9-98056906-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The ENST00000210444.6(NANS):ā€‹c.98T>Gā€‹(p.Leu33Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000411 in 1,458,118 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 34)
Exomes š‘“: 0.0000041 ( 0 hom. )

Consequence

NANS
ENST00000210444.6 missense

Scores

4
11
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.31
Variant links:
Genes affected
NANS (HGNC:19237): (N-acetylneuraminate synthase) This gene encodes an enzyme that functions in the biosynthetic pathways of sialic acids. In vitro, the encoded protein uses N-acetylmannosamine 6-phosphate and mannose 6-phosphate as substrates to generate phosphorylated forms of N-acetylneuraminic acid (Neu5Ac) and 2-keto-3-deoxy-D-glycero-D-galacto-nononic acid (KDN), respectively; however, it exhibits much higher activity toward the Neu5Ac phosphate product. In insect cells, expression of this gene results in Neu5Ac and KDN production. This gene is related to the E. coli sialic acid synthase gene neuB, and it can partially restore sialic acid synthase activity in an E. coli neuB-negative mutant. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.795

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NANSNM_018946.4 linkuse as main transcriptc.98T>G p.Leu33Arg missense_variant 1/6 ENST00000210444.6 NP_061819.2
TRIM14XM_047424162.1 linkuse as main transcriptc.*29-21093A>C intron_variant XP_047280118.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NANSENST00000210444.6 linkuse as main transcriptc.98T>G p.Leu33Arg missense_variant 1/61 NM_018946.4 ENSP00000210444 P1
NANSENST00000480925.1 linkuse as main transcriptn.137T>G non_coding_transcript_exon_variant 1/22
NANSENST00000495319.1 linkuse as main transcriptn.139T>G non_coding_transcript_exon_variant 1/53

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1458118
Hom.:
0
Cov.:
38
AF XY:
0.00000414
AC XY:
3
AN XY:
725436
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000540
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
34
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 08, 2021The c.98T>G (p.L33R) alteration is located in exon 1 (coding exon 1) of the NANS gene. This alteration results from a T to G substitution at nucleotide position 98, causing the leucine (L) at amino acid position 33 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.37
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Benign
-0.090
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Benign
0.049
T
Eigen
Uncertain
0.28
Eigen_PC
Uncertain
0.40
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
D
M_CAP
Uncertain
0.099
D
MetaRNN
Pathogenic
0.80
D
MetaSVM
Benign
-0.74
T
MutationAssessor
Pathogenic
3.0
M
MutationTaster
Benign
0.98
D
PrimateAI
Uncertain
0.63
T
PROVEAN
Pathogenic
-4.5
D
REVEL
Uncertain
0.34
Sift
Uncertain
0.0050
D
Sift4G
Uncertain
0.041
D
Polyphen
0.035
B
Vest4
0.75
MutPred
0.72
Gain of disorder (P = 0.0133);
MVP
0.63
MPC
0.44
ClinPred
0.99
D
GERP RS
5.4
Varity_R
0.93
gMVP
0.89

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: rs1017453701; hg19: chr9-100819188; API