X-153725867-G-A

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 2P and 16B. PM1BP4_StrongBP6_Very_StrongBS2

The NM_000033.4(ABCD1):​c.601G>A​(p.Val201Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000108 in 1,210,757 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 29 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00048 ( 0 hom., 9 hem., cov: 26)
Exomes 𝑓: 0.000070 ( 0 hom. 20 hem. )

Consequence

ABCD1
NM_000033.4 missense

Scores

3
7
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.454
Variant links:
Genes affected
ABCD1 (HGNC:61): (ATP binding cassette subfamily D member 1) The protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ALD subfamily, which is involved in peroxisomal import of fatty acids and/or fatty acyl-CoAs in the organelle. All known peroxisomal ABC transporters are half transporters which require a partner half transporter molecule to form a functional homodimeric or heterodimeric transporter. This peroxisomal membrane protein is likely involved in the peroxisomal transport or catabolism of very long chain fatty acids. Defects in this gene have been identified as the underlying cause of adrenoleukodystrophy, an X-chromosome recessively inherited demyelinating disorder of the nervous system. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

PM1
In a domain ABC transmembrane type-1 (size 292) in uniprot entity ABCD1_HUMAN there are 43 pathogenic changes around while only 0 benign (100%) in NM_000033.4
BP4
Computational evidence support a benign effect (MetaRNN=0.056189775).
BP6
Variant X-153725867-G-A is Benign according to our data. Variant chrX-153725867-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 585357.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Hemizygotes in GnomAd4 at 9 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCD1NM_000033.4 linkuse as main transcriptc.601G>A p.Val201Met missense_variant 1/10 ENST00000218104.6 NP_000024.2
ABCD1XM_047441916.1 linkuse as main transcriptc.601G>A p.Val201Met missense_variant 1/11 XP_047297872.1
ABCD1XM_047441917.1 linkuse as main transcriptc.601G>A p.Val201Met missense_variant 1/8 XP_047297873.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCD1ENST00000218104.6 linkuse as main transcriptc.601G>A p.Val201Met missense_variant 1/101 NM_000033.4 ENSP00000218104 P1
ABCD1ENST00000370129.4 linkuse as main transcriptc.46G>A p.Val16Met missense_variant 1/22 ENSP00000359147

Frequencies

GnomAD3 genomes
AF:
0.000476
AC:
54
AN:
113500
Hom.:
0
Cov.:
26
AF XY:
0.000253
AC XY:
9
AN XY:
35636
show subpopulations
Gnomad AFR
AF:
0.00137
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000920
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000187
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000148
AC:
27
AN:
181930
Hom.:
0
AF XY:
0.000149
AC XY:
10
AN XY:
66918
show subpopulations
Gnomad AFR exome
AF:
0.00168
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000370
Gnomad OTH exome
AF:
0.000443
GnomAD4 exome
AF:
0.0000702
AC:
77
AN:
1097204
Hom.:
0
Cov.:
32
AF XY:
0.0000551
AC XY:
20
AN XY:
362994
show subpopulations
Gnomad4 AFR exome
AF:
0.00193
Gnomad4 AMR exome
AF:
0.0000284
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:
0.0000119
Gnomad4 OTH exome
AF:
0.000325
GnomAD4 genome
AF:
0.000476
AC:
54
AN:
113553
Hom.:
0
Cov.:
26
AF XY:
0.000252
AC XY:
9
AN XY:
35699
show subpopulations
Gnomad4 AFR
AF:
0.00137
Gnomad4 AMR
AF:
0.000919
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000187
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000389
Hom.:
1
Bravo
AF:
0.000480
ESP6500AA
AF:
0.00156
AC:
6
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.000165
AC:
20

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Adrenoleukodystrophy Benign:2
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabNov 07, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 21, 2024- -
not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2024ABCD1: BS2 -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 05, 2018- -
Inborn genetic diseases Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsMay 28, 2017This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
ABCD1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMay 06, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.090
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.93
D;D
FATHMM_MKL
Benign
0.15
N
LIST_S2
Uncertain
0.87
D;D
M_CAP
Pathogenic
0.62
D
MetaRNN
Benign
0.056
T;T
MetaSVM
Pathogenic
1.3
D
MutationAssessor
Uncertain
2.7
M;.
MutationTaster
Benign
0.90
N;N
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-1.8
N;N
REVEL
Uncertain
0.42
Sift
Uncertain
0.011
D;D
Sift4G
Uncertain
0.0030
D;D
Polyphen
0.23
B;.
Vest4
0.099
MVP
0.97
MPC
0.88
ClinPred
0.026
T
GERP RS
1.3
Varity_R
0.20
gMVP
0.80

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: rs139415350; hg19: chrX-152991322; API