NM_001278116.2:c.1358C>T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP6_Moderate

The NM_001278116.2(L1CAM):​c.1358C>T​(p.Ala453Val) variant causes a missense change. The variant allele was found at a frequency of 0.00000248 in 1,208,681 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. Variant has been reported in ClinVar as Likely benign (★). Synonymous variant affecting the same amino acid position (i.e. A453A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 1 hem., cov: 24)
Exomes 𝑓: 0.0000018 ( 0 hom. 1 hem. )

Consequence

L1CAM
NM_001278116.2 missense

Scores

7
9

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 5.22

Publications

0 publications found
Variant links:
Genes affected
L1CAM (HGNC:6470): (L1 cell adhesion molecule) The protein encoded by this gene is an axonal glycoprotein belonging to the immunoglobulin supergene family. The ectodomain, consisting of several immunoglobulin-like domains and fibronectin-like repeats (type III), is linked via a single transmembrane sequence to a conserved cytoplasmic domain. This cell adhesion molecule plays an important role in nervous system development, including neuronal migration and differentiation. Mutations in the gene cause X-linked neurological syndromes known as CRASH (corpus callosum hypoplasia, retardation, aphasia, spastic paraplegia and hydrocephalus). Alternative splicing of this gene results in multiple transcript variants, some of which include an alternate exon that is considered to be specific to neurons. [provided by RefSeq, May 2013]
L1CAM Gene-Disease associations (from GenCC):
  • L1 syndrome
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • X-linked hydrocephalus with stenosis of the aqueduct of Sylvius
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Genomics England PanelApp
  • MASA syndrome
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet
  • X-linked complicated corpus callosum dysgenesis
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • X-linked complicated spastic paraplegia type 1
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP6
Variant X-153868862-G-A is Benign according to our data. Variant chrX-153868862-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 458211.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001278116.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
L1CAM
NM_001278116.2
MANE Select
c.1358C>Tp.Ala453Val
missense
Exon 12 of 29NP_001265045.1P32004-1
L1CAM
NM_000425.5
c.1358C>Tp.Ala453Val
missense
Exon 11 of 28NP_000416.1P32004-1
L1CAM
NM_024003.3
c.1358C>Tp.Ala453Val
missense
Exon 11 of 27NP_076493.1P32004-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
L1CAM
ENST00000370060.7
TSL:5 MANE Select
c.1358C>Tp.Ala453Val
missense
Exon 12 of 29ENSP00000359077.1P32004-1
L1CAM
ENST00000361699.8
TSL:1
c.1358C>Tp.Ala453Val
missense
Exon 11 of 27ENSP00000355380.4P32004-2
L1CAM
ENST00000361981.7
TSL:1
c.1343C>Tp.Ala448Val
missense
Exon 10 of 26ENSP00000354712.3P32004-3

Frequencies

GnomAD3 genomes
AF:
0.00000891
AC:
1
AN:
112295
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000162
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000545
AC:
1
AN:
183395
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000182
AC:
2
AN:
1096386
Hom.:
0
Cov.:
31
AF XY:
0.00000276
AC XY:
1
AN XY:
361812
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
26379
American (AMR)
AF:
0.00
AC:
0
AN:
35206
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19378
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30203
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54096
European-Finnish (FIN)
AF:
0.0000247
AC:
1
AN:
40486
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4132
European-Non Finnish (NFE)
AF:
0.00000119
AC:
1
AN:
840466
Other (OTH)
AF:
0.00
AC:
0
AN:
46040
⚠️ 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
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00000891
AC:
1
AN:
112295
Hom.:
0
Cov.:
24
AF XY:
0.0000290
AC XY:
1
AN XY:
34463
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30889
American (AMR)
AF:
0.00
AC:
0
AN:
10690
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2652
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3583
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2691
European-Finnish (FIN)
AF:
0.000162
AC:
1
AN:
6179
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53177
Other (OTH)
AF:
0.00
AC:
0
AN:
1511
Alfa
AF:
0.00
Hom.:
0

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Spastic paraplegia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.70
D
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.87
D
M_CAP
Uncertain
0.14
D
MetaRNN
Uncertain
0.48
T
MetaSVM
Benign
-0.66
T
MutationAssessor
Benign
0.060
N
PhyloP100
5.2
PrimateAI
Benign
0.41
T
PROVEAN
Uncertain
-2.5
D
REVEL
Benign
0.23
Sift
Benign
0.084
T
Sift4G
Benign
0.15
T
Polyphen
0.93
P
Vest4
0.13
MutPred
0.76
Loss of sheet (P = 0.0817)
MVP
0.73
MPC
0.68
ClinPred
0.40
T
GERP RS
4.6
PromoterAI
-0.0092
Neutral
Varity_R
0.17
gMVP
0.95
Mutation Taster
=77/23
polymorphism

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: rs1557092050; hg19: chrX-153134317; COSMIC: COSV107452881; COSMIC: COSV107452881; API