4-2059599-G-A

Variant summary

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

The NM_178557.4(NAT8L):​c.88G>A​(p.Ala30Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000815 in 981,926 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000049 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000012 ( 0 hom. )

Consequence

NAT8L
NM_178557.4 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.335
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]

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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=0.07449165).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NAT8LNM_178557.4 linkuse as main transcriptc.88G>A p.Ala30Thr 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.88G>A p.Ala30Thr missense_variant 1/31 NM_178557.4 ENSP00000413064.2 Q8N9F0

Frequencies

GnomAD3 genomes
AF:
0.0000487
AC:
7
AN:
143722
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000749
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:
0.0000616
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000119
AC:
1
AN:
838094
Hom.:
0
Cov.:
30
AF XY:
0.00000258
AC XY:
1
AN XY:
387748
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:
0.00000131
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000487
AC:
7
AN:
143832
Hom.:
0
Cov.:
31
AF XY:
0.0000286
AC XY:
2
AN XY:
69968
show subpopulations
Gnomad4 AFR
AF:
0.0000747
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:
0.0000616
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000324
Hom.:
0
Bravo
AF:
0.0000189

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 GeneticsNov 08, 2024The c.88G>A (p.A30T) alteration is located in exon 1 (coding exon 1) of the NAT8L gene. This alteration results from a G to A substitution at nucleotide position 88, causing the alanine (A) at amino acid position 30 to be replaced by a threonine (T). 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
Benign
0.098
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.79
CADD
Benign
19
DANN
Benign
0.88
DEOGEN2
Benign
0.024
T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.38
FATHMM_MKL
Benign
0.29
N
LIST_S2
Benign
0.38
T
M_CAP
Benign
0.051
D
MetaRNN
Benign
0.074
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.20
N
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
0.19
N
REVEL
Benign
0.035
Sift
Benign
0.38
T
Sift4G
Benign
0.51
T
Vest4
0.023
MutPred
0.21
Gain of loop (P = 0.0097);
MVP
0.31
MPC
0.89
ClinPred
0.030
T
GERP RS
1.3
Varity_R
0.060
gMVP
0.33

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: rs866879006; hg19: chr4-2061326; API