X-55009267-GCGACAGAAATTGCAGGCAGCCACAGA-G

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PVS1_Strong PM2 PP5

The NM_000032.5(ALAS2):c.1651_1676del(p.Ser551ProfsTer6) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (no stars).

• Frequency: Genomes: not found (cov: 22)
• Consequence: ALAS2 NM_000032.5 frameshift
• Clinical Significance: Pathogenic no assertion criteria provided P:1
• Conservation: PhyloP100: 9.32

Genes affected

ALAS2 (HGNC:397): (5'-aminolevulinate synthase 2) The product of this gene specifies an erythroid-specific mitochondrially located enzyme. The encoded protein catalyzes the first step in the heme biosynthetic pathway. Defects in this gene cause X-linked pyridoxine-responsive sideroblastic anemia. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

ACMG classification

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

• PVS1: Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 6 pathogenic variants in the truncated region.
• PM2: Very rare variant in population databases, with high coverage
• PP5: Variant X-55009267-GCGACAGAAATTGCAGGCAGCCACAGA-G is Pathogenic according to our data. Variant chrX-55009267-GCGACAGAAATTGCAGGCAGCCACAGA-G is described in ClinVar as [Pathogenic]. Clinvar id is 60674.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
ALAS2	NM_000032.5	c.1651_1676del	p.Ser551ProfsTer6	frameshift_variant	11/11	ENST00000650242.1
ALAS2	NM_001037967.4	c.1540_1565del	p.Ser514ProfsTer6	frameshift_variant	10/10
ALAS2	NM_001037968.4	c.1612_1637del	p.Ser538ProfsTer6	frameshift_variant	11/11

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
ALAS2	ENST00000650242.1	c.1651_1676del	p.Ser551ProfsTer6	frameshift_variant	11/11		NM_000032.5	P1
ALAS2	ENST00000335854.8	c.1540_1565del	p.Ser514ProfsTer6	frameshift_variant	10/10	2
ALAS2	ENST00000396198.7	c.1612_1637del	p.Ser538ProfsTer6	frameshift_variant	11/11	5
ALAS2	ENST00000498636.1	c.779_804del	p.Leu261ArgfsTer29	frameshift_variant	5/5	3

Frequencies

GnomAD3 genomes Cov.: 22

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome Cov.: 22

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1

Revision: no assertion criteria provided

Submissions by phenotype

X-linked erythropoietic protoporphyria Pathogenic:1

Pathogenic, no assertion criteria provided

literature only

OMIM

Apr 01, 2013

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Computational scores

Source: dbNSFP v4.3

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Other links and lift over

dbSNP: rs879255567; hg19: chrX-55035700;