rs201975029

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM5BP4_Strong

The NM_019109.5(ALG1):​c.827G>A​(p.Arg276Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000772 in 1,611,896 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R276W) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.00045 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00081 ( 0 hom. )

Consequence

ALG1
NM_019109.5 missense

Scores

4
9
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:2B:2

Conservation

PhyloP100: 7.03

Publications

3 publications found
Variant links:
Genes affected
ALG1 (HGNC:18294): (ALG1 chitobiosyldiphosphodolichol beta-mannosyltransferase) The enzyme encoded by this gene catalyzes the first mannosylation step in the biosynthesis of lipid-linked oligosaccharides. This gene is mutated in congenital disorder of glycosylation type Ik. [provided by RefSeq, Dec 2008]
ALG1 Gene-Disease associations (from GenCC):
  • ALG1-congenital disorder of glycosylation
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, G2P, Orphanet, Labcorp Genetics (formerly Invitae), PanelApp Australia

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr16-5078842-C-T is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 30539.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.06585652).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALG1NM_019109.5 linkc.827G>A p.Arg276Gln missense_variant Exon 7 of 13 ENST00000262374.10 NP_061982.3 Q9BT22-1
ALG1NM_001438123.1 linkc.827G>A p.Arg276Gln missense_variant Exon 7 of 12 NP_001425052.1
ALG1NM_001330504.2 linkc.494G>A p.Arg165Gln missense_variant Exon 7 of 13 NP_001317433.1 Q9BT22-2
ALG1XR_007064892.1 linkn.834G>A non_coding_transcript_exon_variant Exon 7 of 10

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALG1ENST00000262374.10 linkc.827G>A p.Arg276Gln missense_variant Exon 7 of 13 1 NM_019109.5 ENSP00000262374.5 Q9BT22-1

Frequencies

GnomAD3 genomes
AF:
0.000453
AC:
69
AN:
152182
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00207
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000588
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000651
AC:
162
AN:
248660
AF XY:
0.000659
show subpopulations
Gnomad AFR exome
AF:
0.000128
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.000100
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00213
Gnomad NFE exome
AF:
0.000741
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000805
AC:
1175
AN:
1459596
Hom.:
0
Cov.:
41
AF XY:
0.000821
AC XY:
596
AN XY:
726148
show subpopulations
African (AFR)
AF:
0.0000898
AC:
3
AN:
33414
American (AMR)
AF:
0.0000447
AC:
2
AN:
44694
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26102
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.000917
AC:
79
AN:
86150
European-Finnish (FIN)
AF:
0.00216
AC:
115
AN:
53206
Middle Eastern (MID)
AF:
0.000228
AC:
1
AN:
4388
European-Non Finnish (NFE)
AF:
0.000841
AC:
935
AN:
1111734
Other (OTH)
AF:
0.000648
AC:
39
AN:
60212
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
75
151
226
302
377
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
40
80
120
160
200
<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:
0.000453
AC:
69
AN:
152300
Hom.:
0
Cov.:
33
AF XY:
0.000456
AC XY:
34
AN XY:
74480
show subpopulations
African (AFR)
AF:
0.0000962
AC:
4
AN:
41572
American (AMR)
AF:
0.00
AC:
0
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.000621
AC:
3
AN:
4828
European-Finnish (FIN)
AF:
0.00207
AC:
22
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000588
AC:
40
AN:
68022
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
5
10
14
19
24
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:
0.000520
Hom.:
0
Bravo
AF:
0.000276
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000519
AC:
63
EpiCase
AF:
0.000382
EpiControl
AF:
0.000533

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:2Uncertain:2Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

ALG1-congenital disorder of glycosylation Pathogenic:2Uncertain:1Benign:1
Nov 21, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genomics England Pilot Project, Genomics England
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 29, 2019
Revvity Omics, Revvity
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 05, 2018
Genomic Research Center, Shahid Beheshti University of Medical Sciences
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:1
Oct 30, 2020
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge; This variant is associated with the following publications: (PMID: 26931382, 20679665) -

ALG1-related disorder Benign:1
Jun 16, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Benign
-0.093
T
BayesDel_noAF
Uncertain
0.030
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.60
.;D;D;.
Eigen
Pathogenic
0.74
Eigen_PC
Uncertain
0.62
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.78
.;T;T;T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.066
T;T;T;T
MetaSVM
Uncertain
0.42
D
MutationAssessor
Pathogenic
3.3
.;M;.;.
PhyloP100
7.0
PrimateAI
Benign
0.42
T
PROVEAN
Uncertain
-3.7
.;D;.;D
REVEL
Uncertain
0.54
Sift
Uncertain
0.0020
.;D;.;D
Sift4G
Uncertain
0.0040
D;D;D;D
Polyphen
1.0
.;D;.;.
Vest4
0.69
MVP
0.94
MPC
0.27
ClinPred
0.28
T
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.76
gMVP
0.86
Mutation Taster
=51/49
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs201975029; hg19: chr16-5128844; COSMIC: COSV52157862; COSMIC: COSV52157862; API