rs114082057

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBS1BS2

The NM_001080.3(ALDH5A1):​c.726+3G>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 0.0211 in 1,613,416 control chromosomes in the GnomAD database, including 457 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 0.015 ( 31 hom., cov: 33)
Exomes 𝑓: 0.022 ( 426 hom. )

Consequence

ALDH5A1
NM_001080.3 splice_region, intron

Scores

2
Splicing: ADA: 0.0005951
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 2.50

Publications

1 publications found
Variant links:
Genes affected
ALDH5A1 (HGNC:408): (aldehyde dehydrogenase 5 family member A1) This protein belongs to the aldehyde dehydrogenase family of proteins. This gene encodes a mitochondrial NAD(+)-dependent succinic semialdehyde dehydrogenase. A deficiency of this enzyme, known as 4-hydroxybutyricaciduria, is a rare inborn error in the metabolism of the neurotransmitter 4-aminobutyric acid (GABA). In response to the defect, physiologic fluids from patients accumulate GHB, a compound with numerous neuromodulatory properties. Two transcript variants encoding distinct isoforms have been identified for this gene. [provided by RefSeq, Jul 2008]
ALDH5A1 Gene-Disease associations (from GenCC):
  • succinic semialdehyde dehydrogenase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, ClinGen, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.32).
BP6
Variant 6-24504988-G-A is Benign according to our data. Variant chr6-24504988-G-A is described in ClinVar as Benign. ClinVar VariationId is 356134.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.0149 (2277/152318) while in subpopulation SAS AF = 0.0369 (178/4828). AF 95% confidence interval is 0.0324. There are 31 homozygotes in GnomAd4. There are 1116 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 31 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALDH5A1NM_001080.3 linkc.726+3G>A splice_region_variant, intron_variant Intron 4 of 9 ENST00000357578.8 NP_001071.1 P51649-1X5DQN2
ALDH5A1NM_170740.1 linkc.726+3G>A splice_region_variant, intron_variant Intron 4 of 10 NP_733936.1 P51649-2X5D299
ALDH5A1NM_001368954.1 linkc.726+3G>A splice_region_variant, intron_variant Intron 4 of 8 NP_001355883.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALDH5A1ENST00000357578.8 linkc.726+3G>A splice_region_variant, intron_variant Intron 4 of 9 1 NM_001080.3 ENSP00000350191.3 P51649-1

Frequencies

GnomAD3 genomes
AF:
0.0149
AC:
2274
AN:
152200
Hom.:
30
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00275
Gnomad AMI
AF:
0.0713
Gnomad AMR
AF:
0.00681
Gnomad ASJ
AF:
0.00894
Gnomad EAS
AF:
0.00193
Gnomad SAS
AF:
0.0364
Gnomad FIN
AF:
0.0229
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0222
Gnomad OTH
AF:
0.0110
GnomAD2 exomes
AF:
0.0196
AC:
4926
AN:
251312
AF XY:
0.0209
show subpopulations
Gnomad AFR exome
AF:
0.00308
Gnomad AMR exome
AF:
0.00601
Gnomad ASJ exome
AF:
0.0126
Gnomad EAS exome
AF:
0.000598
Gnomad FIN exome
AF:
0.0307
Gnomad NFE exome
AF:
0.0230
Gnomad OTH exome
AF:
0.0194
GnomAD4 exome
AF:
0.0217
AC:
31698
AN:
1461098
Hom.:
426
Cov.:
32
AF XY:
0.0223
AC XY:
16213
AN XY:
726914
show subpopulations
African (AFR)
AF:
0.00290
AC:
97
AN:
33460
American (AMR)
AF:
0.00575
AC:
257
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0119
AC:
310
AN:
26134
East Asian (EAS)
AF:
0.000403
AC:
16
AN:
39694
South Asian (SAS)
AF:
0.0379
AC:
3268
AN:
86236
European-Finnish (FIN)
AF:
0.0295
AC:
1573
AN:
53368
Middle Eastern (MID)
AF:
0.0128
AC:
74
AN:
5766
European-Non Finnish (NFE)
AF:
0.0226
AC:
25146
AN:
1111338
Other (OTH)
AF:
0.0159
AC:
957
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1671
3342
5013
6684
8355
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
950
1900
2850
3800
4750
<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:
0.0149
AC:
2277
AN:
152318
Hom.:
31
Cov.:
33
AF XY:
0.0150
AC XY:
1116
AN XY:
74476
show subpopulations
African (AFR)
AF:
0.00274
AC:
114
AN:
41580
American (AMR)
AF:
0.00680
AC:
104
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00894
AC:
31
AN:
3466
East Asian (EAS)
AF:
0.00193
AC:
10
AN:
5182
South Asian (SAS)
AF:
0.0369
AC:
178
AN:
4828
European-Finnish (FIN)
AF:
0.0229
AC:
243
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0222
AC:
1509
AN:
68028
Other (OTH)
AF:
0.0109
AC:
23
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
111
222
332
443
554
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:
0.0151
Hom.:
12
Bravo
AF:
0.0125
Asia WGS
AF:
0.0230
AC:
79
AN:
3478
EpiCase
AF:
0.0185
EpiControl
AF:
0.0215

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Succinate-semialdehyde dehydrogenase deficiency Benign:2
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. -

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Aug 06, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.32
CADD
Benign
20
DANN
Benign
0.87
PhyloP100
2.5
Mutation Taster
=96/4
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00060
dbscSNV1_RF
Benign
0.020
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

Other links and lift over

dbSNP: rs114082057; hg19: chr6-24505216; API