rs143777403

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 2P and 8B. PM1BP4_StrongBS2

The NM_213599.3(ANO5):​c.155A>G​(p.Asn52Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00273 in 1,613,408 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 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 0.0024 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0028 ( 9 hom. )

Consequence

ANO5
NM_213599.3 missense

Scores

1
3
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:6B:5

Conservation

PhyloP100: 6.14

Publications

17 publications found
Variant links:
Genes affected
ANO5 (HGNC:27337): (anoctamin 5) This gene encodes a member of the anoctamin family of transmembrane proteins. The encoded protein is likely a calcium activated chloride channel. Mutations in this gene have been associated with gnathodiaphyseal dysplasia. Alternatively spliced transcript variants have been described. [provided by RefSeq, Nov 2009]
ANO5 Gene-Disease associations (from GenCC):
  • autosomal recessive limb-girdle muscular dystrophy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • gnathodiaphyseal dysplasia
    Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • autosomal recessive limb-girdle muscular dystrophy type 2L
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • Miyoshi muscular dystrophy 3
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 15 uncertain in NM_213599.3
BP4
Computational evidence support a benign effect (MetaRNN=0.037495136).
BS2
High Homozygotes in GnomAdExome4 at 9 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_213599.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ANO5
NM_213599.3
MANE Select
c.155A>Gp.Asn52Ser
missense
Exon 4 of 22NP_998764.1
ANO5
NM_001142649.2
c.152A>Gp.Asn51Ser
missense
Exon 4 of 22NP_001136121.1
ANO5
NM_001441294.1
c.77A>Gp.Asn26Ser
missense
Exon 4 of 22NP_001428223.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ANO5
ENST00000324559.9
TSL:1 MANE Select
c.155A>Gp.Asn52Ser
missense
Exon 4 of 22ENSP00000315371.9
ANO5
ENST00000682084.1
n.3329A>G
non_coding_transcript_exon
Exon 2 of 2
ANO5
ENST00000682341.1
c.139-2835A>G
intron
N/AENSP00000508251.1

Frequencies

GnomAD3 genomes
AF:
0.00241
AC:
367
AN:
152014
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000845
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00479
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00207
Gnomad FIN
AF:
0.000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00340
Gnomad OTH
AF:
0.00335
GnomAD2 exomes
AF:
0.00215
AC:
541
AN:
251140
AF XY:
0.00220
show subpopulations
Gnomad AFR exome
AF:
0.000861
Gnomad AMR exome
AF:
0.00224
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00167
Gnomad NFE exome
AF:
0.00287
Gnomad OTH exome
AF:
0.00327
GnomAD4 exome
AF:
0.00276
AC:
4033
AN:
1461276
Hom.:
9
Cov.:
32
AF XY:
0.00278
AC XY:
2020
AN XY:
726940
show subpopulations
African (AFR)
AF:
0.000568
AC:
19
AN:
33444
American (AMR)
AF:
0.00206
AC:
92
AN:
44598
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26112
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39690
South Asian (SAS)
AF:
0.00233
AC:
201
AN:
86252
European-Finnish (FIN)
AF:
0.00135
AC:
72
AN:
53366
Middle Eastern (MID)
AF:
0.00451
AC:
26
AN:
5760
European-Non Finnish (NFE)
AF:
0.00311
AC:
3455
AN:
1111714
Other (OTH)
AF:
0.00277
AC:
167
AN:
60340
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
241
482
724
965
1206
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
126
252
378
504
630
<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:
0.00241
AC:
367
AN:
152132
Hom.:
0
Cov.:
32
AF XY:
0.00219
AC XY:
163
AN XY:
74354
show subpopulations
African (AFR)
AF:
0.000843
AC:
35
AN:
41540
American (AMR)
AF:
0.00478
AC:
73
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5146
South Asian (SAS)
AF:
0.00207
AC:
10
AN:
4824
European-Finnish (FIN)
AF:
0.000943
AC:
10
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00340
AC:
231
AN:
67966
Other (OTH)
AF:
0.00331
AC:
7
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
18
37
55
74
92
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00250
Hom.:
5
Bravo
AF:
0.00250
TwinsUK
AF:
0.00405
AC:
15
ALSPAC
AF:
0.00337
AC:
13
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00360
AC:
31
ExAC
AF:
0.00190
AC:
231
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00338
EpiControl
AF:
0.00302

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
3
2
not provided (6)
-
1
1
Gnathodiaphyseal dysplasia (2)
-
1
1
not specified (2)
-
1
-
ANO5-Related Muscle Diseases (1)
-
-
1
Gnathodiaphyseal dysplasia;C1969785:Autosomal recessive limb-girdle muscular dystrophy type 2L (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.060
T
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.48
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.74
T
M_CAP
Benign
0.077
D
MetaRNN
Benign
0.037
T
MetaSVM
Benign
-0.52
T
MutationAssessor
Benign
1.3
L
PhyloP100
6.1
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.5
N
REVEL
Benign
0.17
Sift
Benign
0.15
T
Sift4G
Benign
0.35
T
Polyphen
0.98
D
Vest4
0.83
MVP
0.86
MPC
0.42
ClinPred
0.012
T
GERP RS
5.9
Varity_R
0.12
gMVP
0.32
Mutation Taster
=69/31
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs143777403; hg19: chr11-22239808; API