rs117320408

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_033305.3(VPS13A):​c.2201G>A​(p.Ser734Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00144 in 1,613,974 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00087 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0015 ( 5 hom. )

Consequence

VPS13A
NM_033305.3 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:5B:4

Conservation

PhyloP100: 0.738
Variant links:
Genes affected
VPS13A (HGNC:1908): (vacuolar protein sorting 13 homolog A) The protein encoded by this gene may control steps in the cycling of proteins through the trans-Golgi network to endosomes, lysosomes and the plasma membrane. Mutations in this gene cause the autosomal recessive disorder, chorea-acanthocytosis. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0054429173).
BP6
Variant 9-77252265-G-A is Benign according to our data. Variant chr9-77252265-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 367364.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Uncertain_significance=5}. Variant chr9-77252265-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4_exome allele frequency = 0.00149 (2184/1461678) while in subpopulation NFE AF= 0.00189 (2102/1111860). AF 95% confidence interval is 0.00182. There are 5 homozygotes in gnomad4_exome. There are 1053 alleles in male gnomad4_exome subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
VPS13ANM_033305.3 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 72 ENST00000360280.8 NP_150648.2 Q96RL7-1
VPS13ANM_001018037.2 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 71 NP_001018047.1 Q96RL7-3
VPS13ANM_015186.4 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 69 NP_056001.1 Q96RL7-2
VPS13ANM_001018038.3 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 69 NP_001018048.1 Q96RL7-4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
VPS13AENST00000360280.8 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 72 1 NM_033305.3 ENSP00000353422.3 Q96RL7-1
VPS13AENST00000376636.7 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 71 1 ENSP00000365823.3 Q96RL7-3
VPS13AENST00000643348.1 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 69 ENSP00000493592.1 Q96RL7-2
VPS13AENST00000645632.1 linkc.2201G>A p.Ser734Asn missense_variant Exon 22 of 69 ENSP00000496361.1 Q96RL7-4

Frequencies

GnomAD3 genomes
AF:
0.000874
AC:
133
AN:
152178
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000362
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00166
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000632
AC:
159
AN:
251434
Hom.:
0
AF XY:
0.000692
AC XY:
94
AN XY:
135896
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.000202
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00126
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.00149
AC:
2184
AN:
1461678
Hom.:
5
Cov.:
31
AF XY:
0.00145
AC XY:
1053
AN XY:
727146
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.000134
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000186
Gnomad4 FIN exome
AF:
0.000112
Gnomad4 NFE exome
AF:
0.00189
Gnomad4 OTH exome
AF:
0.000762
GnomAD4 genome
AF:
0.000873
AC:
133
AN:
152296
Hom.:
0
Cov.:
32
AF XY:
0.000806
AC XY:
60
AN XY:
74464
show subpopulations
Gnomad4 AFR
AF:
0.000361
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00166
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00118
Hom.:
0
Bravo
AF:
0.000684
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00311
AC:
12
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.000511
AC:
62
EpiCase
AF:
0.00147
EpiControl
AF:
0.00113

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:5Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Chorea-acanthocytosis Uncertain:2Benign:1
Jun 05, 2020
Natera, Inc.
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: Uncertain significance
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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Oct 31, 2018
Fulgent Genetics, Fulgent Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Uncertain:2Benign:1
Aug 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

VPS13A: PM2, BP4 -

Aug 16, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces serine, which is neutral and polar, with asparagine, which is neutral and polar, at codon 734 of the VPS13A protein (p.Ser734Asn). This variant is present in population databases (rs117320408, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with VPS13A-related conditions. ClinVar contains an entry for this variant (Variation ID: 367364). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The asparagine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Sep 14, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Uncertain:1Benign:1
Jul 03, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: VPS13A c.2201G>A (p.Ser734Asn) results in a conservative amino acid change located in the middle RBG modules region (IPR031642) of the encoded protein sequence. Five of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.0014 in 1607002 control chromosomes in the gnomAD database (v4.1 dataset), including 5 homozygotes. The observed variant frequency is approximately 1.3-fold of the estimated maximal expected allele frequency for a pathogenic variant in VPS13A causing Choreoacanthocytosis phenotype (0.0011). To our knowledge, no occurrence of c.2201G>A in individuals affected with Choreoacanthocytosis and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 367364). Based on the evidence outlined above, the variant was classified as likely benign. -

Mar 07, 2017
Athena Diagnostics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Inborn genetic diseases Benign:1
Sep 01, 2021
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.051
BayesDel_addAF
Benign
-0.69
T
BayesDel_noAF
Benign
-0.77
CADD
Benign
11
DANN
Benign
0.28
DEOGEN2
Benign
0.064
.;.;T;.;.;.;T
Eigen
Benign
-0.89
Eigen_PC
Benign
-0.70
FATHMM_MKL
Benign
0.046
N
LIST_S2
Benign
0.44
.;T;.;.;T;T;T
M_CAP
Benign
0.0032
T
MetaRNN
Benign
0.0054
T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.4
N;N;N;N;N;N;N
PrimateAI
Benign
0.34
T
PROVEAN
Benign
0.80
N;N;N;N;.;.;.
REVEL
Benign
0.025
Sift
Benign
1.0
T;T;T;T;.;.;.
Sift4G
Benign
0.38
T;T;T;T;.;.;.
Polyphen
0.0
B;B;B;B;B;B;B
Vest4
0.11
MVP
0.25
MPC
0.12
ClinPred
0.0018
T
GERP RS
-0.073
Varity_R
0.020
gMVP
0.068

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: rs117320408; hg19: chr9-79867181; API