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X-24699490-C-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001330360.2(POLA1):​c.109C>A​(p.Arg37Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000849 in 1,177,537 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 20 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R37H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00033 ( 0 hom., 7 hem., cov: 22)
Exomes 𝑓: 0.000059 ( 0 hom. 13 hem. )

Consequence

POLA1
NM_001330360.2 missense

Scores

1
5
9

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.44
Variant links:
Genes affected
POLA1 (HGNC:9173): (DNA polymerase alpha 1, catalytic subunit) This gene encodes the catalytic subunit of DNA polymerase, which together with a regulatory and two primase subunits, forms the DNA polymerase alpha complex. The catalytic subunit plays an essential role in the initiation of DNA replication. [provided by RefSeq, Mar 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.021339446).
BP6
Variant X-24699490-C-A is Benign according to our data. Variant chrX-24699490-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 1580975.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000334 (37/110648) while in subpopulation AFR AF= 0.00112 (34/30400). AF 95% confidence interval is 0.000822. There are 0 homozygotes in gnomad4. There are 7 alleles in male gnomad4 subpopulation. Median coverage is 22. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 7 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
POLA1NM_001330360.2 linkuse as main transcriptc.109C>A p.Arg37Ser missense_variant 2/37 ENST00000379068.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
POLA1ENST00000379068.8 linkuse as main transcriptc.109C>A p.Arg37Ser missense_variant 2/375 NM_001330360.2 A1

Frequencies

GnomAD3 genomes
AF:
0.000335
AC:
37
AN:
110592
Hom.:
0
Cov.:
22
AF XY:
0.000213
AC XY:
7
AN XY:
32906
show subpopulations
Gnomad AFR
AF:
0.00112
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000967
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:
0.00
Gnomad OTH
AF:
0.00134
GnomAD3 exomes
AF:
0.000141
AC:
22
AN:
156056
Hom.:
0
AF XY:
0.0000643
AC XY:
3
AN XY:
46654
show subpopulations
Gnomad AFR exome
AF:
0.00139
Gnomad AMR exome
AF:
0.000121
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:
0.0000301
Gnomad OTH exome
AF:
0.000251
GnomAD4 exome
AF:
0.0000591
AC:
63
AN:
1066889
Hom.:
0
Cov.:
25
AF XY:
0.0000384
AC XY:
13
AN XY:
338393
show subpopulations
Gnomad4 AFR exome
AF:
0.00101
Gnomad4 AMR exome
AF:
0.0000889
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:
0.0000353
Gnomad4 OTH exome
AF:
0.000112
GnomAD4 genome
AF:
0.000334
AC:
37
AN:
110648
Hom.:
0
Cov.:
22
AF XY:
0.000212
AC XY:
7
AN XY:
32972
show subpopulations
Gnomad4 AFR
AF:
0.00112
Gnomad4 AMR
AF:
0.0000965
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00132
Alfa
AF:
0.0000340
Hom.:
0
Bravo
AF:
0.000378
ESP6500AA
AF:
0.00130
AC:
5
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000182
AC:
22

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 08, 2024This alteration is classified as likely 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. -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 08, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.89
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
20
DANN
Uncertain
1.0
FATHMM_MKL
Benign
0.37
N
LIST_S2
Uncertain
0.87
D;D;D
M_CAP
Benign
0.0092
T
MetaRNN
Benign
0.021
T;T;T
MetaSVM
Benign
-1.1
T
MutationTaster
Benign
0.61
N;N
PrimateAI
Benign
0.39
T
PROVEAN
Uncertain
-4.3
D;.;D
REVEL
Benign
0.12
Sift
Uncertain
0.0020
D;.;D
Sift4G
Uncertain
0.0050
D;D;D
Polyphen
0.91
P;.;P
Vest4
0.33
MVP
0.43
MPC
0.43
ClinPred
0.065
T
GERP RS
3.2
Varity_R
0.81
gMVP
0.50

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: rs138282947; hg19: chrX-24717607; API