chr1-18875434-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_003748.4(ALDH4A1):​c.1408G>A​(p.Val470Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.13 in 1,614,076 control chromosomes in the GnomAD database, including 15,735 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.11 ( 1232 hom., cov: 33)
Exomes 𝑓: 0.13 ( 14503 hom. )

Consequence

ALDH4A1
NM_003748.4 missense

Scores

1
1
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.20
Variant links:
Genes affected
ALDH4A1 (HGNC:406): (aldehyde dehydrogenase 4 family member A1) This protein belongs to the aldehyde dehydrogenase family of proteins. This enzyme is a mitochondrial matrix NAD-dependent dehydrogenase which catalyzes the second step of the proline degradation pathway, converting pyrroline-5-carboxylate to glutamate. Deficiency of this enzyme is associated with type II hyperprolinemia, an autosomal recessive disorder characterized by accumulation of delta-1-pyrroline-5-carboxylate (P5C) and proline. Alternatively spliced transcript variants encoding different isoforms have been identified for this gene. [provided by RefSeq, Jun 2009]

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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=0.0017163455).
BP6
Variant 1-18875434-C-T is Benign according to our data. Variant chr1-18875434-C-T is described in ClinVar as [Benign]. Clinvar id is 294367.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.149 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ALDH4A1NM_003748.4 linkuse as main transcriptc.1408G>A p.Val470Ile missense_variant 13/15 ENST00000375341.8
ALDH4A1NM_170726.3 linkuse as main transcriptc.1408G>A p.Val470Ile missense_variant 13/16
ALDH4A1NM_001319218.2 linkuse as main transcriptc.1255G>A p.Val419Ile missense_variant 12/14
ALDH4A1NM_001161504.2 linkuse as main transcriptc.1228G>A p.Val410Ile missense_variant 13/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALDH4A1ENST00000375341.8 linkuse as main transcriptc.1408G>A p.Val470Ile missense_variant 13/151 NM_003748.4 P1P30038-1
ALDH4A1ENST00000290597.9 linkuse as main transcriptc.1408G>A p.Val470Ile missense_variant 13/161 P1P30038-1
ALDH4A1ENST00000538839.5 linkuse as main transcriptc.1255G>A p.Val419Ile missense_variant 12/141 P30038-3
ALDH4A1ENST00000538309.5 linkuse as main transcriptc.1228G>A p.Val410Ile missense_variant 13/152 P30038-2

Frequencies

GnomAD3 genomes
AF:
0.107
AC:
16218
AN:
152106
Hom.:
1233
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0378
Gnomad AMI
AF:
0.0713
Gnomad AMR
AF:
0.0759
Gnomad ASJ
AF:
0.0524
Gnomad EAS
AF:
0.00135
Gnomad SAS
AF:
0.0348
Gnomad FIN
AF:
0.244
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.152
Gnomad OTH
AF:
0.0838
GnomAD3 exomes
AF:
0.105
AC:
26338
AN:
251474
Hom.:
2033
AF XY:
0.105
AC XY:
14252
AN XY:
135916
show subpopulations
Gnomad AFR exome
AF:
0.0384
Gnomad AMR exome
AF:
0.0452
Gnomad ASJ exome
AF:
0.0519
Gnomad EAS exome
AF:
0.000544
Gnomad SAS exome
AF:
0.0389
Gnomad FIN exome
AF:
0.232
Gnomad NFE exome
AF:
0.147
Gnomad OTH exome
AF:
0.106
GnomAD4 exome
AF:
0.132
AC:
192852
AN:
1461852
Hom.:
14503
Cov.:
33
AF XY:
0.129
AC XY:
94110
AN XY:
727224
show subpopulations
Gnomad4 AFR exome
AF:
0.0343
Gnomad4 AMR exome
AF:
0.0461
Gnomad4 ASJ exome
AF:
0.0551
Gnomad4 EAS exome
AF:
0.000353
Gnomad4 SAS exome
AF:
0.0409
Gnomad4 FIN exome
AF:
0.230
Gnomad4 NFE exome
AF:
0.148
Gnomad4 OTH exome
AF:
0.117
GnomAD4 genome
AF:
0.107
AC:
16214
AN:
152224
Hom.:
1232
Cov.:
33
AF XY:
0.109
AC XY:
8093
AN XY:
74428
show subpopulations
Gnomad4 AFR
AF:
0.0376
Gnomad4 AMR
AF:
0.0756
Gnomad4 ASJ
AF:
0.0524
Gnomad4 EAS
AF:
0.00155
Gnomad4 SAS
AF:
0.0353
Gnomad4 FIN
AF:
0.244
Gnomad4 NFE
AF:
0.151
Gnomad4 OTH
AF:
0.0829
Alfa
AF:
0.130
Hom.:
2642
Bravo
AF:
0.0900
TwinsUK
AF:
0.146
AC:
540
ALSPAC
AF:
0.143
AC:
552
ESP6500AA
AF:
0.0411
AC:
181
ESP6500EA
AF:
0.148
AC:
1276
ExAC
AF:
0.104
AC:
12671
Asia WGS
AF:
0.0210
AC:
74
AN:
3478
EpiCase
AF:
0.134
EpiControl
AF:
0.127

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hyperprolinemia type 2 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
ALDH4A1-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesNov 07, 2019This variant is classified as 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
0.11
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
19
DANN
Uncertain
0.98
DEOGEN2
Benign
0.074
T;.;T;.
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.095
FATHMM_MKL
Benign
0.23
N
LIST_S2
Pathogenic
0.98
.;D;D;D
MetaRNN
Benign
0.0017
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.90
N;.;N;.
MutationTaster
Benign
0.00028
P;P;P;P
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-0.25
N;N;N;N
REVEL
Benign
0.12
Sift
Benign
0.28
T;T;T;T
Sift4G
Benign
0.60
T;T;T;T
Polyphen
0.031
B;.;B;.
Vest4
0.13
MPC
0.084
ClinPred
0.012
T
GERP RS
5.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.21
gMVP
0.32

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: rs2230709; hg19: chr1-19201928; COSMIC: COSV51892342; API