rs190790872

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_001099922.3(ALG13):​c.2975G>A​(p.Cys992Tyr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000402 in 1,192,706 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 15 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. 2/2 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00027 ( 0 hom., 10 hem., cov: 22)
Exomes 𝑓: 0.000018 ( 0 hom. 5 hem. )

Consequence

ALG13
NM_001099922.3 missense, splice_region

Scores

5
12
Splicing: ADA: 0.004641
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: 3.11

Publications

1 publications found
Variant links:
Genes affected
ALG13 (HGNC:30881): (ALG13 UDP-N-acetylglucosaminyltransferase subunit) The protein encoded by this gene is a subunit of a bipartite UDP-N-acetylglucosamine transferase. It heterodimerizes with asparagine-linked glycosylation 14 homolog to form a functional UDP-GlcNAc glycosyltransferase that catalyzes the second sugar addition of the highly conserved oligosaccharide precursor in endoplasmic reticulum N-linked glycosylation. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2009]
ALG13 Gene-Disease associations (from GenCC):
  • genetic developmental and epileptic encephalopathy
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • developmental and epileptic encephalopathy, 36
    Inheritance: XL Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.024825752).
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.000269 (29/108004) while in subpopulation AMR AF = 0.00293 (29/9900). AF 95% confidence interval is 0.0021. There are 0 homozygotes in GnomAd4. There are 10 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Hemizygotes in GnomAd4 at 10 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALG13NM_001099922.3 linkc.2975G>A p.Cys992Tyr missense_variant, splice_region_variant Exon 26 of 27 ENST00000394780.8 NP_001093392.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALG13ENST00000394780.8 linkc.2975G>A p.Cys992Tyr missense_variant, splice_region_variant Exon 26 of 27 2 NM_001099922.3 ENSP00000378260.3

Frequencies

GnomAD3 genomes
AF:
0.000269
AC:
29
AN:
107967
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00293
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000307
AC:
5
AN:
162628
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000163
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000253
GnomAD4 exome
AF:
0.0000175
AC:
19
AN:
1084702
Hom.:
0
Cov.:
29
AF XY:
0.0000142
AC XY:
5
AN XY:
352152
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25877
American (AMR)
AF:
0.000298
AC:
10
AN:
33506
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18781
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29814
South Asian (SAS)
AF:
0.00
AC:
0
AN:
51366
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40262
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4054
European-Non Finnish (NFE)
AF:
0.00000479
AC:
4
AN:
835507
Other (OTH)
AF:
0.000110
AC:
5
AN:
45535
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.000269
AC:
29
AN:
108004
Hom.:
0
Cov.:
22
AF XY:
0.000326
AC XY:
10
AN XY:
30644
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
29541
American (AMR)
AF:
0.00293
AC:
29
AN:
9900
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2619
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3445
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2420
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5429
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
210
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
52322
Other (OTH)
AF:
0.00
AC:
0
AN:
1446
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.000431
ExAC
AF:
0.0000166
AC:
2

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:4Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2
Nov 19, 2014
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 07, 2018
Athena Diagnostics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Developmental and epileptic encephalopathy, 36 Uncertain:1Benign:1
May 12, 2021
Revvity Omics, Revvity
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 22, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Uncertain:1
Jul 25, 2019
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: ALG13 c.2975G>A (p.Cys992Tyr) 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. 4/5 computational tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. The variant allele was detected in 7 female individuals at an overall frequency of 3.8e-05 in 183384 control chromosomes, predominantly at a frequency of 0.00024 within the Latino subpopulation in the gnomAD database. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. To our knowledge, no occurrence of c.2975G>A in individuals affected with Epileptic encephalopathy, early infantile, 36 and no experimental evidence demonstrating its impact on protein function have been reported. Two ClinVar submitters (evaluation after 2014) cite the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
17
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.63
D;.;.;.;.
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.74
T;T;.;T;.
M_CAP
Benign
0.0090
T
MetaRNN
Benign
0.025
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.7
L;.;.;.;.
PhyloP100
3.1
PrimateAI
Uncertain
0.67
T
PROVEAN
Uncertain
-3.0
D;.;D;.;.
REVEL
Benign
0.050
Sift
Benign
0.43
T;.;T;.;.
Sift4G
Benign
0.48
T;T;T;T;T
Polyphen
0.0030
B;B;B;B;B
Vest4
0.17
MVP
0.47
MPC
0.94
ClinPred
0.16
T
GERP RS
3.2
Varity_R
0.21
gMVP
0.28
Mutation Taster
=86/14
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0046
dbscSNV1_RF
Benign
0.070

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs190790872; hg19: chrX-111000817; API