rs140733978

Variant summary

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

The NM_004304.5(ALK):​c.3080C>T​(p.Pro1027Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000111 in 1,608,784 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 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 0.00049 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000071 ( 0 hom. )

Consequence

ALK
NM_004304.5 missense

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:6O:1

Conservation

PhyloP100: 2.16
Variant links:
Genes affected
ALK (HGNC:427): (ALK receptor tyrosine kinase) This gene encodes a receptor tyrosine kinase, which belongs to the insulin receptor superfamily. This protein comprises an extracellular domain, an hydrophobic stretch corresponding to a single pass transmembrane region, and an intracellular kinase domain. It plays an important role in the development of the brain and exerts its effects on specific neurons in the nervous system. This gene has been found to be rearranged, mutated, or amplified in a series of tumours including anaplastic large cell lymphomas, neuroblastoma, and non-small cell lung cancer. The chromosomal rearrangements are the most common genetic alterations in this gene, which result in creation of multiple fusion genes in tumourigenesis, including ALK (chromosome 2)/EML4 (chromosome 2), ALK/RANBP2 (chromosome 2), ALK/ATIC (chromosome 2), ALK/TFG (chromosome 3), ALK/NPM1 (chromosome 5), ALK/SQSTM1 (chromosome 5), ALK/KIF5B (chromosome 10), ALK/CLTC (chromosome 17), ALK/TPM4 (chromosome 19), and ALK/MSN (chromosome X).[provided by RefSeq, Jan 2011]

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=0.051793247).
BP6
Variant 2-29225553-G-A is Benign according to our data. Variant chr2-29225553-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 133467.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Benign=2, Uncertain_significance=1, not_provided=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000493 (75/151976) while in subpopulation AFR AF= 0.00149 (62/41486). AF 95% confidence interval is 0.0012. There are 0 homozygotes in gnomad4. There are 40 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 75 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALKNM_004304.5 linkc.3080C>T p.Pro1027Leu missense_variant Exon 19 of 29 ENST00000389048.8 NP_004295.2 Q9UM73B6D4Y2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALKENST00000389048.8 linkc.3080C>T p.Pro1027Leu missense_variant Exon 19 of 29 1 NM_004304.5 ENSP00000373700.3 Q9UM73
ALKENST00000618119.4 linkc.1949C>T p.Pro650Leu missense_variant Exon 18 of 28 5 ENSP00000482733.1 A0A087WZL3
ALKENST00000431873.6 linkn.245C>T non_coding_transcript_exon_variant Exon 3 of 14 5 ENSP00000414027.3 E7EPW7

Frequencies

GnomAD3 genomes
AF:
0.000494
AC:
75
AN:
151862
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00150
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000133
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.0000713
AC:
17
AN:
238580
Hom.:
0
AF XY:
0.0000855
AC XY:
11
AN XY:
128694
show subpopulations
Gnomad AFR exome
AF:
0.000722
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:
0.0000463
Gnomad OTH exome
AF:
0.000174
GnomAD4 exome
AF:
0.0000707
AC:
103
AN:
1456808
Hom.:
0
Cov.:
32
AF XY:
0.0000691
AC XY:
50
AN XY:
724092
show subpopulations
Gnomad4 AFR exome
AF:
0.000897
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000506
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000513
Gnomad4 OTH exome
AF:
0.000233
GnomAD4 genome
AF:
0.000493
AC:
75
AN:
151976
Hom.:
0
Cov.:
32
AF XY:
0.000539
AC XY:
40
AN XY:
74248
show subpopulations
Gnomad4 AFR
AF:
0.00149
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000133
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000121
Hom.:
0
Bravo
AF:
0.000412
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.0000907
AC:
11

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:6Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Jul 09, 2023
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

See Variant Classification Assertion Criteria. -

Apr 01, 2022
Revvity Omics, Revvity
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

ALK: BS1, BS2 -

Hereditary cancer-predisposing syndrome Benign:2
Jun 25, 2024
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. -

Sep 13, 2021
Sema4, Sema4
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: curation

- -

Neuroblastoma, susceptibility to, 3 Benign:1
Jan 06, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

ALK-related disorder Benign:1
Jan 23, 2020
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

not specified Other:1
Sep 19, 2013
ITMI
Significance: not provided
Review Status: no classification provided
Collection Method: reference population

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
22
DANN
Benign
0.80
DEOGEN2
Benign
0.17
T;.
Eigen
Benign
-0.49
Eigen_PC
Benign
-0.41
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.75
T;T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.052
T;T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
0.95
L;.
PrimateAI
Benign
0.35
T
PROVEAN
Uncertain
-2.5
N;.
REVEL
Benign
0.16
Sift
Benign
0.20
T;.
Sift4G
Benign
0.55
T;T
Polyphen
0.029
B;.
Vest4
0.35
MVP
0.66
MPC
0.17
ClinPred
0.033
T
GERP RS
3.8
Varity_R
0.056
gMVP
0.72

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: rs140733978; hg19: chr2-29448419; COSMIC: COSV66575315; COSMIC: COSV66575315; API