rs138037471

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_006493.4(CLN5):​c.87C>G​(p.Ala29Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.031 in 1,605,390 control chromosomes in the GnomAD database, including 914 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.024 ( 83 hom., cov: 33)
Exomes 𝑓: 0.032 ( 831 hom. )

Consequence

CLN5
NM_006493.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: -0.426
Variant links:
Genes affected
CLN5 (HGNC:2076): (CLN5 intracellular trafficking protein) This gene is one of eight which have been associated with neuronal ceroid lipofuscinoses (NCL). Also referred to as Batten disease, NCL comprises a class of autosomal recessive, neurodegenerative disorders affecting children. The genes responsible likely encode proteins involved in the degradation of post-translationally modified proteins in lysosomes. The primary defect in NCL disorders is thought to be associated with lysosomal storage function.[provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.71).
BP6
Variant 13-76992185-C-G is Benign according to our data. Variant chr13-76992185-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 95396.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr13-76992185-C-G is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.426 with no splicing effect.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.0245 (3726/152270) while in subpopulation AMR AF= 0.0352 (538/15298). AF 95% confidence interval is 0.0334. There are 83 homozygotes in gnomad4. There are 1818 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 83 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLN5NM_006493.4 linkc.87C>G p.Ala29Ala synonymous_variant Exon 1 of 4 ENST00000377453.9 NP_006484.2 O75503A0A024R644
CLN5NM_001366624.2 linkc.87C>G p.Ala29Ala synonymous_variant Exon 1 of 5 NP_001353553.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLN5ENST00000377453.9 linkc.87C>G p.Ala29Ala synonymous_variant Exon 1 of 4 1 NM_006493.4 ENSP00000366673.5 O75503
ENSG00000283208ENST00000638147.2 linkc.87C>G p.Ala29Ala synonymous_variant Exon 1 of 5 5 ENSP00000490953.2 A0A1B0GWJ7

Frequencies

GnomAD3 genomes
AF:
0.0245
AC:
3732
AN:
152156
Hom.:
84
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00687
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0352
Gnomad ASJ
AF:
0.0657
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00766
Gnomad FIN
AF:
0.0194
Gnomad MID
AF:
0.0701
Gnomad NFE
AF:
0.0346
Gnomad OTH
AF:
0.0301
GnomAD3 exomes
AF:
0.0239
AC:
5352
AN:
223732
Hom.:
100
AF XY:
0.0240
AC XY:
2963
AN XY:
123434
show subpopulations
Gnomad AFR exome
AF:
0.00583
Gnomad AMR exome
AF:
0.0201
Gnomad ASJ exome
AF:
0.0644
Gnomad EAS exome
AF:
0.0000577
Gnomad SAS exome
AF:
0.00782
Gnomad FIN exome
AF:
0.0198
Gnomad NFE exome
AF:
0.0334
Gnomad OTH exome
AF:
0.0309
GnomAD4 exome
AF:
0.0316
AC:
45973
AN:
1453120
Hom.:
831
Cov.:
36
AF XY:
0.0311
AC XY:
22463
AN XY:
722840
show subpopulations
Gnomad4 AFR exome
AF:
0.00511
Gnomad4 AMR exome
AF:
0.0202
Gnomad4 ASJ exome
AF:
0.0648
Gnomad4 EAS exome
AF:
0.0000253
Gnomad4 SAS exome
AF:
0.00827
Gnomad4 FIN exome
AF:
0.0212
Gnomad4 NFE exome
AF:
0.0356
Gnomad4 OTH exome
AF:
0.0308
GnomAD4 genome
AF:
0.0245
AC:
3726
AN:
152270
Hom.:
83
Cov.:
33
AF XY:
0.0244
AC XY:
1818
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.00685
Gnomad4 AMR
AF:
0.0352
Gnomad4 ASJ
AF:
0.0657
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00746
Gnomad4 FIN
AF:
0.0194
Gnomad4 NFE
AF:
0.0346
Gnomad4 OTH
AF:
0.0298
Alfa
AF:
0.0331
Hom.:
37
Bravo
AF:
0.0252
Asia WGS
AF:
0.00751
AC:
27
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Feb 29, 2012
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. -

Aug 12, 2013
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 12, 2022
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

Neuronal ceroid lipofuscinosis 5 Benign:3
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. -

Sep 16, 2020
Natera, Inc.
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jul 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:2
Apr 12, 2017
Mayo Clinic Laboratories, Mayo Clinic
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

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

- -

Inborn genetic diseases Benign:1
May 02, 2016
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as 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. -

Neuronal Ceroid-Lipofuscinosis, Dominant/Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Neuronal ceroid lipofuscinosis Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
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
-0.71
CADD
Benign
5.8
DANN
Benign
0.42
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0

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: rs138037471; hg19: chr13-77566320; COSMIC: COSV66283623; COSMIC: COSV66283623; API