X-153736454-C-T

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_000033.4(ABCD1):​c.1334C>T​(p.Ala445Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000297 in 1,210,718 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 11 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A445G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000044 ( 0 hom., 2 hem., cov: 24)
Exomes 𝑓: 0.000028 ( 0 hom. 9 hem. )

Consequence

ABCD1
NM_000033.4 missense

Scores

16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: -0.236

Publications

2 publications found
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]
PLXNB3-AS1 (HGNC:40454): (PLXNB3 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.075837314).
BP6
Variant X-153736454-C-T is Benign according to our data. Variant chrX-153736454-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 458630.
BS2
High AC in GnomAd4 at 5 XL,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000033.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ABCD1
NM_000033.4
MANE Select
c.1334C>Tp.Ala445Val
missense
Exon 4 of 10NP_000024.2
ABCD1
NM_001440747.1
c.1334C>Tp.Ala445Val
missense
Exon 4 of 11NP_001427676.1
PLXNB3-AS1
NR_199693.1
n.2214G>A
non_coding_transcript_exon
Exon 2 of 2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ABCD1
ENST00000218104.6
TSL:1 MANE Select
c.1334C>Tp.Ala445Val
missense
Exon 4 of 10ENSP00000218104.3P33897
ABCD1
ENST00000862307.1
c.1334C>Tp.Ala445Val
missense
Exon 4 of 11ENSP00000532366.1
ABCD1
ENST00000862306.1
c.1334C>Tp.Ala445Val
missense
Exon 4 of 11ENSP00000532365.1

Frequencies

GnomAD3 genomes
AF:
0.0000444
AC:
5
AN:
112579
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:
0.000362
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000752
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000164
AC:
3
AN:
182753
AF XY:
0.0000148
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:
0.0000246
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000282
AC:
31
AN:
1098139
Hom.:
0
Cov.:
34
AF XY:
0.0000248
AC XY:
9
AN XY:
363527
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26403
American (AMR)
AF:
0.00
AC:
0
AN:
35205
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19386
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30206
South Asian (SAS)
AF:
0.0000923
AC:
5
AN:
54147
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40450
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4136
European-Non Finnish (NFE)
AF:
0.0000297
AC:
25
AN:
842111
Other (OTH)
AF:
0.0000217
AC:
1
AN:
46095
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.0000444
AC:
5
AN:
112579
Hom.:
0
Cov.:
24
AF XY:
0.0000576
AC XY:
2
AN XY:
34751
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31023
American (AMR)
AF:
0.00
AC:
0
AN:
10717
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2653
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3560
South Asian (SAS)
AF:
0.000362
AC:
1
AN:
2763
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6230
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
236
European-Non Finnish (NFE)
AF:
0.0000752
AC:
4
AN:
53192
Other (OTH)
AF:
0.00
AC:
0
AN:
1522
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
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

Genome Hom
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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000227
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
not provided (3)
-
-
1
Adrenoleukodystrophy (1)
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.073
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
4.3
DANN
Benign
0.91
DEOGEN2
Benign
0.41
T
FATHMM_MKL
Benign
0.057
N
LIST_S2
Benign
0.44
T
M_CAP
Benign
0.075
D
MetaRNN
Benign
0.076
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.56
N
PhyloP100
-0.24
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.82
N
REVEL
Benign
0.17
Sift
Benign
0.46
T
Sift4G
Benign
0.53
T
Polyphen
0.0030
B
Vest4
0.13
MutPred
0.29
Loss of helix (P = 0.0558)
MVP
0.79
MPC
0.56
ClinPred
0.023
T
GERP RS
1.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.032
gMVP
0.61
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.15
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: rs1432758988; hg19: chrX-153001908; COSMIC: COSV54386676; API