rs201821563
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.
The NM_000081.4(LYST):c.7385C>A(p.Ala2462Glu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000191 in 1,608,906 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_000081.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000151 AC: 23AN: 151934Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000371 AC: 93AN: 250924 AF XY: 0.000317 show subpopulations
GnomAD4 exome AF: 0.000195 AC: 284AN: 1456854Hom.: 1 Cov.: 28 AF XY: 0.000189 AC XY: 137AN XY: 725094 show subpopulations
GnomAD4 genome AF: 0.000151 AC: 23AN: 152052Hom.: 0 Cov.: 32 AF XY: 0.000188 AC XY: 14AN XY: 74318 show subpopulations
ClinVar
Submissions by phenotype
Chédiak-Higashi syndrome Uncertain:2
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This sequence change replaces alanine, which is neutral and non-polar, with glutamic acid, which is acidic and polar, at codon 2462 of the LYST protein (p.Ala2462Glu). This variant is present in population databases (rs201821563, gnomAD 0.09%). This variant has not been reported in the literature in individuals affected with LYST-related conditions. ClinVar contains an entry for this variant (Variation ID: 296381). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt LYST protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
not specified Uncertain:1
Variant summary: LYST c.7385C>A (p.Ala2462Glu) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00037 in 250924 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in LYST causing Chediak-Higashi Syndrome (0.00037 vs 0.0011), allowing no conclusion about variant significance. c.7385C>A has been reported in the literature in individuals affected with thrombocytopenia or an undifferentiated monogenic autoinflammatory disease without reported genotype or strong evidence for causality (e.g. FagerFerrari_2018, Alexeeva_2023). These reports do not provide unequivocal conclusions about association of the variant with Chediak-Higashi Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 38034538, 28399723). ClinVar contains an entry for this variant (Variation ID: 296381). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Inborn genetic diseases Uncertain:1
The c.7385C>A (p.A2462E) alteration is located in exon 26 (coding exon 24) of the LYST gene. This alteration results from a C to A substitution at nucleotide position 7385, causing the alanine (A) at amino acid position 2462 to be replaced by a glutamic acid (E). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at