2-73385903-TGGAGGAGGAGGAGGAGGAGGAGGA-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP3

The NM_001378454.1(ALMS1):​c.51_74delGGAGGAGGAGGAGGAGGAGGAGGA​(p.Glu18_Glu25del) variant causes a disruptive inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000442 in 701,270 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000056 ( 0 hom., cov: 0)
Exomes 𝑓: 0.000041 ( 0 hom. )

Consequence

ALMS1
NM_001378454.1 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 3.45
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]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP3
Nonframeshift variant in repetitive region in NM_001378454.1

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ALMS1NM_001378454.1 linkc.51_74delGGAGGAGGAGGAGGAGGAGGAGGA p.Glu18_Glu25del disruptive_inframe_deletion 1/23 ENST00000613296.6 NP_001365383.1
ALMS1NM_015120.4 linkc.51_74delGGAGGAGGAGGAGGAGGAGGAGGA p.Glu18_Glu25del disruptive_inframe_deletion 1/23 NP_055935.4 Q8TCU4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ALMS1ENST00000613296.6 linkc.51_74delGGAGGAGGAGGAGGAGGAGGAGGA p.Glu18_Glu25del disruptive_inframe_deletion 1/231 NM_001378454.1 ENSP00000482968.1 Q8TCU4-1

Frequencies

GnomAD3 genomes
AF:
0.0000557
AC:
8
AN:
143532
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.0000251
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000136
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000234
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000622
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000412
AC:
23
AN:
557738
Hom.:
0
AF XY:
0.0000504
AC XY:
15
AN XY:
297828
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000357
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000385
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
AF:
0.0000557
AC:
8
AN:
143532
Hom.:
0
Cov.:
0
AF XY:
0.0000431
AC XY:
3
AN XY:
69544
show subpopulations
Gnomad4 AFR
AF:
0.0000251
Gnomad4 AMR
AF:
0.000136
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000234
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000622
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxJun 26, 2024Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports a deleterious effect on protein structure/function; In-frame deletion in a repetitive region with no known function; Has not been previously published as pathogenic or benign to our knowledge -
Cardiovascular phenotype Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 11, 2024The c.51_77del27 variant (also known as p.E21_E29del) is located in coding exon 1 of the ALMS1 gene. This variant results from an in-frame GGAGGAGGAGGAGGAGGAGGAGGAAGA deletion at nucleotide positions 51 to 77. This results in the in-frame deletion of a at codon 21. This amino acid position ranges from well conserved to poorly conserved in available vertebrate species. This in-frame variant is in a repetitive region of the gene and has no known function or association with disease. Based on the available evidence, the clinical significance of this variant remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs55889738; hg19: chr2-73613031; API