4-39460917-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_006859.4(LIAS):​c.173C>A​(p.Thr58Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000548 in 1,459,750 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000055 ( 0 hom. )

Consequence

LIAS
NM_006859.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0970
Variant links:
Genes affected
LIAS (HGNC:16429): (lipoic acid synthetase) The protein encoded by this gene belongs to the biotin and lipoic acid synthetases family. Localized in the mitochondrion, this iron-sulfur enzyme catalyzes the final step in the de novo pathway for the biosynthesis of lipoic acid, a potent antioxidant. The deficient expression of this enzyme has been linked to conditions such as diabetes, atherosclerosis and neonatal-onset epilepsy. Alternative splicing occurs at this locus, and several transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, Aug 2020]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.053294122).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LIASNM_006859.4 linkuse as main transcriptc.173C>A p.Thr58Asn missense_variant 2/11 ENST00000640888.2 NP_006850.2 O43766-1A0A024R9W0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LIASENST00000640888.2 linkuse as main transcriptc.173C>A p.Thr58Asn missense_variant 2/111 NM_006859.4 ENSP00000492260.1 O43766-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000400
AC:
1
AN:
250006
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135172
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000882
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000548
AC:
8
AN:
1459750
Hom.:
0
Cov.:
30
AF XY:
0.00000689
AC XY:
5
AN XY:
726140
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:
0.00000720
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

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

Submissions by phenotype

Lipoic acid synthetase deficiency Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 01, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.082
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
15
DANN
Benign
0.95
DEOGEN2
Benign
0.30
T;T;T;.;T;.;.;.;.
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.44
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.79
T;T;T;T;T;T;T;T;T
M_CAP
Benign
0.0062
T
MetaRNN
Benign
0.053
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
1.0
L;.;.;L;.;.;L;.;.
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-0.34
.;.;.;N;N;N;N;.;.
REVEL
Benign
0.067
Sift
Benign
0.33
.;.;.;T;T;T;T;.;.
Sift4G
Benign
0.50
.;.;.;T;T;T;T;.;.
Polyphen
0.0
B;B;B;.;B;.;.;.;.
Vest4
0.31, 0.20, 0.28
MutPred
0.21
Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);Loss of phosphorylation at T58 (P = 0.0205);
MVP
0.73
MPC
0.44
ClinPred
0.086
T
GERP RS
3.3
Varity_R
0.025
gMVP
0.40

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: rs141723499; hg19: chr4-39462537; API