rs201057718

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 2P and 5B. PP3_ModerateBP6BS2

The NM_001278116.2(L1CAM):​c.400+9C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000351 in 1,197,554 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 14 hemizygotes in GnomAD. 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 0.000046 ( 0 hom., 3 hem., cov: 21)
Exomes 𝑓: 0.000034 ( 0 hom. 11 hem. )

Consequence

L1CAM
NM_001278116.2 intron

Scores

2

Clinical Significance

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

Conservation

PhyloP100: 1.27

Publications

0 publications found
Variant links:
Genes affected
L1CAM (HGNC:6470): (L1 cell adhesion molecule) The protein encoded by this gene is an axonal glycoprotein belonging to the immunoglobulin supergene family. The ectodomain, consisting of several immunoglobulin-like domains and fibronectin-like repeats (type III), is linked via a single transmembrane sequence to a conserved cytoplasmic domain. This cell adhesion molecule plays an important role in nervous system development, including neuronal migration and differentiation. Mutations in the gene cause X-linked neurological syndromes known as CRASH (corpus callosum hypoplasia, retardation, aphasia, spastic paraplegia and hydrocephalus). Alternative splicing of this gene results in multiple transcript variants, some of which include an alternate exon that is considered to be specific to neurons. [provided by RefSeq, May 2013]
L1CAM Gene-Disease associations (from GenCC):
  • L1 syndrome
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • X-linked hydrocephalus with stenosis of the aqueduct of Sylvius
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P
  • MASA syndrome
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet
  • X-linked complicated corpus callosum dysgenesis
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • X-linked complicated spastic paraplegia type 1
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
BP6
Variant X-153872143-G-A is Benign according to our data. Variant chrX-153872143-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 158795.
BS2
High Hemizygotes in GnomAd4 at 3 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
L1CAMNM_001278116.2 linkc.400+9C>T intron_variant Intron 5 of 28 ENST00000370060.7 NP_001265045.1 P32004-1
L1CAMNM_000425.5 linkc.400+9C>T intron_variant Intron 4 of 27 NP_000416.1 P32004-1
L1CAMNM_024003.3 linkc.400+9C>T intron_variant Intron 4 of 26 NP_076493.1 P32004-2
L1CAMNM_001143963.2 linkc.385+9C>T intron_variant Intron 3 of 25 NP_001137435.1 P32004-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
L1CAMENST00000370060.7 linkc.400+9C>T intron_variant Intron 5 of 28 5 NM_001278116.2 ENSP00000359077.1 P32004-1
ENSG00000284987ENST00000646191.1 linkn.*451C>T downstream_gene_variant ENSP00000493873.1 A0A2R8Y4P6

Frequencies

GnomAD3 genomes
AF:
0.0000456
AC:
5
AN:
109744
Hom.:
0
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.0000331
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000288
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000571
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000439
AC:
8
AN:
182154
AF XY:
0.0000299
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000146
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000492
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000340
AC:
37
AN:
1087810
Hom.:
0
Cov.:
30
AF XY:
0.0000311
AC XY:
11
AN XY:
354216
show subpopulations
African (AFR)
AF:
0.0000382
AC:
1
AN:
26205
American (AMR)
AF:
0.0000852
AC:
3
AN:
35194
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19320
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30159
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53917
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40286
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4094
European-Non Finnish (NFE)
AF:
0.0000372
AC:
31
AN:
832882
Other (OTH)
AF:
0.0000437
AC:
2
AN:
45753
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
2
4
5
7
9
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:
0.0000456
AC:
5
AN:
109744
Hom.:
0
Cov.:
21
AF XY:
0.0000936
AC XY:
3
AN XY:
32036
show subpopulations
African (AFR)
AF:
0.0000331
AC:
1
AN:
30178
American (AMR)
AF:
0.00
AC:
0
AN:
10268
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2626
East Asian (EAS)
AF:
0.000288
AC:
1
AN:
3469
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2385
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5891
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
236
European-Non Finnish (NFE)
AF:
0.0000571
AC:
3
AN:
52548
Other (OTH)
AF:
0.00
AC:
0
AN:
1471
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000264
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

Hydrocephalus due to aqueductal stenosis Uncertain:1
Feb 11, 2014
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Spastic paraplegia Benign:1
Mar 06, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.80
CADD
Pathogenic
27
DANN
Benign
0.57
PhyloP100
1.3
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.95
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.95
Position offset: 2

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

Publications

Other links and lift over

dbSNP: rs201057718; hg19: chrX-153137598; API