rs13408961

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 3P and 20B. PM1PP2BP4_StrongBP6_Very_StrongBA1

The NM_000030.3(AGXT):​c.883G>A​(p.Ala295Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00497 in 1,550,806 control chromosomes in the GnomAD database, including 244 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A295A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.023 ( 132 hom., cov: 34)
Exomes 𝑓: 0.0030 ( 112 hom. )

Consequence

AGXT
NM_000030.3 missense

Scores

1
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:2B:7

Conservation

PhyloP100: 0.00100

Publications

8 publications found
Variant links:
Genes affected
AGXT (HGNC:341): (alanine--glyoxylate aminotransferase) This gene is expressed only in the liver and the encoded protein is localized mostly in the peroxisomes, where it is involved in glyoxylate detoxification. Mutations in this gene, some of which alter subcellular targetting, have been associated with type I primary hyperoxaluria. [provided by RefSeq, Jul 2008]
AGXT Gene-Disease associations (from GenCC):
  • alanine glyoxylate aminotransferase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • primary hyperoxaluria type 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Myriad Women’s Health, Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 9 uncertain in NM_000030.3
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 130 curated pathogenic missense variants (we use a threshold of 10). The gene has 12 curated benign missense variants. Gene score misZ: -0.26789 (below the threshold of 3.09). Trascript score misZ: -0.48778 (below the threshold of 3.09). GenCC associations: The gene is linked to alanine glyoxylate aminotransferase deficiency, primary hyperoxaluria type 1.
BP4
Computational evidence support a benign effect (MetaRNN=0.0019549727).
BP6
Variant 2-240877573-G-A is Benign according to our data. Variant chr2-240877573-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 204056.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0753 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000030.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AGXT
NM_000030.3
MANE Select
c.883G>Ap.Ala295Thr
missense
Exon 9 of 11NP_000021.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AGXT
ENST00000307503.4
TSL:1 MANE Select
c.883G>Ap.Ala295Thr
missense
Exon 9 of 11ENSP00000302620.3
AGXT
ENST00000470255.1
TSL:2
n.661G>A
non_coding_transcript_exon
Exon 1 of 3

Frequencies

GnomAD3 genomes
AF:
0.0229
AC:
3479
AN:
152214
Hom.:
132
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0775
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00719
Gnomad ASJ
AF:
0.0202
Gnomad EAS
AF:
0.000962
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000573
Gnomad OTH
AF:
0.0191
GnomAD2 exomes
AF:
0.00667
AC:
1025
AN:
153624
AF XY:
0.00515
show subpopulations
Gnomad AFR exome
AF:
0.0838
Gnomad AMR exome
AF:
0.00340
Gnomad ASJ exome
AF:
0.0203
Gnomad EAS exome
AF:
0.000267
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000634
Gnomad OTH exome
AF:
0.00436
GnomAD4 exome
AF:
0.00301
AC:
4216
AN:
1398474
Hom.:
112
Cov.:
31
AF XY:
0.00273
AC XY:
1886
AN XY:
689798
show subpopulations
African (AFR)
AF:
0.0813
AC:
2570
AN:
31598
American (AMR)
AF:
0.00409
AC:
146
AN:
35676
Ashkenazi Jewish (ASJ)
AF:
0.0218
AC:
548
AN:
25160
East Asian (EAS)
AF:
0.000196
AC:
7
AN:
35744
South Asian (SAS)
AF:
0.000202
AC:
16
AN:
79222
European-Finnish (FIN)
AF:
0.0000206
AC:
1
AN:
48520
Middle Eastern (MID)
AF:
0.00316
AC:
18
AN:
5696
European-Non Finnish (NFE)
AF:
0.000472
AC:
509
AN:
1078866
Other (OTH)
AF:
0.00691
AC:
401
AN:
57992
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
214
428
641
855
1069
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
98
196
294
392
490
<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:
0.0229
AC:
3492
AN:
152332
Hom.:
132
Cov.:
34
AF XY:
0.0221
AC XY:
1644
AN XY:
74490
show subpopulations
African (AFR)
AF:
0.0776
AC:
3224
AN:
41566
American (AMR)
AF:
0.00718
AC:
110
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.0202
AC:
70
AN:
3472
East Asian (EAS)
AF:
0.000965
AC:
5
AN:
5184
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.000573
AC:
39
AN:
68024
Other (OTH)
AF:
0.0189
AC:
40
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
157
314
471
628
785
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
34
68
102
136
170
<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:
0.00650
Hom.:
39
Bravo
AF:
0.0261
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.0665
AC:
273
ESP6500EA
AF:
0.00138
AC:
11
ExAC
AF:
0.00498
AC:
377
Asia WGS
AF:
0.00606
AC:
22
AN:
3478

ClinVar

ClinVar submissions as Germline

Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
3
Primary hyperoxaluria, type I (5)
-
-
3
not provided (3)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
0.85
DANN
Benign
0.91
DEOGEN2
Uncertain
0.46
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.033
N
LIST_S2
Benign
0.46
T
MetaRNN
Benign
0.0020
T
MetaSVM
Benign
-0.72
T
MutationAssessor
Benign
0.97
L
PhyloP100
0.0010
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.22
Sift
Benign
0.26
T
Sift4G
Benign
0.25
T
Polyphen
0.0050
B
Vest4
0.15
MVP
0.40
MPC
0.033
ClinPred
0.0073
T
GERP RS
-6.1
Varity_R
0.19
gMVP
0.85
Mutation Taster
=90/10
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: rs13408961; hg19: chr2-241816990; COSMIC: COSV56754979; COSMIC: COSV56754979; API