
East Asian (EAS)
AF:
0.785
AC:
31156
AN:
39692
South Asian (SAS)
AF:
0.711
AC:
61290
AN:
86246
European-Finnish (FIN)
AF:
0.752
AC:
40145
AN:
53412
Middle Eastern (MID)
AF:
0.788
AC:
4543
AN:
5766
European-Non Finnish (NFE)
AF:
0.813
AC:
904177
AN:
1111696
Other (OTH)
AF:
0.768
AC:
46395
AN:
60382
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
13189
26378
39567
52756
65945
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20722
41444
62166
82888
103610
<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:
0.639
AC:
97206
AN:
152108
Hom.:
35608
Cov.:
32
AF XY:
0.640
AC XY:
47592
AN XY:
74338
show subpopulations
African (AFR)
AF:
0.250
AC:
10379
AN:
41500
American (AMR)
AF:
0.720
AC:
11003
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.823
AC:
2856
AN:
3472
East Asian (EAS)
AF:
0.763
AC:
3941
AN:
5164
South Asian (SAS)
AF:
0.706
AC:
3393
AN:
4808
European-Finnish (FIN)
AF:
0.737
AC:
7785
AN:
10570
Middle Eastern (MID)
AF:
0.721
AC:
212
AN:
294
European-Non Finnish (NFE)
AF:
0.813
AC:
55300
AN:
67998
Other (OTH)
AF:
0.710
AC:
1501
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1328
2656
3985
5313
6641
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
750
1500
2250
3000
3750
<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:
0.762
Hom.:
12215
Bravo
AF:
0.622
Asia WGS
AF:
0.734
AC:
2553
AN:
3478
EpiCase
AF:
0.815
EpiControl
AF:
0.824

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
6
Neuroblastoma, susceptibility to, 3 (6)
-
-
3
not specified (3)
-
-
2
not provided (2)
-
-
1
Hereditary cancer-predisposing syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.56
CADD
Benign
8.0
DANN
Benign
0.50
PhyloP100
3.8
PromoterAI
-0.0054
Neutral
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: rs2246745; hg19: chr2-29940529; COSMIC: COSV66584548; API