5-71012424-C-T

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP7BA1

The NM_004536.3(NAIP):​c.492G>A​(p.Ala164Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.778 in 1,610,560 control chromosomes in the GnomAD database, including 497,378 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.83 ( 52656 hom., cov: 33)
Exomes 𝑓: 0.77 ( 444722 hom. )

Consequence

NAIP
NM_004536.3 synonymous

Scores

2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -1.19
Variant links:
Genes affected
NAIP (HGNC:7634): (NLR family apoptosis inhibitory protein) This gene is part of a 500 kb inverted duplication on chromosome 5q13. This duplicated region contains at least four genes and repetitive elements which make it prone to rearrangements and deletions. The repetitiveness and complexity of the sequence have also caused difficulty in determining the organization of this genomic region. This copy of the gene is full length; additional copies with truncations and internal deletions are also present in this region of chromosome 5q13. It is thought that this gene is a modifier of spinal muscular atrophy caused by mutations in a neighboring gene, SMN1. The protein encoded by this gene contains regions of homology to two baculovirus inhibitor of apoptosis proteins, and it is able to suppress apoptosis induced by various signals. Alternative splicing and the use of alternative promoters results in multiple transcript variants. [provided by RefSeq, Nov 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.7).
BP7
Synonymous conserved (PhyloP=-1.19 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.941 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NAIPNM_004536.3 linkuse as main transcriptc.492G>A p.Ala164Ala synonymous_variant 4/17 ENST00000517649.6 NP_004527.2 Q13075-1
NAIPNM_001346870.2 linkuse as main transcriptc.492G>A p.Ala164Ala synonymous_variant 4/17 NP_001333799.1 Q13075-1
NAIPNM_022892.2 linkuse as main transcriptc.182+8235G>A intron_variant NP_075043.1 Q13075-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NAIPENST00000517649.6 linkuse as main transcriptc.492G>A p.Ala164Ala synonymous_variant 4/171 NM_004536.3 ENSP00000428657.2 Q13075-1

Frequencies

GnomAD3 genomes
AF:
0.826
AC:
124773
AN:
151046
Hom.:
52589
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.949
Gnomad AMI
AF:
0.740
Gnomad AMR
AF:
0.835
Gnomad ASJ
AF:
0.616
Gnomad EAS
AF:
0.900
Gnomad SAS
AF:
0.820
Gnomad FIN
AF:
0.827
Gnomad MID
AF:
0.617
Gnomad NFE
AF:
0.758
Gnomad OTH
AF:
0.779
GnomAD3 exomes
AF:
0.801
AC:
201116
AN:
251000
Hom.:
82283
AF XY:
0.794
AC XY:
107637
AN XY:
135634
show subpopulations
Gnomad AFR exome
AF:
0.953
Gnomad AMR exome
AF:
0.873
Gnomad ASJ exome
AF:
0.615
Gnomad EAS exome
AF:
0.905
Gnomad SAS exome
AF:
0.803
Gnomad FIN exome
AF:
0.827
Gnomad NFE exome
AF:
0.754
Gnomad OTH exome
AF:
0.765
GnomAD4 exome
AF:
0.773
AC:
1127770
AN:
1459396
Hom.:
444722
Cov.:
68
AF XY:
0.772
AC XY:
560410
AN XY:
726062
show subpopulations
Gnomad4 AFR exome
AF:
0.953
Gnomad4 AMR exome
AF:
0.867
Gnomad4 ASJ exome
AF:
0.620
Gnomad4 EAS exome
AF:
0.878
Gnomad4 SAS exome
AF:
0.802
Gnomad4 FIN exome
AF:
0.826
Gnomad4 NFE exome
AF:
0.759
Gnomad4 OTH exome
AF:
0.772
GnomAD4 genome
AF:
0.826
AC:
124903
AN:
151164
Hom.:
52656
Cov.:
33
AF XY:
0.828
AC XY:
61156
AN XY:
73844
show subpopulations
Gnomad4 AFR
AF:
0.949
Gnomad4 AMR
AF:
0.835
Gnomad4 ASJ
AF:
0.616
Gnomad4 EAS
AF:
0.900
Gnomad4 SAS
AF:
0.819
Gnomad4 FIN
AF:
0.827
Gnomad4 NFE
AF:
0.758
Gnomad4 OTH
AF:
0.781
Alfa
AF:
0.776
Hom.:
26445
Bravo
AF:
0.832
Asia WGS
AF:
0.893
AC:
3108
AN:
3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.70
CADD
Benign
3.1
DANN
Benign
0.37

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: rs28409706; hg19: chr5-70308251; COSMIC: COSV52000849; COSMIC: COSV52000849; API