rs201427429

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4BA1BP7

This summary comes from the ClinGen Evidence Repository: The NM_001100.4(ACTA1):c.809-13dup variant in ACTA1 is an intronic variant which is located in the 3’ non-canonical splice site of intron 5. The highest population filtering allele frequency in gnomAD v4.1.0 is 0.2123 (1318/5930) in the Middle Eastern population, which is higher than the ClinGen Congenital Myopathies VCEP threshold for BA1, and therefore meets this criterion (BA1). The c.809-13dup is an intronic variant that is not predicted by SpliceAI to impact splicing. In addition, it occurs at a nucleotide that is not conserved as shown by the UCSC Genome Browser (BP4, BP7). In summary, this variant meets the criteria to be classified as benign for alpha-actinopathy based on the ACMG/AMP criteria applied, as specified by the ClinGen Congenital Myopathies VCEP: BA1, BP4, BP7 (ClinGen Congenital Myopathies VCEP specifications version 1; 08/07/2024). LINK:https://erepo.genome.network/evrepo/ui/classification/CA147047/MONDO:0100084/169

Frequency

Genomes: 𝑓 0.15 ( 1722 hom., cov: 29)
Exomes 𝑓: 0.16 ( 18917 hom. )

Consequence

ACTA1
NM_001100.4 intron

Scores

Not classified

Clinical Significance

Benign reviewed by expert panel B:8

Conservation

PhyloP100: 0.306

Publications

3 publications found
Variant links:
Genes affected
ACTA1 (HGNC:129): (actin alpha 1, skeletal muscle) The product encoded by this gene belongs to the actin family of proteins, which are highly conserved proteins that play a role in cell motility, structure and integrity. Alpha, beta and gamma actin isoforms have been identified, with alpha actins being a major constituent of the contractile apparatus, while beta and gamma actins are involved in the regulation of cell motility. This actin is an alpha actin that is found in skeletal muscle. Mutations in this gene cause a variety of myopathies, including nemaline myopathy, congenital myopathy with excess of thin myofilaments, congenital myopathy with cores, and congenital myopathy with fiber-type disproportion, diseases that lead to muscle fiber defects with manifestations such as hypotonia. [provided by RefSeq, Sep 2019]
ACTA1 Gene-Disease associations (from GenCC):
  • alpha-actinopathy
    Inheritance: AR, AD Classification: DEFINITIVE Submitted by: ClinGen
  • congenital myopathy 2a, typical, autosomal dominant
    Inheritance: AR, SD, AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • congenital myopathy with excess of thin filaments
    Inheritance: SD Classification: DEFINITIVE Submitted by: Illumina
  • congenital myopathy 2c, severe infantile, autosomal dominant
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • childhood-onset nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital fiber-type disproportion myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • intermediate nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • progressive scapulohumeroperoneal distal myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • typical nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • rigid spine syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • severe congenital nemaline myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • zebra body myopathy
    Inheritance: Unknown Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
For more information check the summary or visit ClinGen Evidence Repository.
BP7
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACTA1NM_001100.4 linkc.809-12dupC intron_variant Intron 5 of 6 ENST00000366684.7 NP_001091.1 P68133

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACTA1ENST00000366684.7 linkc.809-12_809-11insC intron_variant Intron 5 of 6 1 NM_001100.4 ENSP00000355645.3 P68133
ACTA1ENST00000366683.4 linkc.809-12_809-11insC intron_variant Intron 5 of 6 5 ENSP00000355644.4 A6NL76
ACTA1ENST00000684723.1 linkc.674-12_674-11insC intron_variant Intron 4 of 5 ENSP00000508084.1 A0A804HKV3
ENSG00000290037ENST00000702606.2 linkn.*52_*53insG downstream_gene_variant

