rs104894904

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 4P and 1B. PM2PM5BP4

The NM_015922.3(NSDHL):​c.544G>A​(p.Ala182Thr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000883 in 113,227 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A182P) has been classified as Pathogenic.

Frequency

Genomes: 𝑓 0.0000088 ( 0 hom., 1 hem., cov: 24)

Consequence

NSDHL
NM_015922.3 missense, splice_region

Scores

3
14
Splicing: ADA: 0.0008968
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.54
Variant links:
Genes affected
NSDHL (HGNC:13398): (NAD(P) dependent steroid dehydrogenase-like) The protein encoded by this gene is localized in the endoplasmic reticulum and is involved in cholesterol biosynthesis. Mutations in this gene are associated with CHILD syndrome, which is a X-linked dominant disorder of lipid metabolism with disturbed cholesterol biosynthesis, and typically lethal in males. Alternatively spliced transcript variants with differing 5' UTR have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chrX-152865819-G-C is described in ClinVar as [Pathogenic]. Clinvar id is 11430.Status of the report is no_assertion_criteria_provided, 0 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.38112855).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NSDHLNM_015922.3 linkuse as main transcriptc.544G>A p.Ala182Thr missense_variant, splice_region_variant 6/8 ENST00000370274.8
NSDHLNM_001129765.2 linkuse as main transcriptc.544G>A p.Ala182Thr missense_variant, splice_region_variant 7/9
NSDHLXM_017029564.2 linkuse as main transcriptc.592G>A p.Ala198Thr missense_variant, splice_region_variant 6/8
NSDHLXM_011531178.3 linkuse as main transcriptc.544G>A p.Ala182Thr missense_variant, splice_region_variant 8/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NSDHLENST00000370274.8 linkuse as main transcriptc.544G>A p.Ala182Thr missense_variant, splice_region_variant 6/81 NM_015922.3 P1
NSDHLENST00000440023.5 linkuse as main transcriptc.544G>A p.Ala182Thr missense_variant, splice_region_variant 7/95 P1
NSDHLENST00000432467.1 linkuse as main transcriptc.544G>A p.Ala182Thr missense_variant, splice_region_variant 7/83

Frequencies

GnomAD3 genomes
AF:
0.00000883
AC:
1
AN:
113227
Hom.:
0
Cov.:
24
AF XY:
0.0000283
AC XY:
1
AN XY:
35365
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000357
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
31
GnomAD4 genome
AF:
0.00000883
AC:
1
AN:
113227
Hom.:
0
Cov.:
24
AF XY:
0.0000283
AC XY:
1
AN XY:
35365
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000357
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.0073
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
14
DANN
Benign
0.94
DEOGEN2
Uncertain
0.64
D;D;D
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.82
T;.;T
M_CAP
Benign
0.045
D
MetaRNN
Benign
0.38
T;T;T
MetaSVM
Benign
-0.62
T
MutationAssessor
Benign
0.73
N;N;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.65
N;N;N
REVEL
Uncertain
0.31
Sift
Benign
0.30
T;T;T
Sift4G
Benign
0.35
T;T;T
Polyphen
0.0
B;B;.
Vest4
0.10
MutPred
0.63
Loss of stability (P = 0.0885);Loss of stability (P = 0.0885);Loss of stability (P = 0.0885);
MVP
0.94
MPC
0.21
ClinPred
0.067
T
GERP RS
3.0
Varity_R
0.14
gMVP
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00090
dbscSNV1_RF
Benign
0.13
SpliceAI score (max)
0.090
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: rs104894904; hg19: chrX-152034363; API