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GeneBe

4-75921029-G-A

Variant summary

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

The NM_014435.4(NAAA):c.761C>T(p.Ser254Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000251 in 1,608,542 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S254C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00025 ( 0 hom. )

Consequence

NAAA
NM_014435.4 missense

Scores

8
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.177
Variant links:
Genes affected
NAAA (HGNC:736): (N-acylethanolamine acid amidase) Enables N-(long-chain-acyl)ethanolamine deacylase activity; N-acylsphingosine amidohydrolase activity; and fatty acid amide hydrolase activity. Involved in several processes, including N-acylethanolamine metabolic process; N-acylphosphatidylethanolamine metabolic process; and sphingosine metabolic process. Located in lysosome. Is extrinsic component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

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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=0.06612477).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NAAANM_014435.4 linkuse as main transcriptc.761C>T p.Ser254Phe missense_variant 6/11 ENST00000286733.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NAAAENST00000286733.9 linkuse as main transcriptc.761C>T p.Ser254Phe missense_variant 6/115 NM_014435.4 P1Q02083-1

Frequencies

GnomAD3 genomes
AF:
0.000256
AC:
39
AN:
152220
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.000288
AC:
70
AN:
243070
Hom.:
0
AF XY:
0.000295
AC XY:
39
AN XY:
132018
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000310
Gnomad ASJ exome
AF:
0.00233
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000103
Gnomad FIN exome
AF:
0.0000931
Gnomad NFE exome
AF:
0.000340
Gnomad OTH exome
AF:
0.000507
GnomAD4 exome
AF:
0.000250
AC:
364
AN:
1456204
Hom.:
0
Cov.:
32
AF XY:
0.000271
AC XY:
196
AN XY:
724356
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00254
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000824
Gnomad4 FIN exome
AF:
0.0000562
Gnomad4 NFE exome
AF:
0.000229
Gnomad4 OTH exome
AF:
0.000515
GnomAD4 genome
AF:
0.000256
AC:
39
AN:
152338
Hom.:
0
Cov.:
32
AF XY:
0.000242
AC XY:
18
AN XY:
74490
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.000947
Alfa
AF:
0.000418
Hom.:
0
Bravo
AF:
0.000249
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000255
AC:
1
ESP6500EA
AF:
0.000724
AC:
6
ExAC
AF:
0.000281
AC:
34
EpiCase
AF:
0.000382
EpiControl
AF:
0.000474

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 GeneticsJun 11, 2021The c.761C>T (p.S254F) alteration is located in exon 6 (coding exon 6) of the NAAA gene. This alteration results from a C to T substitution at nucleotide position 761, causing the serine (S) at amino acid position 254 to be replaced by a phenylalanine (F). 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
0.087
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.28
Cadd
Benign
12
Dann
Uncertain
0.99
DEOGEN2
Uncertain
0.60
D;.;D
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.54
FATHMM_MKL
Benign
0.078
N
LIST_S2
Benign
0.81
T;T;T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.066
T;T;T
MetaSVM
Benign
-0.57
T
MutationAssessor
Uncertain
2.3
M;M;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Benign
0.36
T
PROVEAN
Uncertain
-3.4
D;D;D
REVEL
Uncertain
0.33
Sift
Uncertain
0.014
D;D;D
Sift4G
Uncertain
0.032
D;D;D
Polyphen
0.95
P;.;P
Vest4
0.29
MVP
0.70
MPC
0.33
ClinPred
0.072
T
GERP RS
-0.21
Varity_R
0.17
gMVP
0.66

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: rs199640267; hg19: chr4-76842182; API