chr9-108879526-G-A
Variant summary
Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1
The NM_003640.5(ELP1):c.3492C>T(p.Asp1164Asp) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00926 in 1,613,992 control chromosomes in the GnomAD database, including 1,011 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).
Frequency
Consequence
NM_003640.5 synonymous
Scores
Clinical Significance
Conservation
Publications
- primary dysautonomiaInheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
 - Riley-Day syndromeInheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
 - medulloblastomaInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
 
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ACMG classification
Our verdict: Benign. The variant received -21 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| ELP1 | NM_003640.5  | c.3492C>T | p.Asp1164Asp | synonymous_variant | Exon 33 of 37 | ENST00000374647.10 | NP_003631.2 | |
| ELP1 | NM_001318360.2  | c.3150C>T | p.Asp1050Asp | synonymous_variant | Exon 33 of 37 | NP_001305289.1 | ||
| ELP1 | NM_001330749.2  | c.2445C>T | p.Asp815Asp | synonymous_variant | Exon 31 of 35 | NP_001317678.1 | 
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.0151  AC: 2304AN: 152140Hom.:  112  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.0331  AC: 8326AN: 251308 AF XY:  0.0267   show subpopulations 
GnomAD4 exome  AF:  0.00864  AC: 12636AN: 1461734Hom.:  897  Cov.: 31 AF XY:  0.00773  AC XY: 5623AN XY: 727186 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.0152  AC: 2317AN: 152258Hom.:  114  Cov.: 33 AF XY:  0.0179  AC XY: 1336AN XY: 74432 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not provided    Benign:4 
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Variant summary: The IKBKAP c.3492C>T (p.Asp1164Asp) variant involves the alteration of a non-conserved nucleotide, resulting in a synonymous change. One in silico tool predicts a disease-causing outcome for this variant. 5/5 splice prediction tools predict no significant impact on normal splicing. ESE finder predicts that this variant may affect ESE sites. However, these predictions have yet to be confirmed by functional studies. This variant was found in 3138/121288 control chromosomes (271 homozygotes) at a frequency of 0.0258723, which is approximately 14 times the estimated maximal expected allele frequency of a pathogenic IKBKAP variant (0.001838), suggesting this variant is likely a benign polymorphism. The variant of interest has not, to our knowledge, been reported in affected individuals via publications and/or reputable databases/clinical diagnostic laboratories; nor evaluated for functional impact by in vivo/vitro studies. Taken together, this variant is classified as benign. -
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Familial dysautonomia    Benign:2 
This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at