Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PM5
The NM_177924.5(ASAH1):āc.125C>Gā(p.Thr42Arg) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000000684 in 1,461,788 control chromosomes in the GnomAD database, with no homozygous occurrence. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T42A) has been classified as Pathogenic.
ASAH1 (HGNC:735): (N-acylsphingosine amidohydrolase 1) This gene encodes a member of the acid ceramidase family of proteins. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed. Processing of this preproprotein generates alpha and beta subunits that heterodimerize to form the mature lysosomal enzyme, which catalyzes the degradation of ceramide into sphingosine and free fatty acid. This enzyme is overexpressed in multiple human cancers and may play a role in cancer progression. Mutations in this gene are associated with the lysosomal storage disorder, Farber lipogranulomatosis, and a neuromuscular disorder, spinal muscular atrophy with progressive myoclonic epilepsy. [provided by RefSeq, Oct 2015]
Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);.;.;Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);.;Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);Loss of phosphorylation at T42 (P = 0.0137);.;.;.;