2-73385903-TGGAGGAGGAGGAGGAGGAGGAGGAGGA-TGGAGGA

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP3BP6

The NM_001378454.1(ALMS1):​c.54_74delGGAGGAGGAGGAGGAGGAGGA​(p.Glu19_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 0.0000428 in 701,370 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. E18E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000042 ( 0 hom., cov: 0)
Exomes 𝑓: 0.000043 ( 0 hom. )

Consequence

ALMS1
NM_001378454.1 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 3.45

Publications

7 publications found
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]
ALMS1 Gene-Disease associations (from GenCC):
  • Alstrom syndrome
    Inheritance: AR, Unknown Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), ClinGen, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001378454.1
BP6
Variant 2-73385903-TGGAGGAGGAGGAGGAGGAGGA-T is Benign according to our data. Variant chr2-73385903-TGGAGGAGGAGGAGGAGGAGGA-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 550448.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001378454.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALMS1
NM_001378454.1
MANE Select
c.54_74delGGAGGAGGAGGAGGAGGAGGAp.Glu19_Glu25del
disruptive_inframe_deletion
Exon 1 of 23NP_001365383.1Q8TCU4-1
ALMS1
NM_015120.4
c.54_74delGGAGGAGGAGGAGGAGGAGGAp.Glu19_Glu25del
disruptive_inframe_deletion
Exon 1 of 23NP_055935.4Q8TCU4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALMS1
ENST00000613296.6
TSL:1 MANE Select
c.54_74delGGAGGAGGAGGAGGAGGAGGAp.Glu19_Glu25del
disruptive_inframe_deletion
Exon 1 of 23ENSP00000482968.1Q8TCU4-1
ALMS1
ENST00000484298.5
TSL:1
c.54_74delGGAGGAGGAGGAGGAGGAGGAp.Glu19_Glu25del
disruptive_inframe_deletion
Exon 1 of 22ENSP00000478155.1A0A087WTU9
ALMS1
ENST00000614410.4
TSL:5
c.54_74delGGAGGAGGAGGAGGAGGAGGAp.Glu19_Glu25del
disruptive_inframe_deletion
Exon 1 of 16ENSP00000479094.1A0A087WV20

Frequencies

GnomAD3 genomes
AF:
0.0000418
AC:
6
AN:
143530
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.0000251
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000204
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000217
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000155
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000430
AC:
24
AN:
557736
Hom.:
0
AF XY:
0.0000504
AC XY:
15
AN XY:
297828
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
15796
American (AMR)
AF:
0.00
AC:
0
AN:
31236
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17644
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30670
South Asian (SAS)
AF:
0.0000715
AC:
4
AN:
55944
European-Finnish (FIN)
AF:
0.0000551
AC:
2
AN:
36320
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2422
European-Non Finnish (NFE)
AF:
0.0000474
AC:
16
AN:
337584
Other (OTH)
AF:
0.0000664
AC:
2
AN:
30120
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.548
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000418
AC:
6
AN:
143634
Hom.:
0
Cov.:
0
AF XY:
0.0000574
AC XY:
4
AN XY:
69662
show subpopulations
African (AFR)
AF:
0.0000250
AC:
1
AN:
39968
American (AMR)
AF:
0.000204
AC:
3
AN:
14700
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3322
East Asian (EAS)
AF:
0.000218
AC:
1
AN:
4584
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4264
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9398
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
266
European-Non Finnish (NFE)
AF:
0.0000155
AC:
1
AN:
64334
Other (OTH)
AF:
0.00
AC:
0
AN:
1972
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
1022

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
1
Alstrom syndrome (4)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
3.4
Mutation Taster
=189/11
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs55889738; hg19: chr2-73613031; API