2-73385903-TGGAGGAGGAGGAGGAGGAGGAGGAGGA-TGGAGGAGGAGGAGGAGGAGGA

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP3BP6_Very_StrongBA1

The NM_001378454.1(ALMS1):​c.69_74delGGAGGA​(p.Glu24_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 0.294 in 700,128 control chromosomes in the GnomAD database, including 21,830 homozygotes. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. E23E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.39 ( 12811 hom., cov: 0)
Exomes 𝑓: 0.27 ( 9019 hom. )

Consequence

ALMS1
NM_001378454.1 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 3.21

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 Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, PanelApp Australia, G2P, Orphanet, Genomics England PanelApp

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001378454.1
BP6
Variant 2-73385903-TGGAGGA-T is Benign according to our data. Variant chr2-73385903-TGGAGGA-T is described in ClinVar as Benign. ClinVar VariationId is 221075.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.642 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALMS1NM_001378454.1 linkc.69_74delGGAGGA p.Glu24_Glu25del disruptive_inframe_deletion Exon 1 of 23 ENST00000613296.6 NP_001365383.1
ALMS1NM_015120.4 linkc.69_74delGGAGGA p.Glu24_Glu25del disruptive_inframe_deletion Exon 1 of 23 NP_055935.4 Q8TCU4
LOC105374804XR_007087045.1 linkn.-228_-223delTCCTCC upstream_gene_variant
LOC105374804XR_007087053.1 linkn.-228_-223delTCCTCC upstream_gene_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALMS1ENST00000613296.6 linkc.69_74delGGAGGA p.Glu24_Glu25del disruptive_inframe_deletion Exon 1 of 23 1 NM_001378454.1 ENSP00000482968.1 Q8TCU4-1

Frequencies

GnomAD3 genomes
AF:
0.394
AC:
56506
AN:
143428
Hom.:
12779
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.648
Gnomad AMI
AF:
0.311
Gnomad AMR
AF:
0.308
Gnomad ASJ
AF:
0.272
Gnomad EAS
AF:
0.205
Gnomad SAS
AF:
0.284
Gnomad FIN
AF:
0.272
Gnomad MID
AF:
0.254
Gnomad NFE
AF:
0.304
Gnomad OTH
AF:
0.354
GnomAD2 exomes
AF:
0.286
AC:
23877
AN:
83366
AF XY:
0.281
show subpopulations
Gnomad AFR exome
AF:
0.613
Gnomad AMR exome
AF:
0.247
Gnomad ASJ exome
AF:
0.265
Gnomad EAS exome
AF:
0.194
Gnomad FIN exome
AF:
0.304
Gnomad NFE exome
AF:
0.300
Gnomad OTH exome
AF:
0.271
GnomAD4 exome
AF:
0.268
AC:
148993
AN:
556596
Hom.:
9019
AF XY:
0.265
AC XY:
78880
AN XY:
297226
show subpopulations
African (AFR)
AF:
0.514
AC:
8079
AN:
15706
American (AMR)
AF:
0.246
AC:
7557
AN:
30756
Ashkenazi Jewish (ASJ)
AF:
0.233
AC:
4105
AN:
17630
East Asian (EAS)
AF:
0.213
AC:
6516
AN:
30630
South Asian (SAS)
AF:
0.245
AC:
13691
AN:
55906
European-Finnish (FIN)
AF:
0.245
AC:
8884
AN:
36252
Middle Eastern (MID)
AF:
0.250
AC:
605
AN:
2418
European-Non Finnish (NFE)
AF:
0.271
AC:
91429
AN:
337232
Other (OTH)
AF:
0.270
AC:
8127
AN:
30066
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.520
Heterozygous variant carriers
0
5769
11538
17307
23076
28845
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1070
2140
3210
4280
5350
<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:
0.394
AC:
56594
AN:
143532
Hom.:
12811
Cov.:
0
AF XY:
0.389
AC XY:
27093
AN XY:
69610
show subpopulations
African (AFR)
AF:
0.648
AC:
25889
AN:
39930
American (AMR)
AF:
0.308
AC:
4526
AN:
14678
Ashkenazi Jewish (ASJ)
AF:
0.272
AC:
905
AN:
3322
East Asian (EAS)
AF:
0.204
AC:
937
AN:
4584
South Asian (SAS)
AF:
0.284
AC:
1210
AN:
4258
European-Finnish (FIN)
AF:
0.272
AC:
2551
AN:
9392
Middle Eastern (MID)
AF:
0.257
AC:
69
AN:
268
European-Non Finnish (NFE)
AF:
0.304
AC:
19552
AN:
64298
Other (OTH)
AF:
0.353
AC:
697
AN:
1972
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.517
Heterozygous variant carriers
0
1460
2920
4381
5841
7301
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
508
1016
1524
2032
2540
<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:
0.237
Hom.:
1022

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Sep 04, 2018
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Alstrom syndrome Benign:3
Jun 06, 2023
Molecular Genetics, Royal Melbourne Hospital
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Sep 16, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 24122612, 25468891) -

Cardiovascular phenotype Benign:1
Nov 19, 2018
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
3.2
Mutation Taster
=197/3
polymorphism (auto)

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; COSMIC: COSV52501924; COSMIC: COSV52501924; API