rs113199851

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000026.4(ADSL):​c.358-4G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00323 in 1,612,774 control chromosomes in the GnomAD database, including 167 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.018 ( 92 hom., cov: 32)
Exomes 𝑓: 0.0017 ( 75 hom. )

Consequence

ADSL
NM_000026.4 splice_region, intron

Scores

2
Splicing: ADA: 0.0001370
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.590

Publications

1 publications found
Variant links:
Genes affected
ADSL (HGNC:291): (adenylosuccinate lyase) The protein encoded by this gene belongs to the lyase 1 family. It is an essential enzyme involved in purine metabolism, and catalyzes two non-sequential reactions in the de novo purine biosynthetic pathway: the conversion of succinylaminoimidazole carboxamide ribotide (SAICAR) to aminoimidazole carboxamide ribotide (AICAR) and the conversion of adenylosuccinate (S-AMP) to adenosine monophosphate (AMP). Mutations in this gene are associated with adenylosuccinase deficiency (ADSLD), a disorder marked with psychomotor retardation, epilepsy or autistic features. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Dec 2015]
ADSL Gene-Disease associations (from GenCC):
  • adenylosuccinate lyase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Orphanet, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.6).
BP6
Variant 22-40353069-G-A is Benign according to our data. Variant chr22-40353069-G-A is described in ClinVar as Benign. ClinVar VariationId is 128277.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0601 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000026.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADSL
NM_000026.4
MANE Select
c.358-4G>A
splice_region intron
N/ANP_000017.1X5D8S6
ADSL
NM_001410812.1
c.358-4G>A
splice_region intron
N/ANP_001397741.1A0A7P0Z472
ADSL
NM_001363840.3
c.358-4G>A
splice_region intron
N/ANP_001350769.1A0A1B0GWJ0

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADSL
ENST00000623063.3
TSL:1 MANE Select
c.358-4G>A
splice_region intron
N/AENSP00000485525.1P30566-1
ADSL
ENST00000342312.9
TSL:1
c.358-4G>A
splice_region intron
N/AENSP00000341429.6P30566-2
ADSL
ENST00000480775.3
TSL:1
n.358-4G>A
splice_region intron
N/AENSP00000485462.2A0A096LP92

Frequencies

GnomAD3 genomes
AF:
0.0177
AC:
2692
AN:
152102
Hom.:
92
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0618
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00530
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000353
Gnomad OTH
AF:
0.0115
GnomAD2 exomes
AF:
0.00429
AC:
1079
AN:
251408
AF XY:
0.00311
show subpopulations
Gnomad AFR exome
AF:
0.0598
Gnomad AMR exome
AF:
0.00220
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000792
Gnomad OTH exome
AF:
0.00179
GnomAD4 exome
AF:
0.00171
AC:
2493
AN:
1460554
Hom.:
75
Cov.:
30
AF XY:
0.00148
AC XY:
1075
AN XY:
726662
show subpopulations
African (AFR)
AF:
0.0610
AC:
2039
AN:
33424
American (AMR)
AF:
0.00264
AC:
118
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26118
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39680
South Asian (SAS)
AF:
0.000476
AC:
41
AN:
86222
European-Finnish (FIN)
AF:
0.0000187
AC:
1
AN:
53406
Middle Eastern (MID)
AF:
0.00347
AC:
20
AN:
5764
European-Non Finnish (NFE)
AF:
0.0000369
AC:
41
AN:
1110862
Other (OTH)
AF:
0.00381
AC:
230
AN:
60354
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
113
226
340
453
566
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
70
140
210
280
350
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0178
AC:
2710
AN:
152220
Hom.:
92
Cov.:
32
AF XY:
0.0176
AC XY:
1313
AN XY:
74422
show subpopulations
African (AFR)
AF:
0.0621
AC:
2577
AN:
41510
American (AMR)
AF:
0.00530
AC:
81
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10600
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.000353
AC:
24
AN:
68012
Other (OTH)
AF:
0.0114
AC:
24
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
125
251
376
502
627
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
28
56
84
112
140
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00911
Hom.:
18
Bravo
AF:
0.0196
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
Adenylosuccinate lyase deficiency (2)
-
-
2
not specified (2)
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.60
CADD
Benign
10
DANN
Benign
0.45
PhyloP100
0.59
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=99/1
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00014
dbscSNV1_RF
Benign
0.0020
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs113199851; hg19: chr22-40749073; COSMIC: COSV106339751; COSMIC: COSV106339751; API