chr2-73385903-TGGAGGAGGAGGAGGAGGA-T
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Variant summary
Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP3BS1_SupportingBS2
The NM_001378454.1(ALMS1):βc.57_74delβ(p.Glu23_Glu28del) variant causes a inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00131 in 701,364 control chromosomes in the GnomAD database, including 4 homozygotes. Variant has been reported in ClinVar as Uncertain significance (β ).
Frequency
Genomes: π 0.0011 ( 1 hom., cov: 0)
Exomes π: 0.0014 ( 3 hom. )
Consequence
ALMS1
NM_001378454.1 inframe_deletion
NM_001378454.1 inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 3.45
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 Likely_benign. Variant got -6 ACMG points.
BP3
Nonframeshift variant in repetitive region in NM_001378454.1
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00114 (164/143636) while in subpopulation NFE AF= 0.00109 (70/64334). AF 95% confidence interval is 0.000883. There are 1 homozygotes in gnomad4. There are 93 alleles in male gnomad4 subpopulation. Median coverage is 0. 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 3 AR gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
ALMS1 | NM_001378454.1 | c.57_74del | p.Glu23_Glu28del | inframe_deletion | 1/23 | ENST00000613296.6 | |
ALMS1 | NM_015120.4 | c.57_74del | p.Glu24_Glu29del | inframe_deletion | 1/23 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
ALMS1 | ENST00000613296.6 | c.57_74del | p.Glu23_Glu28del | inframe_deletion | 1/23 | 1 | NM_001378454.1 | P3 |
Frequencies
GnomAD3 genomes AF: 0.00114 AC: 164AN: 143532Hom.: 1 Cov.: 0
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GnomAD4 exome AF: 0.00135 AC: 754AN: 557728Hom.: 3 AF XY: 0.00131 AC XY: 391AN XY: 297826
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GnomAD4 genome AF: 0.00114 AC: 164AN: 143636Hom.: 1 Cov.: 0 AF XY: 0.00134 AC XY: 93AN XY: 69662
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Apr 22, 2024 | Has not been previously published as pathogenic or benign to our knowledge; Not observed at significant frequency in large population cohorts (gnomAD); In-frame deletion of 7 amino acids in a repetitive region with no known function; In silico analysis supports a deleterious effect on protein structure/function - |
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at