5-126551993-C-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001182.5(ALDH7A1):​c.1317+28G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.719 in 1,488,570 control chromosomes in the GnomAD database, including 387,182 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.71 ( 38538 hom., cov: 32)
Exomes 𝑓: 0.72 ( 348644 hom. )

Consequence

ALDH7A1
NM_001182.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.968

Publications

7 publications found
Variant links:
Genes affected
ALDH7A1 (HGNC:877): (aldehyde dehydrogenase 7 family member A1) The protein encoded by this gene is a member of subfamily 7 in the aldehyde dehydrogenase gene family. These enzymes are thought to play a major role in the detoxification of aldehydes generated by alcohol metabolism and lipid peroxidation. This particular member has homology to a previously described protein from the green garden pea, the 26g pea turgor protein. It is also involved in lysine catabolism that is known to occur in the mitochondrial matrix. Recent reports show that this protein is found both in the cytosol and the mitochondria, and the two forms likely arise from the use of alternative translation initiation sites. An additional variant encoding a different isoform has also been found for this gene. Mutations in this gene are associated with pyridoxine-dependent epilepsy. Several related pseudogenes have also been identified. [provided by RefSeq, Jan 2011]
ALDH7A1 Gene-Disease associations (from GenCC):
  • pyridoxine-dependent epilepsy
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Illumina, Orphanet, ClinGen
  • pyridoxine-dependent epilepsy caused by ALDH7A1 mutant
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.97).
BP6
Variant 5-126551993-C-T is Benign according to our data. Variant chr5-126551993-C-T is described in ClinVar as Benign. ClinVar VariationId is 1188913.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.769 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALDH7A1NM_001182.5 linkc.1317+28G>A intron_variant Intron 14 of 17 ENST00000409134.8 NP_001173.2 P49419-1
ALDH7A1NM_001201377.2 linkc.1233+28G>A intron_variant Intron 14 of 17 NP_001188306.1 P49419-2
ALDH7A1NM_001202404.2 linkc.1125+28G>A intron_variant Intron 12 of 15 NP_001189333.2 P49419-4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALDH7A1ENST00000409134.8 linkc.1317+28G>A intron_variant Intron 14 of 17 1 NM_001182.5 ENSP00000387123.3 P49419-1

Frequencies

GnomAD3 genomes
AF:
0.710
AC:
107840
AN:
151950
Hom.:
38503
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.677
Gnomad AMI
AF:
0.889
Gnomad AMR
AF:
0.781
Gnomad ASJ
AF:
0.669
Gnomad EAS
AF:
0.760
Gnomad SAS
AF:
0.619
Gnomad FIN
AF:
0.674
Gnomad MID
AF:
0.709
Gnomad NFE
AF:
0.722
Gnomad OTH
AF:
0.698
GnomAD2 exomes
AF:
0.714
AC:
178740
AN:
250284
AF XY:
0.707
show subpopulations
Gnomad AFR exome
AF:
0.682
Gnomad AMR exome
AF:
0.823
Gnomad ASJ exome
AF:
0.660
Gnomad EAS exome
AF:
0.745
Gnomad FIN exome
AF:
0.683
Gnomad NFE exome
AF:
0.719
Gnomad OTH exome
AF:
0.704
GnomAD4 exome
AF:
0.720
AC:
962595
AN:
1336500
Hom.:
348644
Cov.:
19
AF XY:
0.716
AC XY:
481169
AN XY:
672036
show subpopulations
African (AFR)
AF:
0.673
AC:
20975
AN:
31148
American (AMR)
AF:
0.817
AC:
36383
AN:
44538
Ashkenazi Jewish (ASJ)
AF:
0.666
AC:
16886
AN:
25352
East Asian (EAS)
AF:
0.800
AC:
31286
AN:
39086
South Asian (SAS)
AF:
0.615
AC:
51509
AN:
83756
European-Finnish (FIN)
AF:
0.676
AC:
35973
AN:
53198
Middle Eastern (MID)
AF:
0.683
AC:
2814
AN:
4122
European-Non Finnish (NFE)
AF:
0.728
AC:
727085
AN:
999096
Other (OTH)
AF:
0.706
AC:
39684
AN:
56204
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
13200
26400
39599
52799
65999
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
17244
34488
51732
68976
86220
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.710
AC:
107920
AN:
152070
Hom.:
38538
Cov.:
32
AF XY:
0.707
AC XY:
52567
AN XY:
74340
show subpopulations
African (AFR)
AF:
0.677
AC:
28066
AN:
41464
American (AMR)
AF:
0.781
AC:
11932
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.669
AC:
2320
AN:
3468
East Asian (EAS)
AF:
0.760
AC:
3939
AN:
5186
South Asian (SAS)
AF:
0.618
AC:
2968
AN:
4802
European-Finnish (FIN)
AF:
0.674
AC:
7120
AN:
10560
Middle Eastern (MID)
AF:
0.718
AC:
211
AN:
294
European-Non Finnish (NFE)
AF:
0.722
AC:
49069
AN:
67994
Other (OTH)
AF:
0.703
AC:
1484
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1584
3167
4751
6334
7918
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
832
1664
2496
3328
4160
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.718
Hom.:
164910
Bravo
AF:
0.720
Asia WGS
AF:
0.681
AC:
2370
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Jul 15, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 87% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 81. Only high quality variants are reported. -

not provided Benign:1
Jun 23, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Pyridoxine-dependent epilepsy Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.97
CADD
Benign
1.9
DANN
Benign
0.73
PhyloP100
-0.97
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs2306617; hg19: chr5-125887685; API