chr20-32433627-G-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_015338.6(ASXL1):ā€‹c.1429G>Cā€‹(p.Glu477Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000252 in 1,613,376 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0013 ( 1 hom., cov: 32)
Exomes š‘“: 0.00014 ( 2 hom. )

Consequence

ASXL1
NM_015338.6 missense

Scores

1
2
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4O:1

Conservation

PhyloP100: 2.56
Variant links:
Genes affected
ASXL1 (HGNC:18318): (ASXL transcriptional regulator 1) This gene is similar to the Drosophila additional sex combs gene, which encodes a chromatin-binding protein required for normal determination of segment identity in the developing embryo. The protein is a member of the Polycomb group of proteins, which are necessary for the maintenance of stable repression of homeotic and other loci. The protein is thought to disrupt chromatin in localized areas, enhancing transcription of certain genes while repressing the transcription of other genes. The protein encoded by this gene functions as a ligand-dependent co-activator for retinoic acid receptor in cooperation with nuclear receptor coactivator 1. Mutations in this gene are associated with myelodysplastic syndromes and chronic myelomonocytic leukemia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 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 (MetaRNN=0.0050217807).
BP6
Variant 20-32433627-G-C is Benign according to our data. Variant chr20-32433627-G-C is described in ClinVar as [Benign]. Clinvar id is 133577.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr20-32433627-G-C is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00129 (196/152292) while in subpopulation AFR AF= 0.00433 (180/41568). AF 95% confidence interval is 0.00381. There are 1 homozygotes in gnomad4. There are 83 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 196 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ASXL1NM_015338.6 linkuse as main transcriptc.1429G>C p.Glu477Gln missense_variant 12/13 ENST00000375687.10 NP_056153.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ASXL1ENST00000375687.10 linkuse as main transcriptc.1429G>C p.Glu477Gln missense_variant 12/135 NM_015338.6 ENSP00000364839 P1Q8IXJ9-1

Frequencies

GnomAD3 genomes
AF:
0.00129
AC:
196
AN:
152174
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00434
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000916
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000334
AC:
84
AN:
251282
Hom.:
1
AF XY:
0.000199
AC XY:
27
AN XY:
135808
show subpopulations
Gnomad AFR exome
AF:
0.00418
Gnomad AMR exome
AF:
0.000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000352
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000144
AC:
211
AN:
1461084
Hom.:
2
Cov.:
31
AF XY:
0.000132
AC XY:
96
AN XY:
726686
show subpopulations
Gnomad4 AFR exome
AF:
0.00412
Gnomad4 AMR exome
AF:
0.000403
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000306
Gnomad4 OTH exome
AF:
0.000248
GnomAD4 genome
AF:
0.00129
AC:
196
AN:
152292
Hom.:
1
Cov.:
32
AF XY:
0.00111
AC XY:
83
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.00433
Gnomad4 AMR
AF:
0.000915
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000218
Hom.:
0
Bravo
AF:
0.00153
ESP6500AA
AF:
0.00386
AC:
17
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000404
AC:
49
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

Significance: Benign
Submissions summary: Benign:4Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 06, 2024- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 25, 2019- -
ASXL1-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 07, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Bohring-Opitz syndrome Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
not specified Other:1
not provided, no classification providedreference populationITMISep 19, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.26
T;T;T;.;T
Eigen
Benign
-0.13
Eigen_PC
Benign
-0.18
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.66
.;T;.;T;T
M_CAP
Benign
0.0046
T
MetaRNN
Benign
0.0050
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.1
M;M;M;.;.
MutationTaster
Benign
0.71
D;D
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-1.3
N;.;.;.;N
REVEL
Benign
0.077
Sift
Benign
0.045
D;.;.;.;D
Sift4G
Benign
0.20
T;T;T;.;T
Polyphen
0.93
P;P;P;.;.
Vest4
0.20
MVP
0.46
MPC
0.14
ClinPred
0.014
T
GERP RS
3.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.8
Varity_R
0.052
gMVP
0.21

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: rs141346625; hg19: chr20-31021430; COSMIC: COSV60103424; COSMIC: COSV60103424; API