rs137852799

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PM5PP3

The NM_000079.4(CHRNA1):​c.526G>T​(p.Val176Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000000684 in 1,461,224 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V176M) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

CHRNA1
NM_000079.4 missense

Scores

4
6
9

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 5.87
Variant links:
Genes affected
CHRNA1 (HGNC:1955): (cholinergic receptor nicotinic alpha 1 subunit) The muscle acetylcholine receptor consiststs of 5 subunits of 4 different types: 2 alpha subunits and 1 each of the beta, gamma, and delta subunits. This gene encodes an alpha subunit that plays a role in acetlycholine binding/channel gating. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Nov 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a topological_domain Extracellular (size 211) in uniprot entity ACHA_HUMAN there are 6 pathogenic changes around while only 0 benign (100%) in NM_000079.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-174754233-C-T is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.826

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CHRNA1NM_000079.4 linkuse as main transcriptc.526G>T p.Val176Leu missense_variant 5/9 ENST00000348749.9 NP_000070.1
CHRNA1NM_001039523.3 linkuse as main transcriptc.601G>T p.Val201Leu missense_variant 6/10 NP_001034612.1
CHRNA1XM_017003256.2 linkuse as main transcriptc.622G>T p.Val208Leu missense_variant 5/9 XP_016858745.1
CHRNA1XM_017003257.2 linkuse as main transcriptc.547G>T p.Val183Leu missense_variant 4/8 XP_016858746.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CHRNA1ENST00000348749.9 linkuse as main transcriptc.526G>T p.Val176Leu missense_variant 5/91 NM_000079.4 ENSP00000261008 P1P02708-2
ENST00000442996.1 linkuse as main transcriptn.322-18516C>A intron_variant, non_coding_transcript_variant 1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251334
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135828
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461224
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
726904
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.60
BayesDel_addAF
Pathogenic
0.18
D
BayesDel_noAF
Uncertain
0.020
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.40
.;T;T;T;T;.
Eigen
Benign
0.11
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.92
D;D;D;D;D;D
M_CAP
Benign
0.055
D
MetaRNN
Pathogenic
0.83
D;D;D;D;D;D
MetaSVM
Benign
-0.50
T
MutationAssessor
Benign
0.92
.;L;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
-1.2
N;N;N;N;.;N
REVEL
Uncertain
0.41
Sift
Benign
0.13
T;T;T;T;.;T
Sift4G
Benign
0.28
T;T;T;T;.;T
Polyphen
0.22, 0.20
.;B;.;.;.;B
Vest4
0.69
MutPred
0.71
.;Gain of disorder (P = 0.2441);.;.;.;.;
MVP
0.82
MPC
0.33
ClinPred
0.71
D
GERP RS
5.8
Varity_R
0.64
gMVP
0.64

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: rs137852799; hg19: chr2-175618961; API