chr2-73385791-A-G
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Variant summary
Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4_ModerateBS1_SupportingBS2
The ENST00000484298.5(ALMS1):c.-78A>G variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00109 in 629,364 control chromosomes in the GnomAD database, including 7 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00069 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0012 ( 6 hom. )
Consequence
ALMS1
ENST00000484298.5 5_prime_UTR
ENST00000484298.5 5_prime_UTR
Scores
2
Clinical Significance
Conservation
PhyloP100: 3.21
Genes affected
ALMS1 (HGNC:428): (ALMS1 centrosome and basal body associated protein) This gene encodes a protein containing a large tandem-repeat domain as well as additional low complexity regions. The encoded protein functions in microtubule organization, particularly in the formation and maintanance of cilia. Mutations in this gene cause Alstrom syndrome. There is a pseudogene for this gene located adjacent in the same region of chromosome 2. Alternative splice variants have been described but their full length nature has not been determined. [provided by RefSeq, Apr 2014]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -7 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.43).
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.000686 (104/151698) while in subpopulation SAS AF= 0.00752 (36/4790). AF 95% confidence interval is 0.00558. There are 1 homozygotes in gnomad4. There are 53 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 6 AR gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
ALMS1 | NM_015120.4 | c.-78A>G | 5_prime_UTR_variant | 1/23 | |||
ALMS1 | NM_001378454.1 | upstream_gene_variant | ENST00000613296.6 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
ALMS1 | ENST00000484298.5 | c.-78A>G | 5_prime_UTR_variant | 1/22 | 1 | A2 | |||
ALMS1 | ENST00000613296.6 | upstream_gene_variant | 1 | NM_001378454.1 | P3 |
Frequencies
GnomAD3 genomes AF: 0.000693 AC: 105AN: 151586Hom.: 1 Cov.: 32
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GnomAD4 exome AF: 0.00121 AC: 579AN: 477666Hom.: 6 Cov.: 4 AF XY: 0.00166 AC XY: 427AN XY: 256496
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GnomAD4 genome AF: 0.000686 AC: 104AN: 151698Hom.: 1 Cov.: 32 AF XY: 0.000715 AC XY: 53AN XY: 74154
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Alstrom syndrome Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Jan 12, 2018 | 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. - |
Computational scores
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at