9-101362774-A-G

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001701.4(BAAT):​c.911T>C​(p.Val304Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0269 in 1,614,172 control chromosomes in the GnomAD database, including 793 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.019 ( 48 hom., cov: 32)
Exomes 𝑓: 0.028 ( 745 hom. )

Consequence

BAAT
NM_001701.4 missense

Scores

17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -7.05

Publications

12 publications found
Variant links:
Genes affected
BAAT (HGNC:932): (bile acid-CoA:amino acid N-acyltransferase) The protein encoded by this gene is a liver enzyme that catalyzes the transfer of C24 bile acids from the acyl-CoA thioester to either glycine or taurine, the second step in the formation of bile acid-amino acid conjugates. The bile acid conjugates then act as a detergent in the gastrointestinal tract, which enhances lipid and fat-soluble vitamin absorption. Defects in this gene are a cause of familial hypercholanemia (FHCA). Two transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Jul 2008]
BAAT Gene-Disease associations (from GenCC):
  • hypercholanemia, familial 1
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • bile acid CoA:amino acid N-acyltransferase deficiency
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen
  • familial hypercholanemia
    Inheritance: AR, Unknown Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Laboratory for Molecular Medicine
  • bile acid conjugation defect 1
    Inheritance: AR Classification: LIMITED Submitted by: 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 (MetaRNN=0.0020793974).
BP6
Variant 9-101362774-A-G is Benign according to our data. Variant chr9-101362774-A-G is described in ClinVar as Benign. ClinVar VariationId is 258174.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.0192 (2928/152308) while in subpopulation SAS AF = 0.0354 (171/4826). AF 95% confidence interval is 0.0311. There are 48 homozygotes in GnomAd4. There are 1375 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 48 AR,Unknown gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BAATNM_001701.4 linkc.911T>C p.Val304Ala missense_variant Exon 4 of 4 ENST00000259407.7 NP_001692.1
BAATNM_001127610.2 linkc.911T>C p.Val304Ala missense_variant Exon 4 of 4 NP_001121082.1
BAATNM_001374715.1 linkc.911T>C p.Val304Ala missense_variant Exon 4 of 4 NP_001361644.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BAATENST00000259407.7 linkc.911T>C p.Val304Ala missense_variant Exon 4 of 4 1 NM_001701.4 ENSP00000259407.2

Frequencies

GnomAD3 genomes
AF:
0.0193
AC:
2931
AN:
152190
Hom.:
48
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00461
Gnomad AMI
AF:
0.00440
Gnomad AMR
AF:
0.0233
Gnomad ASJ
AF:
0.0662
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0354
Gnomad FIN
AF:
0.00254
Gnomad MID
AF:
0.0411
Gnomad NFE
AF:
0.0275
Gnomad OTH
AF:
0.0334
GnomAD2 exomes
AF:
0.0254
AC:
6368
AN:
251134
AF XY:
0.0275
show subpopulations
Gnomad AFR exome
AF:
0.00388
Gnomad AMR exome
AF:
0.0178
Gnomad ASJ exome
AF:
0.0710
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00157
Gnomad NFE exome
AF:
0.0302
Gnomad OTH exome
AF:
0.0284
GnomAD4 exome
AF:
0.0277
AC:
40526
AN:
1461864
Hom.:
745
Cov.:
33
AF XY:
0.0286
AC XY:
20833
AN XY:
727230
show subpopulations
African (AFR)
AF:
0.00385
AC:
129
AN:
33480
American (AMR)
AF:
0.0187
AC:
835
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.0698
AC:
1824
AN:
26136
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39696
South Asian (SAS)
AF:
0.0432
AC:
3725
AN:
86258
European-Finnish (FIN)
AF:
0.00279
AC:
149
AN:
53420
Middle Eastern (MID)
AF:
0.0461
AC:
266
AN:
5768
European-Non Finnish (NFE)
AF:
0.0287
AC:
31900
AN:
1111994
Other (OTH)
AF:
0.0281
AC:
1695
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
2921
5842
8764
11685
14606
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1190
2380
3570
4760
5950
<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:
0.0192
AC:
2928
AN:
152308
Hom.:
48
Cov.:
32
AF XY:
0.0185
AC XY:
1375
AN XY:
74472
show subpopulations
African (AFR)
AF:
0.00459
AC:
191
AN:
41582
American (AMR)
AF:
0.0232
AC:
355
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.0662
AC:
230
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5180
South Asian (SAS)
AF:
0.0354
AC:
171
AN:
4826
European-Finnish (FIN)
AF:
0.00254
AC:
27
AN:
10622
Middle Eastern (MID)
AF:
0.0408
AC:
12
AN:
294
European-Non Finnish (NFE)
AF:
0.0275
AC:
1868
AN:
68020
Other (OTH)
AF:
0.0326
AC:
69
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
142
284
426
568
710
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
40
80
120
160
200
<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:
0.0282
Hom.:
274
Bravo
AF:
0.0207
TwinsUK
AF:
0.0235
AC:
87
ALSPAC
AF:
0.0272
AC:
105
ESP6500AA
AF:
0.00590
AC:
26
ESP6500EA
AF:
0.0319
AC:
274
ExAC
AF:
0.0253
AC:
3065
Asia WGS
AF:
0.0120
AC:
42
AN:
3478
EpiCase
AF:
0.0338
EpiControl
AF:
0.0333

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency

not provided Benign:2
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Jan 20, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Hypercholanemia, familial 1 Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.79
T
BayesDel_noAF
Benign
-0.87
CADD
Benign
0.0010
DANN
Benign
0.32
DEOGEN2
Benign
0.0077
T;T
Eigen
Benign
-2.2
Eigen_PC
Benign
-2.3
FATHMM_MKL
Benign
0.028
N
LIST_S2
Benign
0.0
.;.
MetaRNN
Benign
0.0021
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.41
N;N
PhyloP100
-7.1
PrimateAI
Benign
0.24
T
PROVEAN
Benign
0.55
N;N
REVEL
Benign
0.041
Sift
Benign
0.60
T;T
Sift4G
Benign
0.60
T;T
Vest4
0.034
ClinPred
0.0056
T
GERP RS
-9.9
Varity_R
0.022
gMVP
0.14
Mutation Taster
=98/2
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: rs61755096; hg19: chr9-104125056; COSMIC: COSV52290245; COSMIC: COSV52290245; API