Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_StrongBP6_ModerateBP7
The NM_133642.5(LARGE1):c.534G>A(p.Ala178Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000558 in 1,613,932 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Synonymous variant affecting the same amino acid position (i.e. A178A) has been classified as Likely benign.
LARGE1 (HGNC:6511): (LARGE xylosyl- and glucuronyltransferase 1) This gene encodes a member of the N-acetylglucosaminyltransferase gene family. It encodes a glycosyltransferase which participates in glycosylation of alpha-dystroglycan, and may carry out the synthesis of glycoprotein and glycosphingolipid sugar chains. It may also be involved in the addition of a repeated disaccharide unit. The protein encoded by this gene is the glycotransferase that adds the final xylose and glucuronic acid to alpha-dystroglycan and thereby allows alpha-dystroglycan to bind ligands including laminin 211 and neurexin. Mutations in this gene cause several forms of congenital muscular dystrophy characterized by cognitive disability and abnormal glycosylation of alpha-dystroglycan. Alternative splicing of this gene results in multiple transcript variants that encode the same protein. [provided by RefSeq, May 2018]
LARGE1 Gene-Disease associations (from GenCC):
muscular dystrophy-dystroglycanopathy type B6
Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A6
Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp
congenital muscular dystrophy with intellectual disability
Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
muscular dystrophy-dystroglycanopathy, type A
Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
Our verdict: Benign. The variant received -7 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.6).
BP6
Variant 22-33604516-C-T is Benign according to our data. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr22-33604516-C-T is described in CliVar as Likely_benign. Clinvar id is 2740422.Status of the report is criteria_provided_single_submitter, 1 stars.
BP7
Synonymous conserved (PhyloP=-4.47 with no splicing effect.