7-74053320-CTGTGTGTGTGTGTGTGTGTGTGTG-CTGTGTGTGTGTGTGTGTG
Variant summary
Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2
The NM_000501.4(ELN):c.1096+45_1096+50delGTGTGT variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.117 in 1,443,618 control chromosomes in the GnomAD database, including 3 homozygotes. Variant has been reported in ClinVar as Benign (★★).
Frequency
 Genomes: 𝑓 0.0050   (  3   hom.,  cov: 0) 
 Exomes 𝑓:  0.13   (  0   hom.  ) 
Consequence
 ELN
NM_000501.4 intron
NM_000501.4 intron
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  1.33  
Publications
3 publications found 
Genes affected
 ELN  (HGNC:3327):  (elastin) This gene encodes a protein that is one of the two components of elastic fibers. Elastic fibers comprise part of the extracellular matrix and confer elasticity to organs and tissues including the heart, skin, lungs, ligaments, and blood vessels. The encoded protein is rich in hydrophobic amino acids such as glycine and proline, which form mobile hydrophobic regions bounded by crosslinks between lysine residues. Degradation products of the encoded protein, known as elastin-derived peptides or elastokines, bind the elastin receptor complex and other receptors and stimulate migration and proliferation of monocytes and skin fibroblasts. Elastokines can also contribute to cancer progression. Deletions and mutations in this gene are associated with supravalvular aortic stenosis (SVAS) and autosomal dominant cutis laxa. [provided by RefSeq, Aug 2017] 
ELN Gene-Disease associations (from GenCC):
- cutis laxa, autosomal dominant 1Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics, Genomics England PanelApp, G2P
 - supravalvular aortic stenosisInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
 - autosomal dominant cutis laxaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - familial thoracic aortic aneurysm and aortic dissectionInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
 
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ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -16 ACMG points.
BP6
Variant 7-74053320-CTGTGTG-C is Benign according to our data. Variant chr7-74053320-CTGTGTG-C is described in ClinVar as Benign. ClinVar VariationId is 360647.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.00504 (724/143686) while in subpopulation AMR AF = 0.00828 (119/14378). AF 95% confidence interval is 0.00707. There are 3 homozygotes in GnomAd4. There are 378 alleles in the male GnomAd4 subpopulation. Median coverage is 0. This position passed quality control check. 
BS2
High AC in GnomAd4 at 724 AD gene. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.00502  AC: 721AN: 143600Hom.:  3  Cov.: 0 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
721
AN: 
143600
Hom.: 
Cov.: 
0
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD4 exome  AF:  0.129  AC: 167807AN: 1299932Hom.:  0   AF XY:  0.131  AC XY: 84468AN XY: 646200 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
167807
AN: 
1299932
Hom.: 
 AF XY: 
AC XY: 
84468
AN XY: 
646200
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
3067
AN: 
30570
American (AMR) 
 AF: 
AC: 
6875
AN: 
37998
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
3933
AN: 
23658
East Asian (EAS) 
 AF: 
AC: 
5418
AN: 
35740
South Asian (SAS) 
 AF: 
AC: 
11188
AN: 
78958
European-Finnish (FIN) 
 AF: 
AC: 
7292
AN: 
46552
Middle Eastern (MID) 
 AF: 
AC: 
558
AN: 
3906
European-Non Finnish (NFE) 
 AF: 
AC: 
122152
AN: 
988344
Other (OTH) 
 AF: 
AC: 
7324
AN: 
54206
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.275 
Heterozygous variant carriers
 0 
 15886 
 31771 
 47657 
 63542 
 79428 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 4354 
 8708 
 13062 
 17416 
 21770 
 <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:  0.00504  AC: 724AN: 143686Hom.:  3  Cov.: 0 AF XY:  0.00543  AC XY: 378AN XY: 69622 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
724
AN: 
143686
Hom.: 
Cov.: 
0
 AF XY: 
AC XY: 
378
AN XY: 
69622
show subpopulations 
African (AFR) 
 AF: 
AC: 
190
AN: 
38680
American (AMR) 
 AF: 
AC: 
119
AN: 
14378
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
4
AN: 
3388
East Asian (EAS) 
 AF: 
AC: 
17
AN: 
4882
South Asian (SAS) 
 AF: 
AC: 
11
AN: 
4362
European-Finnish (FIN) 
 AF: 
AC: 
114
AN: 
9202
Middle Eastern (MID) 
 AF: 
AC: 
2
AN: 
278
European-Non Finnish (NFE) 
 AF: 
AC: 
262
AN: 
65642
Other (OTH) 
 AF: 
AC: 
5
AN: 
1988
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.428 
Heterozygous variant carriers
 0 
 26 
 53 
 79 
 106 
 132 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 10 
 20 
 30 
 40 
 50 
 <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: 
Hom.: 
ClinVar
Significance: Benign 
Submissions summary: Benign:5 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not specified    Benign:2 
-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
Supravalvar aortic stenosis    Benign:2 
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Cutis laxa, autosomal dominant    Benign:1 
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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