chr2-73385791-A-G

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

Scores

2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.21
Variant links:
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
ALMS1NM_015120.4 linkuse as main transcriptc.-78A>G 5_prime_UTR_variant 1/23
ALMS1NM_001378454.1 linkuse as main transcript upstream_gene_variant ENST00000613296.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALMS1ENST00000484298.5 linkuse as main transcriptc.-78A>G 5_prime_UTR_variant 1/221 A2
ALMS1ENST00000613296.6 linkuse as main transcript upstream_gene_variant 1 NM_001378454.1 P3Q8TCU4-1

Frequencies

GnomAD3 genomes
AF:
0.000693
AC:
105
AN:
151586
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000388
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00390
Gnomad SAS
AF:
0.00772
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000369
Gnomad OTH
AF:
0.000959
GnomAD4 exome
AF:
0.00121
AC:
579
AN:
477666
Hom.:
6
Cov.:
4
AF XY:
0.00166
AC XY:
427
AN XY:
256496
show subpopulations
Gnomad4 AFR exome
AF:
0.0000842
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000652
Gnomad4 EAS exome
AF:
0.00165
Gnomad4 SAS exome
AF:
0.00789
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000352
Gnomad4 OTH exome
AF:
0.000914
GnomAD4 genome
AF:
0.000686
AC:
104
AN:
151698
Hom.:
1
Cov.:
32
AF XY:
0.000715
AC XY:
53
AN XY:
74154
show subpopulations
Gnomad4 AFR
AF:
0.000387
Gnomad4 AMR
AF:
0.000262
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00391
Gnomad4 SAS
AF:
0.00752
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000369
Gnomad4 OTH
AF:
0.000949
Alfa
AF:
0.0000530
Hom.:
0
Bravo
AF:
0.000540
Asia WGS
AF:
0.00116
AC:
4
AN:
3462

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 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, 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

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.43
CADD
Benign
17
DANN
Benign
0.67

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: rs571728800; hg19: chr2-73612919; API