rs34071195

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BA1

The NM_001378454.1(ALMS1):​c.10303A>G​(p.Lys3435Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00314 in 1,614,060 control chromosomes in the GnomAD database, including 122 homozygotes. In-silico tool predicts a benign outcome for this variant. 10/17 in silico tools predict 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. K3435R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.016 ( 63 hom., cov: 32)
Exomes 𝑓: 0.0018 ( 59 hom. )

Consequence

ALMS1
NM_001378454.1 missense

Scores

1
4
9

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:11

Conservation

PhyloP100: 2.48

Publications

7 publications found
Variant links:
Genes affected
ALMS1 (HGNC:428): (ALMS1 centrosome and basal body associated protein) This gene encodes a protein containing a large tandem-repeat domain as well as additional low complexity regions. The encoded protein functions in microtubule organization, particularly in the formation and maintanance of cilia. Mutations in this gene cause Alstrom syndrome. There is a pseudogene for this gene located adjacent in the same region of chromosome 2. Alternative splice variants have been described but their full length nature has not been determined. [provided by RefSeq, Apr 2014]
ALMS1 Gene-Disease associations (from GenCC):
  • Alstrom syndrome
    Inheritance: AR, Unknown Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, ClinGen

Genome browser will be placed here

new If you want to explore the variant's impact on the transcript NM_001378454.1, check out the Mutation Effect Viewer. This is especially useful for frameshift variants or if you want to visualize the effect of exon loss / intron retention.

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005408138).
BP6
Variant 2-73559061-A-G is Benign according to our data. Variant chr2-73559061-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 221012.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0538 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001378454.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALMS1
NM_001378454.1
MANE Select
c.10303A>Gp.Lys3435Glu
missense
Exon 15 of 23NP_001365383.1Q8TCU4-1
ALMS1
NM_015120.4
c.10303A>Gp.Lys3435Glu
missense
Exon 15 of 23NP_055935.4Q8TCU4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALMS1
ENST00000613296.6
TSL:1 MANE Select
c.10303A>Gp.Lys3435Glu
missense
Exon 15 of 23ENSP00000482968.1Q8TCU4-1
ALMS1
ENST00000484298.5
TSL:1
c.10177A>Gp.Lys3393Glu
missense
Exon 14 of 22ENSP00000478155.1A0A087WTU9
ALMS1
ENST00000423048.5
TSL:1
n.*722A>G
non_coding_transcript_exon
Exon 8 of 9ENSP00000399833.1H7C1D9

Frequencies

GnomAD3 genomes
AF:
0.0163
AC:
2477
AN:
152128
Hom.:
62
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0559
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00668
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000470
Gnomad OTH
AF:
0.0124
GnomAD2 exomes
AF:
0.00431
AC:
1075
AN:
249414
AF XY:
0.00324
show subpopulations
Gnomad AFR exome
AF:
0.0601
Gnomad AMR exome
AF:
0.00267
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000353
Gnomad OTH exome
AF:
0.00182
GnomAD4 exome
AF:
0.00177
AC:
2592
AN:
1461814
Hom.:
59
Cov.:
31
AF XY:
0.00150
AC XY:
1090
AN XY:
727204
show subpopulations
African (AFR)
AF:
0.0578
AC:
1934
AN:
33480
American (AMR)
AF:
0.00324
AC:
145
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39688
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86252
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.00364
AC:
21
AN:
5768
European-Non Finnish (NFE)
AF:
0.000260
AC:
289
AN:
1111958
Other (OTH)
AF:
0.00333
AC:
201
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
143
285
428
570
713
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
64
128
192
256
320
<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:
0.0163
AC:
2478
AN:
152246
Hom.:
63
Cov.:
32
AF XY:
0.0161
AC XY:
1196
AN XY:
74470
show subpopulations
African (AFR)
AF:
0.0557
AC:
2314
AN:
41520
American (AMR)
AF:
0.00661
AC:
101
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.000415
AC:
2
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.0102
AC:
3
AN:
294
European-Non Finnish (NFE)
AF:
0.000470
AC:
32
AN:
68024
Other (OTH)
AF:
0.0123
AC:
26
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
122
245
367
490
612
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
28
56
84
112
140
<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:
0.00589
Hom.:
64
Bravo
AF:
0.0183
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.000273
EpiControl
AF:
0.000711

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
3
Alstrom syndrome (4)
-
-
4
not provided (4)
-
-
2
not specified (2)
-
-
1
Cardiovascular phenotype (1)
-
-
1
Monogenic diabetes (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.093
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Benign
0.031
T
Eigen
Uncertain
0.29
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.64
T
MetaRNN
Benign
0.0054
T
MetaSVM
Benign
-1.2
T
PhyloP100
2.5
PrimateAI
Benign
0.47
T
Sift4G
Pathogenic
0.0
D
Varity_R
0.11
gMVP
0.060
Mutation Taster
=99/1
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

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Publications

Other links and lift over

dbSNP: rs34071195;
hg19: chr2-73786188;
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.