rs147471420

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 2P and 8B. PM2BP4_ModerateBP6BP7BS1

The NM_003748.4(ALDH4A1):​c.1098G>A​(p.Gly366=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00054 in 1,593,538 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00044 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00055 ( 1 hom. )

Consequence

ALDH4A1
NM_003748.4 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: 1.27
Variant links:
Genes affected
ALDH4A1 (HGNC:406): (aldehyde dehydrogenase 4 family member A1) This protein belongs to the aldehyde dehydrogenase family of proteins. This enzyme is a mitochondrial matrix NAD-dependent dehydrogenase which catalyzes the second step of the proline degradation pathway, converting pyrroline-5-carboxylate to glutamate. Deficiency of this enzyme is associated with type II hyperprolinemia, an autosomal recessive disorder characterized by accumulation of delta-1-pyrroline-5-carboxylate (P5C) and proline. Alternatively spliced transcript variants encoding different isoforms have been identified for this gene. [provided by RefSeq, Jun 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.24).
BP6
Variant 1-18877455-C-T is Benign according to our data. Variant chr1-18877455-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 294378.We mark this variant Likely_benign, oryginal submissions are: {Benign=1, Uncertain_significance=1}.
BP7
Synonymous conserved (PhyloP=1.27 with no splicing effect.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00044 (67/152372) while in subpopulation AMR AF= 0.000914 (14/15310). AF 95% confidence interval is 0.000552. There are 0 homozygotes in gnomad4. There are 36 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ALDH4A1NM_003748.4 linkuse as main transcriptc.1098G>A p.Gly366= synonymous_variant 10/15 ENST00000375341.8
ALDH4A1NM_170726.3 linkuse as main transcriptc.1098G>A p.Gly366= synonymous_variant 10/16
ALDH4A1NM_001319218.2 linkuse as main transcriptc.1098G>A p.Gly366= synonymous_variant 10/14
ALDH4A1NM_001161504.2 linkuse as main transcriptc.918G>A p.Gly306= synonymous_variant 10/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALDH4A1ENST00000375341.8 linkuse as main transcriptc.1098G>A p.Gly366= synonymous_variant 10/151 NM_003748.4 P1P30038-1
ALDH4A1ENST00000290597.9 linkuse as main transcriptc.1098G>A p.Gly366= synonymous_variant 10/161 P1P30038-1
ALDH4A1ENST00000538839.5 linkuse as main transcriptc.1098G>A p.Gly366= synonymous_variant 10/141 P30038-3
ALDH4A1ENST00000538309.5 linkuse as main transcriptc.918G>A p.Gly306= synonymous_variant 10/152 P30038-2

Frequencies

GnomAD3 genomes
AF:
0.000447
AC:
68
AN:
152254
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000916
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000847
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000617
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000625
AC:
136
AN:
217748
Hom.:
0
AF XY:
0.000569
AC XY:
67
AN XY:
117658
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000790
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00122
Gnomad NFE exome
AF:
0.000873
Gnomad OTH exome
AF:
0.000911
GnomAD4 exome
AF:
0.000551
AC:
794
AN:
1441166
Hom.:
1
Cov.:
33
AF XY:
0.000515
AC XY:
368
AN XY:
714972
show subpopulations
Gnomad4 AFR exome
AF:
0.0000302
Gnomad4 AMR exome
AF:
0.000709
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000360
Gnomad4 FIN exome
AF:
0.000965
Gnomad4 NFE exome
AF:
0.000611
Gnomad4 OTH exome
AF:
0.000587
GnomAD4 genome
AF:
0.000440
AC:
67
AN:
152372
Hom.:
0
Cov.:
32
AF XY:
0.000483
AC XY:
36
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.0000240
Gnomad4 AMR
AF:
0.000914
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000847
Gnomad4 NFE
AF:
0.000603
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000512
Hom.:
0
Bravo
AF:
0.000521

ClinVar

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

Submissions by phenotype

Hyperprolinemia type 2 Uncertain:1Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeDec 07, 2023- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.24
CADD
Benign
14
DANN
Benign
0.95
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs147471420; hg19: chr1-19203949; API