2-73385869-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 1P and 0B. PVS1_Supporting

The NM_001378454.1(ALMS1):ā€‹c.1A>Cā€‹(p.Met1?) variant causes a initiator codon change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00055 ( 0 hom., cov: 32)
Exomes š‘“: 0.00019 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

ALMS1
NM_001378454.1 initiator_codon

Scores

5
3
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.27
Variant links:
Genes affected
ALMS1 (HGNC:428): (ALMS1 centrosome and basal body associated protein) This gene encodes a protein containing a large tandem-repeat domain as well as additional low complexity regions. The encoded protein functions in microtubule organization, particularly in the formation and maintanance of cilia. Mutations in this gene cause Alstrom syndrome. There is a pseudogene for this gene located adjacent in the same region of chromosome 2. Alternative splice variants have been described but their full length nature has not been determined. [provided by RefSeq, Apr 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PVS1
Start lost variant, no pathogenic variants between lost start and next in-frame start position. Next in-frame start position is after 483 CDS bases. Genomic position: 73419155. Lost 0.039 part of the original CDS.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALMS1NM_001378454.1 linkc.1A>C p.Met1? initiator_codon_variant Exon 1 of 23 ENST00000613296.6 NP_001365383.1
ALMS1NM_015120.4 linkc.1A>C p.Met1? initiator_codon_variant Exon 1 of 23 NP_055935.4 Q8TCU4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALMS1ENST00000613296.6 linkc.1A>C p.Met1? initiator_codon_variant Exon 1 of 23 1 NM_001378454.1 ENSP00000482968.1 Q8TCU4-1

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
83
AN:
148962
Hom.:
0
Cov.:
32
FAILED QC
Gnomad AFR
AF:
0.000294
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000465
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00251
Gnomad SAS
AF:
0.00267
Gnomad FIN
AF:
0.00199
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000284
Gnomad OTH
AF:
0.000487
GnomAD3 exomes
AF:
0.00000766
AC:
1
AN:
130518
Hom.:
0
AF XY:
0.0000142
AC XY:
1
AN XY:
70660
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.000250
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000187
AC:
110
AN:
587388
Hom.:
0
Cov.:
7
AF XY:
0.000161
AC XY:
51
AN XY:
315852
show subpopulations
Gnomad4 AFR exome
AF:
0.000123
Gnomad4 AMR exome
AF:
0.0000877
Gnomad4 ASJ exome
AF:
0.000460
Gnomad4 EAS exome
AF:
0.000225
Gnomad4 SAS exome
AF:
0.0000159
Gnomad4 FIN exome
AF:
0.000160
Gnomad4 NFE exome
AF:
0.000213
Gnomad4 OTH exome
AF:
0.000193
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000550
AC:
82
AN:
149090
Hom.:
0
Cov.:
32
AF XY:
0.000659
AC XY:
48
AN XY:
72784
show subpopulations
Gnomad4 AFR
AF:
0.000268
Gnomad4 AMR
AF:
0.000464
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00251
Gnomad4 SAS
AF:
0.00267
Gnomad4 FIN
AF:
0.00199
Gnomad4 NFE
AF:
0.000284
Gnomad4 OTH
AF:
0.000482

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Alstrom syndrome Uncertain:1
Nov 02, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change affects the initiator methionine of the ALMS1 mRNA. The next in-frame methionine is located at codon 163. This variant is present in population databases (no rsID available, gnomAD 0.004%). This variant has not been reported in the literature in individuals affected with ALMS1-related conditions. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.36
D
BayesDel_noAF
Pathogenic
0.41
CADD
Benign
22
DANN
Benign
0.93
DEOGEN2
Benign
0.034
T;T;.
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.31
FATHMM_MKL
Benign
0.64
D
LIST_S2
Uncertain
0.90
D;D;D
M_CAP
Pathogenic
0.37
D
MetaRNN
Pathogenic
0.98
D;D;D
MetaSVM
Benign
-0.98
T
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
0.99
.;D;.
Vest4
0.80
MutPred
0.99
Gain of stability (P = 0.3811);Gain of stability (P = 0.3811);Gain of stability (P = 0.3811);
MVP
0.50
ClinPred
0.99
D
GERP RS
3.6
Varity_R
0.59
gMVP
0.038

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: rs1429891881; hg19: chr2-73612997; API