chr1-235806053-G-C
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting
The NM_000081.4(LYST):c.3083C>G(p.Ser1028Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000889 in 1,613,822 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_000081.4 missense
Scores
Clinical Significance
Conservation
Publications
- Chediak-Higashi syndromeInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, ClinGen, Labcorp Genetics (formerly Invitae), G2P
- attenuated Chédiak-Higashi syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_000081.4. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| LYST | NM_000081.4 | MANE Select | c.3083C>G | p.Ser1028Cys | missense | Exon 6 of 53 | NP_000072.2 | ||
| LYST | NM_001301365.1 | c.3083C>G | p.Ser1028Cys | missense | Exon 6 of 53 | NP_001288294.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| LYST | ENST00000389793.7 | TSL:5 MANE Select | c.3083C>G | p.Ser1028Cys | missense | Exon 6 of 53 | ENSP00000374443.2 | ||
| LYST | ENST00000465349.5 | TSL:1 | n.3634C>G | non_coding_transcript_exon | Exon 6 of 12 | ||||
| LYST | ENST00000489585.5 | TSL:1 | n.3083C>G | non_coding_transcript_exon | Exon 6 of 23 | ENSP00000513166.1 |
Frequencies
GnomAD3 genomes AF: 0.000493 AC: 75AN: 152122Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000462 AC: 116AN: 251048 AF XY: 0.000442 show subpopulations
GnomAD4 exome AF: 0.000930 AC: 1359AN: 1461582Hom.: 0 Cov.: 32 AF XY: 0.000916 AC XY: 666AN XY: 727118 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000493 AC: 75AN: 152240Hom.: 0 Cov.: 32 AF XY: 0.000457 AC XY: 34AN XY: 74426 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Chédiak-Higashi syndrome Uncertain:4
This 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.
This sequence change replaces serine, which is neutral and polar, with cysteine, which is neutral and slightly polar, at codon 1028 of the LYST protein (p.Ser1028Cys). This variant is present in population databases (rs150636017, gnomAD 0.09%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with LYST-related conditions. ClinVar contains an entry for this variant (Variation ID: 296408). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The cysteine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.
not provided Uncertain:2
Reported in patients with juvenile idiopathic arthritis, however segregation and detailed clinical information was not provided (Meng et al., 2021); In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 33408077)
not specified Uncertain:1
Variant summary: LYST c.3083C>G (p.Ser1028Cys) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant was detected in control chromosomes at a frequency of 0.00089, predominantly in the Non-Finnish European population at a frequency of 0.0011. This frequency is approaching the estimated threshold for a pathogenic variant in LYST causing Chediak-Higashi Syndrome (0.0011 vs 0.0011), suggesting the variant may be benign. c.3083C>G has been reported in the literature in at least one individual affected with juvenille idopathic arthritis (e.g. Meng_2021). These report(s) do not provide unequivocal conclusions about association of the variant with Chediak-Higashi Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication has been ascertained in the context of this evaluation (PMID: 33408077). ClinVar contains an entry for this variant (Variation ID: 296408). Based on the evidence outlined above, the variant was classified as VUS-possibly benign.
LYST-related disorder Uncertain:1
The LYST c.3083C>G variant is predicted to result in the amino acid substitution p.Ser1028Cys. This variant was reported in an individual with juvenile idiopathic arthritis (Table S5, Meng et al 2021. PubMed ID: 33408077). This variant is reported in 0.088% of alleles in individuals of European (Non-Finnish) descent in gnomAD, which may be too frequent to be a primary cause of disease. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence.
Autoinflammatory syndrome Uncertain:1
Inborn genetic diseases Benign:1
This 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.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at