rs142303658
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6
The NM_015046.7(SETX):c.7432A>G(p.Thr2478Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000193 in 1,614,110 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T2478P) has been classified as Benign.
Frequency
Consequence
NM_015046.7 missense
Scores
Clinical Significance
Conservation
Publications
- amyotrophic lateral sclerosis type 4Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
- distal hereditary motor neuropathyInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| SETX | ENST00000224140.6 | c.7432A>G | p.Thr2478Ala | missense_variant | Exon 26 of 26 | 1 | NM_015046.7 | ENSP00000224140.5 | ||
| SETX | ENST00000436441.5 | c.2245A>G | p.Thr749Ala | missense_variant | Exon 17 of 17 | 5 | ENSP00000409143.1 | |||
| SETX | ENST00000477049.1 | n.582A>G | non_coding_transcript_exon_variant | Exon 5 of 5 | 3 | 
Frequencies
GnomAD3 genomes  0.000322  AC: 49AN: 152128Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.000223  AC: 56AN: 251438 AF XY:  0.000147   show subpopulations 
GnomAD4 exome  AF:  0.000180  AC: 263AN: 1461864Hom.:  1  Cov.: 32 AF XY:  0.000171  AC XY: 124AN XY: 727236 show subpopulations 
Age Distribution
GnomAD4 genome  0.000322  AC: 49AN: 152246Hom.:  0  Cov.: 32 AF XY:  0.000336  AC XY: 25AN XY: 74452 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not provided    Uncertain:1Benign:2 
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In silico analysis indicates that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge; This variant is associated with the following publications: (PMID: 19696032, 15106121, 14770181, 15732101) -
Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2;C1865409:Amyotrophic lateral sclerosis type 4    Uncertain:1Benign:1 
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not specified    Benign:2 
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Variant summary: SETX c.7432A>G (p.Thr2478Ala) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.00022 in 251438 control chromosomes, predominantly at a frequency of 0.001 within the African or African-American subpopulation in the gnomAD database. To our knowledge, no occurrence of c.7432A>G in individuals affected with Amyotrophic Lateral Sclerosis Type 4 and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 448346). Based on the evidence outlined above, the variant was classified as likely benign. -
Inborn genetic diseases    Benign:1 
This alteration is classified as likely 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. -
SETX-related disorder    Benign:1 
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). -
Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2    Benign:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at