chr21-40042661-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM2PP2BP4_Moderate

The NM_001389.5(DSCAM):​c.5396G>A​(p.Ser1799Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000771 in 1,296,242 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.7e-7 ( 0 hom. )

Consequence

DSCAM
NM_001389.5 missense

Scores

1
3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.37
Variant links:
Genes affected
DSCAM (HGNC:3039): (DS cell adhesion molecule) This gene is a member of the immunoglobulin superfamily of cell adhesion molecules (Ig-CAMs), and is involved in human central and peripheral nervous system development. This gene is a candidate for Down syndrome and congenital heart disease (DSCHD). A gene encoding a similar Ig-CAM protein is located on chromosome 11. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Oct 2012]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), DSCAM. . Gene score misZ 3.2228 (greater than the threshold 3.09). Trascript score misZ 4.4297 (greater than threshold 3.09). GenCC has associacion of gene with autism spectrum disorder.
BP4
Computational evidence support a benign effect (MetaRNN=0.19837171).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DSCAMNM_001389.5 linkuse as main transcriptc.5396G>A p.Ser1799Asn missense_variant 32/33 ENST00000400454.6 NP_001380.2
DSCAMNM_001271534.3 linkuse as main transcriptc.5396G>A p.Ser1799Asn missense_variant 32/33 NP_001258463.1
DSCAMXM_017028281.2 linkuse as main transcriptc.4688G>A p.Ser1563Asn missense_variant 29/30 XP_016883770.1
DSCAMNR_073202.3 linkuse as main transcriptn.5702G>A non_coding_transcript_exon_variant 32/33

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DSCAMENST00000400454.6 linkuse as main transcriptc.5396G>A p.Ser1799Asn missense_variant 32/331 NM_001389.5 ENSP00000383303 P1O60469-1
DSCAMENST00000404019.2 linkuse as main transcriptc.4652G>A p.Ser1551Asn missense_variant 28/291 ENSP00000385342
DSCAMENST00000617870.4 linkuse as main transcriptc.4901G>A p.Ser1634Asn missense_variant 29/305 ENSP00000478698

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
7.71e-7
AC:
1
AN:
1296242
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
634744
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.80e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 28, 2022The c.5396G>A (p.S1799N) alteration is located in exon 32 (coding exon 32) of the DSCAM gene. This alteration results from a G to A substitution at nucleotide position 5396, causing the serine (S) at amino acid position 1799 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.52
CADD
Uncertain
25
DANN
Benign
0.50
DEOGEN2
Benign
0.044
T;.;.
Eigen
Uncertain
0.27
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.80
T;T;T
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.20
T;T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
0.90
L;.;.
MutationTaster
Benign
0.94
D
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
1.2
N;.;N
REVEL
Benign
0.18
Sift
Benign
1.0
T;.;T
Sift4G
Benign
0.78
T;T;T
Polyphen
0.99
D;.;.
Vest4
0.33
MutPred
0.13
Loss of phosphorylation at S1799 (P = 0.0017);.;.;
MVP
0.65
MPC
0.50
ClinPred
0.76
D
GERP RS
5.3
Varity_R
0.15
gMVP
0.65

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: rs2088774781; hg19: chr21-41414588; API