chr8-18084687-CAGCAAAG-C

Variant summary

Our verdict is Likely pathogenic. Variant got 9 ACMG points: 10P and 1B. PVS1PM2BS1_Supporting

The NM_004315.6(ASAH1):​c.108_114delCTTTGCT​(p.Ser36fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00027 in 1,613,676 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0014 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00015 ( 0 hom. )

Consequence

ASAH1
NM_004315.6 frameshift

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 0.545
Variant links:
Genes affected
ASAH1 (HGNC:735): (N-acylsphingosine amidohydrolase 1) This gene encodes a member of the acid ceramidase family of proteins. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed. Processing of this preproprotein generates alpha and beta subunits that heterodimerize to form the mature lysosomal enzyme, which catalyzes the degradation of ceramide into sphingosine and free fatty acid. This enzyme is overexpressed in multiple human cancers and may play a role in cancer progression. Mutations in this gene are associated with the lysosomal storage disorder, Farber lipogranulomatosis, and a neuromuscular disorder, spinal muscular atrophy with progressive myoclonic epilepsy. [provided by RefSeq, Oct 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 9 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00141 (215/152332) while in subpopulation AFR AF= 0.00491 (204/41580). AF 95% confidence interval is 0.00435. There are 1 homozygotes in gnomad4. There are 108 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ASAH1NM_004315.6 linkuse as main transcriptc.108_114delCTTTGCT p.Ser36fs frameshift_variant 1/14 NP_004306.3 Q13510-2Q53H01A8K0B6
ASAH1NM_001127505.3 linkuse as main transcriptc.108_114delCTTTGCT p.Ser36fs frameshift_variant 1/14 NP_001120977.1 Q13510-3Q53H01A8K0B6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ASAH1ENST00000381733.9 linkuse as main transcriptc.108_114delCTTTGCT p.Ser36fs frameshift_variant 1/141 ENSP00000371152.4 Q13510-2
ASAH1ENST00000314146.10 linkuse as main transcriptc.108_114delCTTTGCT p.Ser36fs frameshift_variant 1/141 ENSP00000326970.10 Q13510-3
ASAH1ENST00000637244.1 linkuse as main transcriptn.108_114delCTTTGCT non_coding_transcript_exon_variant 1/141 ENSP00000490188.1 A0A1B0GUP1

Frequencies

GnomAD3 genomes
AF:
0.00141
AC:
214
AN:
152214
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00490
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
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:
0.0000588
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000341
AC:
85
AN:
249026
Hom.:
0
AF XY:
0.000297
AC XY:
40
AN XY:
134704
show subpopulations
Gnomad AFR exome
AF:
0.00428
Gnomad AMR exome
AF:
0.000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000447
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.000151
AC:
220
AN:
1461344
Hom.:
0
AF XY:
0.000127
AC XY:
92
AN XY:
726888
show subpopulations
Gnomad4 AFR exome
AF:
0.00487
Gnomad4 AMR exome
AF:
0.000403
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:
0.0000162
Gnomad4 OTH exome
AF:
0.000315
GnomAD4 genome
AF:
0.00141
AC:
215
AN:
152332
Hom.:
1
Cov.:
33
AF XY:
0.00145
AC XY:
108
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.00491
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000738
Hom.:
0
Bravo
AF:
0.00165
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2022- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsOct 24, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs548868946; hg19: chr8-17942196; API