rs12340246

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_003640.5(ELP1):​c.819C>T​(p.Leu273Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0527 in 1,613,602 control chromosomes in the GnomAD database, including 3,249 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. L273L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.051 ( 313 hom., cov: 32)
Exomes 𝑓: 0.053 ( 2936 hom. )

Consequence

ELP1
NM_003640.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.861

Publications

20 publications found
Variant links:
Genes affected
ELP1 (HGNC:5959): (elongator acetyltransferase complex subunit 1) The protein encoded by this gene is a scaffold protein and a regulator for three different kinases involved in proinflammatory signaling. The encoded protein can bind NF-kappa-B-inducing kinase and I-kappa-B kinases through separate domains and assemble them into an active kinase complex. Mutations in this gene have been associated with familial dysautonomia. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jan 2016]
ELP1 Gene-Disease associations (from GenCC):
  • primary dysautonomia
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • Riley-Day syndrome
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
  • medulloblastoma
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.5).
BP6
Variant 9-108917592-G-A is Benign according to our data. Variant chr9-108917592-G-A is described in ClinVar as [Benign]. Clinvar id is 137570.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.861 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.114 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ELP1NM_003640.5 linkc.819C>T p.Leu273Leu synonymous_variant Exon 9 of 37 ENST00000374647.10 NP_003631.2 O95163Q4LE38Q8N516
ELP1NM_001318360.2 linkc.477C>T p.Leu159Leu synonymous_variant Exon 9 of 37 NP_001305289.1 O95163A0A6Q8PGW3B4E3I9
ELP1XM_047423991.1 linkc.819C>T p.Leu273Leu synonymous_variant Exon 9 of 25 XP_047279947.1
ELP1NM_001330749.2 linkc.-229C>T 5_prime_UTR_variant Exon 7 of 35 NP_001317678.1 F5H2T0B3KNB2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ELP1ENST00000374647.10 linkc.819C>T p.Leu273Leu synonymous_variant Exon 9 of 37 1 NM_003640.5 ENSP00000363779.5 O95163

Frequencies

GnomAD3 genomes
AF:
0.0513
AC:
7806
AN:
152050
Hom.:
311
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0138
Gnomad AMI
AF:
0.0352
Gnomad AMR
AF:
0.118
Gnomad ASJ
AF:
0.0144
Gnomad EAS
AF:
0.120
Gnomad SAS
AF:
0.0555
Gnomad FIN
AF:
0.0971
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.0485
Gnomad OTH
AF:
0.0566
GnomAD2 exomes
AF:
0.0733
AC:
18430
AN:
251476
AF XY:
0.0673
show subpopulations
Gnomad AFR exome
AF:
0.0125
Gnomad AMR exome
AF:
0.202
Gnomad ASJ exome
AF:
0.0167
Gnomad EAS exome
AF:
0.119
Gnomad FIN exome
AF:
0.0968
Gnomad NFE exome
AF:
0.0444
Gnomad OTH exome
AF:
0.0637
GnomAD4 exome
AF:
0.0528
AC:
77165
AN:
1461432
Hom.:
2936
Cov.:
33
AF XY:
0.0514
AC XY:
37397
AN XY:
727048
show subpopulations
African (AFR)
AF:
0.0120
AC:
401
AN:
33474
American (AMR)
AF:
0.193
AC:
8652
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.0165
AC:
430
AN:
26130
East Asian (EAS)
AF:
0.121
AC:
4819
AN:
39690
South Asian (SAS)
AF:
0.0432
AC:
3727
AN:
86252
European-Finnish (FIN)
AF:
0.0908
AC:
4850
AN:
53418
Middle Eastern (MID)
AF:
0.0333
AC:
192
AN:
5768
European-Non Finnish (NFE)
AF:
0.0459
AC:
51004
AN:
1111608
Other (OTH)
AF:
0.0512
AC:
3090
AN:
60370
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
3746
7491
11237
14982
18728
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2088
4176
6264
8352
10440
<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:
0.0513
AC:
7810
AN:
152170
Hom.:
313
Cov.:
32
AF XY:
0.0550
AC XY:
4092
AN XY:
74384
show subpopulations
African (AFR)
AF:
0.0138
AC:
574
AN:
41526
American (AMR)
AF:
0.119
AC:
1818
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.0144
AC:
50
AN:
3470
East Asian (EAS)
AF:
0.120
AC:
619
AN:
5160
South Asian (SAS)
AF:
0.0547
AC:
264
AN:
4828
European-Finnish (FIN)
AF:
0.0971
AC:
1027
AN:
10574
Middle Eastern (MID)
AF:
0.0340
AC:
10
AN:
294
European-Non Finnish (NFE)
AF:
0.0485
AC:
3299
AN:
68008
Other (OTH)
AF:
0.0555
AC:
117
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
366
732
1098
1464
1830
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
90
180
270
360
450
<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:
0.0453
Hom.:
445
Bravo
AF:
0.0544
Asia WGS
AF:
0.0860
AC:
298
AN:
3478
EpiCase
AF:
0.0419
EpiControl
AF:
0.0431

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Familial dysautonomia Benign:3
May 10, 2017
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 12, 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. -

Jul 01, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 13, 2014
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

not provided Benign:2
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.50
CADD
Benign
5.4
DANN
Benign
0.69
PhyloP100
0.86
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs12340246; hg19: chr9-111679872; COSMIC: COSV65896328; API