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20-45891598-CCTGCTGCTGCTGCTGCTGCTGCTGCT-CCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCT

Variant summary

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

The NM_000308.4(CTSA):​c.48_56dup​(p.Leu17_Leu19dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 0)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

CTSA
NM_000308.4 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.48
Variant links:
Genes affected
CTSA (HGNC:9251): (cathepsin A) This gene encodes a member of the peptidase S10 family of serine carboxypeptidases. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed to generate two chains that comprise the heterodimeric active enzyme. This enzyme possesses deamidase, esterase and carboxypeptidase activities and acts as a scaffold in the lysosomal multienzyme complex. Mutations in this gene are associated with galactosialidosis. [provided by RefSeq, Nov 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CTSANM_000308.4 linkuse as main transcriptc.48_56dup p.Leu17_Leu19dup inframe_insertion 2/15 ENST00000646241.3
CTSANM_001127695.3 linkuse as main transcriptc.48_56dup p.Leu17_Leu19dup inframe_insertion 2/15
CTSANM_001167594.3 linkuse as main transcriptc.48_56dup p.Leu17_Leu19dup inframe_insertion 2/14
CTSANR_133656.2 linkuse as main transcriptn.93_101dup non_coding_transcript_exon_variant 2/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CTSAENST00000646241.3 linkuse as main transcriptc.48_56dup p.Leu17_Leu19dup inframe_insertion 2/15 NM_000308.4 P10619-1

Frequencies

GnomAD3 genomes
AF:
0.0000534
AC:
8
AN:
149796
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.0000737
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000667
Gnomad ASJ
AF:
0.000578
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000213
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000491
AC:
10
AN:
203638
Hom.:
0
AF XY:
0.0000798
AC XY:
9
AN XY:
112766
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000568
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000377
Gnomad FIN exome
AF:
0.0000606
Gnomad NFE exome
AF:
0.0000219
Gnomad OTH exome
AF:
0.000196
GnomAD4 exome
AF:
0.0000251
AC:
36
AN:
1432032
Hom.:
0
Cov.:
0
AF XY:
0.0000295
AC XY:
21
AN XY:
712840
show subpopulations
Gnomad4 AFR exome
AF:
0.0000304
Gnomad4 AMR exome
AF:
0.0000229
Gnomad4 ASJ exome
AF:
0.000504
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000236
Gnomad4 FIN exome
AF:
0.0000639
Gnomad4 NFE exome
AF:
0.0000110
Gnomad4 OTH exome
AF:
0.0000675
GnomAD4 genome
AF:
0.0000534
AC:
8
AN:
149796
Hom.:
0
Cov.:
0
AF XY:
0.0000548
AC XY:
4
AN XY:
72950
show subpopulations
Gnomad4 AFR
AF:
0.0000737
Gnomad4 AMR
AF:
0.0000667
Gnomad4 ASJ
AF:
0.000578
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000213
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000148
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000491

ClinVar

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

Submissions by phenotype

Combined deficiency of sialidase AND beta galactosidase Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeDec 03, 2021This variant, c.102_110dup, results in the insertion of 3 amino acid(s) of the CTSA protein (p.Leu35_Leu37dup), but otherwise preserves the integrity of the reading frame. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with CTSA-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

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: rs72555383; hg19: chr20-44520237; API