rs34946105

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BS1BS2

The NM_020919.4(ALS2):​c.3885G>A​(p.Ala1295Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0316 in 1,614,196 control chromosomes in the GnomAD database, including 972 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.027 ( 83 hom., cov: 32)
Exomes 𝑓: 0.032 ( 889 hom. )

Consequence

ALS2
NM_020919.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: -1.30
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.38).
BP6
Variant 2-201715791-C-T is Benign according to our data. Variant chr2-201715791-C-T is described in ClinVar as [Benign]. Clinvar id is 261374.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-201715791-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.3 with no splicing effect.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.0265 (4039/152322) while in subpopulation SAS AF= 0.0359 (173/4824). AF 95% confidence interval is 0.0325. There are 83 homozygotes in gnomad4. There are 2001 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 83 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ALS2NM_020919.4 linkuse as main transcriptc.3885G>A p.Ala1295Ala synonymous_variant 25/34 ENST00000264276.11 NP_065970.2 Q96Q42-1A8K4R4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ALS2ENST00000264276.11 linkuse as main transcriptc.3885G>A p.Ala1295Ala synonymous_variant 25/341 NM_020919.4 ENSP00000264276.6 Q96Q42-1

Frequencies

GnomAD3 genomes
AF:
0.0266
AC:
4044
AN:
152204
Hom.:
83
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00555
Gnomad AMI
AF:
0.0603
Gnomad AMR
AF:
0.0230
Gnomad ASJ
AF:
0.0948
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0362
Gnomad FIN
AF:
0.0491
Gnomad MID
AF:
0.0538
Gnomad NFE
AF:
0.0337
Gnomad OTH
AF:
0.0344
GnomAD3 exomes
AF:
0.0333
AC:
8296
AN:
249356
Hom.:
173
AF XY:
0.0345
AC XY:
4673
AN XY:
135294
show subpopulations
Gnomad AFR exome
AF:
0.00484
Gnomad AMR exome
AF:
0.0180
Gnomad ASJ exome
AF:
0.0944
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0372
Gnomad FIN exome
AF:
0.0493
Gnomad NFE exome
AF:
0.0374
Gnomad OTH exome
AF:
0.0367
GnomAD4 exome
AF:
0.0321
AC:
46968
AN:
1461874
Hom.:
889
Cov.:
34
AF XY:
0.0327
AC XY:
23771
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.00463
Gnomad4 AMR exome
AF:
0.0183
Gnomad4 ASJ exome
AF:
0.0922
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.0375
Gnomad4 FIN exome
AF:
0.0477
Gnomad4 NFE exome
AF:
0.0319
Gnomad4 OTH exome
AF:
0.0335
GnomAD4 genome
AF:
0.0265
AC:
4039
AN:
152322
Hom.:
83
Cov.:
32
AF XY:
0.0269
AC XY:
2001
AN XY:
74472
show subpopulations
Gnomad4 AFR
AF:
0.00553
Gnomad4 AMR
AF:
0.0229
Gnomad4 ASJ
AF:
0.0948
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.0359
Gnomad4 FIN
AF:
0.0491
Gnomad4 NFE
AF:
0.0337
Gnomad4 OTH
AF:
0.0340
Alfa
AF:
0.0347
Hom.:
61
Bravo
AF:
0.0244
Asia WGS
AF:
0.0150
AC:
52
AN:
3478
EpiCase
AF:
0.0353
EpiControl
AF:
0.0427

ClinVar

Significance: Benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsDec 13, 2023- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 17, 2019- -
Infantile-onset ascending hereditary spastic paralysis Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Amyotrophic lateral sclerosis type 2, juvenile Benign:1
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. -
ALS2-related disorder Benign:1
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. -
Hereditary spastic paraplegia Benign:1
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenJan 14, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.38
CADD
Benign
7.1
DANN
Benign
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: rs34946105; hg19: chr2-202580514; API