chr18-23539327-A-G

Variant summary

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

The NM_000271.5(NPC1):​c.2911+28T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.505 in 1,523,196 control chromosomes in the GnomAD database, including 198,353 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.56 ( 24469 hom., cov: 33)
Exomes 𝑓: 0.50 ( 173884 hom. )

Consequence

NPC1
NM_000271.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.445
Variant links:
Genes affected
NPC1 (HGNC:7897): (NPC intracellular cholesterol transporter 1) This gene encodes a large protein that resides in the limiting membrane of endosomes and lysosomes and mediates intracellular cholesterol trafficking via binding of cholesterol to its N-terminal domain. It is predicted to have a cytoplasmic C-terminus, 13 transmembrane domains, and 3 large loops in the lumen of the endosome - the last loop being at the N-terminus. This protein transports low-density lipoproteins to late endosomal/lysosomal compartments where they are hydrolized and released as free cholesterol. Defects in this gene cause Niemann-Pick type C disease, a rare autosomal recessive neurodegenerative disorder characterized by over accumulation of cholesterol and glycosphingolipids in late endosomal/lysosomal compartments.[provided by RefSeq, Aug 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 (BayesDel_noAF=-0.86).
BP6
Variant 18-23539327-A-G is Benign according to our data. Variant chr18-23539327-A-G is described in ClinVar as [Benign]. Clinvar id is 255695.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr18-23539327-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.696 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NPC1NM_000271.5 linkuse as main transcriptc.2911+28T>C intron_variant ENST00000269228.10 NP_000262.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NPC1ENST00000269228.10 linkuse as main transcriptc.2911+28T>C intron_variant 1 NM_000271.5 ENSP00000269228 P1O15118-1
NPC1ENST00000591051.1 linkuse as main transcriptc.1989+28T>C intron_variant 2 ENSP00000467636
NPC1ENST00000591075.1 linkuse as main transcriptn.544+28T>C intron_variant, non_coding_transcript_variant 4

Frequencies

GnomAD3 genomes
AF:
0.556
AC:
84552
AN:
152008
Hom.:
24425
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.703
Gnomad AMI
AF:
0.424
Gnomad AMR
AF:
0.603
Gnomad ASJ
AF:
0.308
Gnomad EAS
AF:
0.626
Gnomad SAS
AF:
0.499
Gnomad FIN
AF:
0.519
Gnomad MID
AF:
0.329
Gnomad NFE
AF:
0.479
Gnomad OTH
AF:
0.493
GnomAD3 exomes
AF:
0.525
AC:
129031
AN:
245706
Hom.:
35166
AF XY:
0.512
AC XY:
67950
AN XY:
132600
show subpopulations
Gnomad AFR exome
AF:
0.713
Gnomad AMR exome
AF:
0.671
Gnomad ASJ exome
AF:
0.307
Gnomad EAS exome
AF:
0.623
Gnomad SAS exome
AF:
0.498
Gnomad FIN exome
AF:
0.503
Gnomad NFE exome
AF:
0.471
Gnomad OTH exome
AF:
0.477
GnomAD4 exome
AF:
0.499
AC:
684094
AN:
1371070
Hom.:
173884
Cov.:
21
AF XY:
0.495
AC XY:
340004
AN XY:
686280
show subpopulations
Gnomad4 AFR exome
AF:
0.703
Gnomad4 AMR exome
AF:
0.663
Gnomad4 ASJ exome
AF:
0.303
Gnomad4 EAS exome
AF:
0.657
Gnomad4 SAS exome
AF:
0.502
Gnomad4 FIN exome
AF:
0.497
Gnomad4 NFE exome
AF:
0.486
Gnomad4 OTH exome
AF:
0.489
GnomAD4 genome
AF:
0.557
AC:
84661
AN:
152126
Hom.:
24469
Cov.:
33
AF XY:
0.557
AC XY:
41421
AN XY:
74364
show subpopulations
Gnomad4 AFR
AF:
0.703
Gnomad4 AMR
AF:
0.603
Gnomad4 ASJ
AF:
0.308
Gnomad4 EAS
AF:
0.626
Gnomad4 SAS
AF:
0.500
Gnomad4 FIN
AF:
0.519
Gnomad4 NFE
AF:
0.479
Gnomad4 OTH
AF:
0.500
Alfa
AF:
0.468
Hom.:
17738
Bravo
AF:
0.572
Asia WGS
AF:
0.571
AC:
1984
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo ClinicOct 20, 2015- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Niemann-Pick disease, type C1 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJun 10, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.86
CADD
Benign
1.1
DANN
Benign
0.39

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: rs6507720; hg19: chr18-21119291; COSMIC: COSV52577256; COSMIC: COSV52577256; API