Frequencies

GnomAD3 genomes
AF:
0.145
AC:
22005
AN:
151436
Hom.:
1724
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.115
Gnomad AMI
AF:
0.218
Gnomad AMR
AF:
0.134
Gnomad ASJ
AF:
0.300
Gnomad EAS
AF:
0.156
Gnomad SAS
AF:
0.141
Gnomad FIN
AF:
0.117
Gnomad MID
AF:
0.245
Gnomad NFE
AF:
0.160
Gnomad OTH
AF:
0.174
GnomAD2 exomes
AF:
0.128
AC:
29474
AN:
230878
AF XY:
0.132
show subpopulations
Gnomad AFR exome
AF:
0.0837
Gnomad AMR exome
AF:
0.0982
Gnomad ASJ exome
AF:
0.267
Gnomad EAS exome
AF:
0.130
Gnomad FIN exome
AF:
0.0992
Gnomad NFE exome
AF:
0.135
Gnomad OTH exome
AF:
0.118
GnomAD4 exome
AF:
0.159
AC:
232485
AN:
1459620
Hom.:
18917
Cov.:
34
AF XY:
0.160
AC XY:
116192
AN XY:
725836
show subpopulations
African (AFR)
AF:
0.112
AC:
3725
AN:
33408
American (AMR)
AF:
0.128
AC:
5695
AN:
44650
Ashkenazi Jewish (ASJ)
AF:
0.294
AC:
7666
AN:
26078
East Asian (EAS)
AF:
0.155
AC:
6129
AN:
39640
South Asian (SAS)
AF:
0.155
AC:
13358
AN:
86206
European-Finnish (FIN)
AF:
0.118
AC:
6288
AN:
53110
Middle Eastern (MID)
AF:
0.221
AC:
1247
AN:
5638
European-Non Finnish (NFE)
AF:
0.161
AC:
178739
AN:
1110642
Other (OTH)
AF:
0.160
AC:
9638
AN:
60248
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.448
Heterozygous variant carriers
0
11715
23429
35144
46858
58573
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
6432
12864
19296
25728
32160
<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:
0.145
AC:
22003
AN:
151552
Hom.:
1722
Cov.:
29
AF XY:
0.144
AC XY:
10649
AN XY:
74072
show subpopulations
African (AFR)
AF:
0.115
AC:
4721
AN:
41134
American (AMR)
AF:
0.134
AC:
2039
AN:
15246
Ashkenazi Jewish (ASJ)
AF:
0.300
AC:
1039
AN:
3468
East Asian (EAS)
AF:
0.155
AC:
794
AN:
5118
South Asian (SAS)
AF:
0.140
AC:
675
AN:
4816
European-Finnish (FIN)
AF:
0.117
AC:
1239
AN:
10574
Middle Eastern (MID)
AF:
0.243
AC:
71
AN:
292
European-Non Finnish (NFE)
AF:
0.160
AC:
10856
AN:
67888
Other (OTH)
AF:
0.176
AC:
370
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
841
1682
2524
3365
4206
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
240
480
720
960
1200
<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:
0.107
Hom.:
214
Asia WGS
AF:
0.137
AC:
475
AN:
3476

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 29, 2013
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Actin accumulation myopathy Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Alpha-actinopathy Benign:1
Aug 07, 2024
ClinGen Congenital Myopathies Variant Curation Expert Panel, ClinGen
Significance:Benign
Review Status:reviewed by expert panel
Collection Method:curation

The NM_001100.4(ACTA1):c.809-13dup variant in ACTA1 is an intronic variant which is located in the 3’ non-canonical splice site of intron 5. The highest population filtering allele frequency in gnomAD v4.1.0 is 0.2123 (1318/5930) in the Middle Eastern population, which is higher than the ClinGen Congenital Myopathies VCEP threshold for BA1, and therefore meets this criterion (BA1). The c.809-13dup is an intronic variant that is not predicted by SpliceAI to impact splicing. In addition, it occurs at a nucleotide that is not conserved as shown by the UCSC Genome Browser (BP4, BP7). In summary, this variant meets the criteria to be classified as benign for alpha-actinopathy based on the ACMG/AMP criteria applied, as specified by the ClinGen Congenital Myopathies VCEP: BA1, BP4, BP7 (ClinGen Congenital Myopathies VCEP specifications version 1; 08/07/2024). -

Congenital myopathy with fiber type disproportion Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nemaline myopathy Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Feb 26, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Familial restrictive cardiomyopathy Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.31
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs201427429; hg19: chr1-229567660; COSMIC: COSV64203189; API