4-2059554-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_178557.4(NAT8L):​c.43G>T​(p.Val15Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000006 in 1,000,798 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000069 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000058 ( 0 hom. )

Consequence

NAT8L
NM_178557.4 missense

Scores

3
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.32
Variant links:
Genes affected
NAT8L (HGNC:26742): (N-acetyltransferase 8 like) This gene encodes a single-pass membrane protein, which contains a conserved sequence of the GCN5 or NAT superfamily of N-acetyltransferases and is a member of the N-acyltransferase (NAT) superfamily. This protein is a neuron-specific protein and is the N-acetylaspartate (NAA) biosynthetic enzyme, catalyzing the NAA synthesis from L-aspartate and acetyl-CoA. NAA is a major storage and transport form of acetyl coenzyme A specific to the nervous system. The gene mutation results in primary NAA deficiency (hypoacetylaspartia). [provided by RefSeq, Dec 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2039851).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NAT8LNM_178557.4 linkuse as main transcriptc.43G>T p.Val15Leu missense_variant 1/3 ENST00000423729.3 NP_848652.2 Q8N9F0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NAT8LENST00000423729.3 linkuse as main transcriptc.43G>T p.Val15Leu missense_variant 1/31 NM_178557.4 ENSP00000413064.2 Q8N9F0

Frequencies

GnomAD3 genomes
AF:
0.00000693
AC:
1
AN:
144390
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000153
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000584
AC:
5
AN:
856408
Hom.:
0
Cov.:
30
AF XY:
0.00000500
AC XY:
2
AN XY:
399874
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000646
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000693
AC:
1
AN:
144390
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
70144
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000153
Gnomad4 OTH
AF:
0.00

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 01, 2021The c.43G>T (p.V15L) alteration is located in exon 1 (coding exon 1) of the NAT8L gene. This alteration results from a G to T substitution at nucleotide position 43, causing the valine (V) at amino acid position 15 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.47
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
21
DANN
Benign
0.85
DEOGEN2
Benign
0.053
T
Eigen
Benign
-0.062
Eigen_PC
Benign
-0.046
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.58
T
M_CAP
Uncertain
0.14
D
MetaRNN
Benign
0.20
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
0.75
N
PrimateAI
Pathogenic
0.94
D
PROVEAN
Benign
-0.13
N
REVEL
Benign
0.090
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Vest4
0.24
MutPred
0.25
Gain of helix (P = 0.0199);
MVP
0.58
MPC
0.91
ClinPred
0.39
T
GERP RS
2.4
Varity_R
0.24
gMVP
0.48

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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: rs952269053; hg19: chr4-2061281; API