rs2275272

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_002860.4(ALDH18A1):​c.896C>T​(p.Thr299Ile) variant causes a missense change. The variant allele was found at a frequency of 0.117 in 1,613,818 control chromosomes in the GnomAD database, including 11,755 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.10 ( 927 hom., cov: 32)
Exomes 𝑓: 0.12 ( 10828 hom. )

Consequence

ALDH18A1
NM_002860.4 missense

Scores

3
4
11

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 6.27
Variant links:
Genes affected
ALDH18A1 (HGNC:9722): (aldehyde dehydrogenase 18 family member A1) This gene is a member of the aldehyde dehydrogenase family and encodes a bifunctional ATP- and NADPH-dependent mitochondrial enzyme with both gamma-glutamyl kinase and gamma-glutamyl phosphate reductase activities. The encoded protein catalyzes the reduction of glutamate to delta1-pyrroline-5-carboxylate, a critical step in the de novo biosynthesis of proline, ornithine and arginine. Mutations in this gene lead to hyperammonemia, hypoornithinemia, hypocitrullinemia, hypoargininemia and hypoprolinemia and may be associated with neurodegeneration, cataracts and connective tissue diseases. Alternatively spliced transcript variants, encoding different isoforms, have been described for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0019159019).
BP6
Variant 10-95628405-G-A is Benign according to our data. Variant chr10-95628405-G-A is described in ClinVar as [Benign]. Clinvar id is 258827.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-95628405-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.127 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ALDH18A1NM_002860.4 linkuse as main transcriptc.896C>T p.Thr299Ile missense_variant 8/18 ENST00000371224.7 NP_002851.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ALDH18A1ENST00000371224.7 linkuse as main transcriptc.896C>T p.Thr299Ile missense_variant 8/181 NM_002860.4 ENSP00000360268 P3P54886-1
ALDH18A1ENST00000371221.3 linkuse as main transcriptc.890C>T p.Thr297Ile missense_variant 8/181 ENSP00000360265 A1P54886-2
ALDH18A1ENST00000489386.1 linkuse as main transcriptn.261C>T non_coding_transcript_exon_variant 2/53

Frequencies

GnomAD3 genomes
AF:
0.101
AC:
15433
AN:
152096
Hom.:
926
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0475
Gnomad AMI
AF:
0.0680
Gnomad AMR
AF:
0.0976
Gnomad ASJ
AF:
0.202
Gnomad EAS
AF:
0.0406
Gnomad SAS
AF:
0.0599
Gnomad FIN
AF:
0.149
Gnomad MID
AF:
0.204
Gnomad NFE
AF:
0.130
Gnomad OTH
AF:
0.123
GnomAD3 exomes
AF:
0.105
AC:
26433
AN:
251388
Hom.:
1610
AF XY:
0.107
AC XY:
14570
AN XY:
135878
show subpopulations
Gnomad AFR exome
AF:
0.0429
Gnomad AMR exome
AF:
0.0678
Gnomad ASJ exome
AF:
0.194
Gnomad EAS exome
AF:
0.0411
Gnomad SAS exome
AF:
0.0634
Gnomad FIN exome
AF:
0.149
Gnomad NFE exome
AF:
0.130
Gnomad OTH exome
AF:
0.128
GnomAD4 exome
AF:
0.119
AC:
173221
AN:
1461604
Hom.:
10828
Cov.:
32
AF XY:
0.118
AC XY:
85718
AN XY:
727108
show subpopulations
Gnomad4 AFR exome
AF:
0.0426
Gnomad4 AMR exome
AF:
0.0712
Gnomad4 ASJ exome
AF:
0.185
Gnomad4 EAS exome
AF:
0.0373
Gnomad4 SAS exome
AF:
0.0643
Gnomad4 FIN exome
AF:
0.150
Gnomad4 NFE exome
AF:
0.127
Gnomad4 OTH exome
AF:
0.117
GnomAD4 genome
AF:
0.101
AC:
15432
AN:
152214
Hom.:
927
Cov.:
32
AF XY:
0.101
AC XY:
7529
AN XY:
74426
show subpopulations
Gnomad4 AFR
AF:
0.0474
Gnomad4 AMR
AF:
0.0974
Gnomad4 ASJ
AF:
0.202
Gnomad4 EAS
AF:
0.0408
Gnomad4 SAS
AF:
0.0601
Gnomad4 FIN
AF:
0.149
Gnomad4 NFE
AF:
0.130
Gnomad4 OTH
AF:
0.123
Alfa
AF:
0.126
Hom.:
3302
Bravo
AF:
0.0963
TwinsUK
AF:
0.131
AC:
485
ALSPAC
AF:
0.125
AC:
483
ESP6500AA
AF:
0.0527
AC:
232
ESP6500EA
AF:
0.126
AC:
1084
ExAC
AF:
0.103
AC:
12503
Asia WGS
AF:
0.0410
AC:
142
AN:
3478
EpiCase
AF:
0.139
EpiControl
AF:
0.141

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxOct 03, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
ALDH18A1-related de Barsy syndrome Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Cutis laxa, autosomal dominant 3 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Autosomal recessive complex spastic paraplegia type 9B Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
Hereditary spastic paraplegia 9A Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
de Barsy syndrome;C1832669:Autosomal dominant spastic paraplegia type 9;C4225268:Cutis laxa, autosomal dominant 3 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.17
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.40
T;.
Eigen
Uncertain
0.20
Eigen_PC
Uncertain
0.40
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.97
D;D
MetaRNN
Benign
0.0019
T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
1.4
L;.
MutationTaster
Benign
2.3e-7
P;P
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-2.0
N;N
REVEL
Uncertain
0.31
Sift
Benign
0.056
T;D
Sift4G
Benign
0.099
T;T
Polyphen
0.051
B;B
Vest4
0.21
MPC
1.7
ClinPred
0.018
T
GERP RS
6.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.35
gMVP
0.82

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2275272; hg19: chr10-97388162; COSMIC: COSV64663906; API