chr9-99217992-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PP3_ModeratePP5

The NM_033087.4(ALG2):ā€‹c.1193T>Cā€‹(p.Phe398Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,890 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

ALG2
NM_033087.4 missense

Scores

14
4
1

Clinical Significance

Likely pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.87
Variant links:
Genes affected
ALG2 (HGNC:23159): (ALG2 alpha-1,3/1,6-mannosyltransferase) This gene encodes a member of the glycosyltransferase 1 family. The encoded protein acts as an alpha 1,3 mannosyltransferase, mannosylating Man(2)GlcNAc(2)-dolichol diphosphate and Man(1)GlcNAc(2)-dolichol diphosphate to form Man(3)GlcNAc(2)-dolichol diphosphate. Defects in this gene have been associated with congenital disorder of glycosylation type Ih (CDG-Ii). Alternative splicing results in multiple transcript variants. [provided by RefSeq, Nov 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.908
PP5
Variant 9-99217992-A-G is Pathogenic according to our data. Variant chr9-99217992-A-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 2498382.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ALG2NM_033087.4 linkuse as main transcriptc.1193T>C p.Phe398Ser missense_variant 2/2 ENST00000476832.2
ALG2XM_047423996.1 linkuse as main transcriptc.914T>C p.Phe305Ser missense_variant 2/2
ALG2NR_024532.2 linkuse as main transcriptn.1400T>C non_coding_transcript_exon_variant 3/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALG2ENST00000476832.2 linkuse as main transcriptc.1193T>C p.Phe398Ser missense_variant 2/21 NM_033087.4 P1Q9H553-1
ALG2ENST00000319033.7 linkuse as main transcriptc.914T>C p.Phe305Ser missense_variant 2/21 Q9H553-2
ALG2ENST00000238477.5 linkuse as main transcriptc.*935T>C 3_prime_UTR_variant, NMD_transcript_variant 3/32

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461890
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727246
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Congenital myasthenic syndrome 14 Pathogenic:1
Likely pathogenic, no assertion criteria providedclinical testingPayam Genetics Center, General Welfare Department of North Khorasan ProvinceMar 01, 2023The ALG2 c.1193T>C(p.Phe398Ser) results is a missense mutation and results at the protein level is a dysfunctional protein, predicted lead to disease. This variant is not present in population databases (ExAC no frequency) and was not found in 1000G, Genom AD exome, genome and Iranom. This variant has not been reported in the literature in individuals affected with ALG2-related conditions . We classified this variant as Pathogenic according to the our clinical evidence from this patient. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.47
D
BayesDel_noAF
Pathogenic
0.44
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.50
T;.
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.95
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.94
D;D
M_CAP
Pathogenic
0.63
D
MetaRNN
Pathogenic
0.91
D;D
MetaSVM
Pathogenic
0.91
D
MutationAssessor
Pathogenic
4.1
H;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.60
T
PROVEAN
Pathogenic
-7.7
D;D
REVEL
Pathogenic
0.95
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.94
MutPred
0.63
Gain of disorder (P = 0.0109);.;
MVP
0.99
MPC
1.0
ClinPred
1.0
D
GERP RS
5.9
Varity_R
0.97
gMVP
0.91

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: rs1828723159; hg19: chr9-101980274; API