4-154744314-T-C
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Variant summary
Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2
The NM_004744.5(LRAT):c.-1-12T>C variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000523 in 1,613,882 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00072 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00050 ( 10 hom. )
Consequence
LRAT
NM_004744.5 splice_polypyrimidine_tract, intron
NM_004744.5 splice_polypyrimidine_tract, intron
Scores
2
Splicing: ADA: 0.00005216
2
Clinical Significance
Conservation
PhyloP100: -0.201
Genes affected
LRAT (HGNC:6685): (lecithin retinol acyltransferase) The protein encoded by this gene localizes to the endoplasmic reticulum, where it catalyzes the esterification of all-trans-retinol into all-trans-retinyl ester. This reaction is an important step in vitamin A metabolism in the visual system. Mutations in this gene have been associated with early-onset severe retinal dystrophy and Leber congenital amaurosis 14. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2014]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -9 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.81).
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.000716 (109/152264) while in subpopulation EAS AF= 0.0186 (96/5152). AF 95% confidence interval is 0.0156. There are 0 homozygotes in gnomad4. There are 74 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 10 AR gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
LRAT | NM_004744.5 | c.-1-12T>C | splice_polypyrimidine_tract_variant, intron_variant | ENST00000336356.4 | NP_004735.2 | |||
LRAT | NM_001301645.2 | c.-1-12T>C | splice_polypyrimidine_tract_variant, intron_variant | NP_001288574.1 | ||||
LRAT | XM_047416405.1 | c.-1-12T>C | splice_polypyrimidine_tract_variant, intron_variant | XP_047272361.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
LRAT | ENST00000336356.4 | c.-1-12T>C | splice_polypyrimidine_tract_variant, intron_variant | 1 | NM_004744.5 | ENSP00000337224 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000716 AC: 109AN: 152146Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.00162 AC: 407AN: 250786Hom.: 5 AF XY: 0.00167 AC XY: 227AN XY: 135666
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GnomAD4 exome AF: 0.000503 AC: 735AN: 1461618Hom.: 10 Cov.: 31 AF XY: 0.000502 AC XY: 365AN XY: 727110
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GnomAD4 genome AF: 0.000716 AC: 109AN: 152264Hom.: 0 Cov.: 31 AF XY: 0.000994 AC XY: 74AN XY: 74440
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Retinitis pigmentosa Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Apr 27, 2017 | This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. - |
Computational scores
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Name
Calibrated prediction
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Prediction
BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
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dbscSNV1_ADA
Benign
dbscSNV1_RF
Benign
SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at