rs3219161

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_020919.4(ALS2):​c.2796C>T​(p.Ser932Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0943 in 1,613,840 control chromosomes in the GnomAD database, including 8,091 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.087 ( 647 hom., cov: 32)
Exomes 𝑓: 0.095 ( 7444 hom. )

Consequence

ALS2
NM_020919.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.943

Publications

15 publications found
Variant links:
Genes affected
ALS2 (HGNC:443): (alsin Rho guanine nucleotide exchange factor ALS2) The protein encoded by this gene contains an ATS1/RCC1-like domain, a RhoGEF domain, and a vacuolar protein sorting 9 (VPS9) domain, all of which are guanine-nucleotide exchange factors that activate members of the Ras superfamily of GTPases. The protein functions as a guanine nucleotide exchange factor for the small GTPase RAB5. The protein localizes with RAB5 on early endosomal compartments, and functions as a modulator for endosomal dynamics. Mutations in this gene result in several forms of juvenile lateral sclerosis and infantile-onset ascending spastic paralysis. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2008]
ALS2 Gene-Disease associations (from GenCC):
  • ALS2-related motor neuron disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • amyotrophic lateral sclerosis type 2, juvenile
    Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp
  • infantile-onset ascending hereditary spastic paralysis
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet
  • juvenile primary lateral sclerosis
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Orphanet
  • juvenile amyotrophic lateral sclerosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.33).
BP6
Variant 2-201728557-G-A is Benign according to our data. Variant chr2-201728557-G-A is described in ClinVar as Benign. ClinVar VariationId is 261369.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.943 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.231 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALS2NM_020919.4 linkc.2796C>T p.Ser932Ser synonymous_variant Exon 15 of 34 ENST00000264276.11 NP_065970.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALS2ENST00000264276.11 linkc.2796C>T p.Ser932Ser synonymous_variant Exon 15 of 34 1 NM_020919.4 ENSP00000264276.6

Frequencies

GnomAD3 genomes
AF:
0.0867
AC:
13175
AN:
152010
Hom.:
646
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0666
Gnomad AMI
AF:
0.172
Gnomad AMR
AF:
0.0516
Gnomad ASJ
AF:
0.0698
Gnomad EAS
AF:
0.242
Gnomad SAS
AF:
0.136
Gnomad FIN
AF:
0.103
Gnomad MID
AF:
0.114
Gnomad NFE
AF:
0.0888
Gnomad OTH
AF:
0.0798
GnomAD2 exomes
AF:
0.0959
AC:
23921
AN:
249356
AF XY:
0.0991
show subpopulations
Gnomad AFR exome
AF:
0.0668
Gnomad AMR exome
AF:
0.0355
Gnomad ASJ exome
AF:
0.0771
Gnomad EAS exome
AF:
0.242
Gnomad FIN exome
AF:
0.0962
Gnomad NFE exome
AF:
0.0870
Gnomad OTH exome
AF:
0.0887
GnomAD4 exome
AF:
0.0951
AC:
138997
AN:
1461712
Hom.:
7444
Cov.:
32
AF XY:
0.0960
AC XY:
69793
AN XY:
727156
show subpopulations
African (AFR)
AF:
0.0675
AC:
2259
AN:
33478
American (AMR)
AF:
0.0378
AC:
1690
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0779
AC:
2037
AN:
26134
East Asian (EAS)
AF:
0.246
AC:
9775
AN:
39698
South Asian (SAS)
AF:
0.131
AC:
11289
AN:
86252
European-Finnish (FIN)
AF:
0.0974
AC:
5197
AN:
53364
Middle Eastern (MID)
AF:
0.0912
AC:
526
AN:
5768
European-Non Finnish (NFE)
AF:
0.0902
AC:
100344
AN:
1111914
Other (OTH)
AF:
0.0974
AC:
5880
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
6685
13370
20054
26739
33424
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3822
7644
11466
15288
19110
<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:
0.0866
AC:
13180
AN:
152128
Hom.:
647
Cov.:
32
AF XY:
0.0893
AC XY:
6642
AN XY:
74364
show subpopulations
African (AFR)
AF:
0.0667
AC:
2766
AN:
41484
American (AMR)
AF:
0.0514
AC:
786
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.0698
AC:
242
AN:
3468
East Asian (EAS)
AF:
0.242
AC:
1251
AN:
5176
South Asian (SAS)
AF:
0.136
AC:
656
AN:
4820
European-Finnish (FIN)
AF:
0.103
AC:
1087
AN:
10588
Middle Eastern (MID)
AF:
0.112
AC:
33
AN:
294
European-Non Finnish (NFE)
AF:
0.0888
AC:
6035
AN:
67992
Other (OTH)
AF:
0.0790
AC:
167
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
615
1230
1845
2460
3075
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
162
324
486
648
810
<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:
0.0842
Hom.:
317
Bravo
AF:
0.0819
Asia WGS
AF:
0.181
AC:
629
AN:
3478
EpiCase
AF:
0.0875
EpiControl
AF:
0.0833

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 01, 2019
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
Jul 17, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Infantile-onset ascending hereditary spastic paralysis Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Amyotrophic lateral sclerosis type 2, juvenile Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

ALS2-related disorder Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.33
CADD
Benign
13
DANN
Benign
0.71
PhyloP100
0.94
Mutation Taster
=88/12
polymorphism (auto)

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

Other links and lift over

dbSNP: rs3219161; hg19: chr2-202593280; COSMIC: COSV51887461; COSMIC: COSV51887461; API