rs371595630
Variant summary
Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM1PP3_Moderate
The NM_001605.3(AARS1):c.1811A>G(p.Asn604Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000157 in 1,614,016 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N604K) has been classified as Uncertain significance.
Frequency
Consequence
NM_001605.3 missense
Scores
Clinical Significance
Conservation
Publications
- Charcot-Marie-Tooth disease axonal type 2NInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Orphanet
- undetermined early-onset epileptic encephalopathyInheritance: AR, AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Illumina, Orphanet
- developmental and epileptic encephalopathy, 29Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
- trichothiodystrophy 8, nonphotosensitiveInheritance: AR, Unknown Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Uncertain_significance. The variant received 4 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000986 AC: 15AN: 152148Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000175 AC: 44AN: 251462 AF XY: 0.000206 show subpopulations
GnomAD4 exome AF: 0.000163 AC: 238AN: 1461868Hom.: 0 Cov.: 32 AF XY: 0.000169 AC XY: 123AN XY: 727234 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000986 AC: 15AN: 152148Hom.: 0 Cov.: 32 AF XY: 0.000161 AC XY: 12AN XY: 74320 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:3
In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 25817015, 32376792) -
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Charcot-Marie-Tooth disease Uncertain:1
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not specified Uncertain:1
Variant summary: AARS1 c.1811A>G (p.Asn604Ser) results in a conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00017 in 282854 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in AARS1 causing Developmental and epileptic encephalopathy, 29, allowing no conclusion about variant significance. c.1811A>G has been reported in the literature in unspecified individual(s) affected with Charcot-Marie-Tooth disease, without strong evidence for causality (Volodarsky_2021). These report(s) do not provide unequivocal conclusions about association of the variant with Developmental and epileptic encephalopathy, 29. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication has been ascertained in the context of this evaluation (PMID: 32376792). ClinVar contains an entry for this variant (Variation ID: 543167). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Inborn genetic diseases Uncertain:1
The p.N604S variant (also known as c.1811A>G), located in coding exon 13 of the AARS gene, results from an A to G substitution at nucleotide position 1811. The asparagine at codon 604 is replaced by serine, an amino acid with highly similar properties. This amino acid position is highly conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Based on the supporting evidence, this variant is unlikely to be causative of Charcot-Marie-Tooth disease, axonal, type 2N (CMT2N); however, its contribution to the development of AARS-related early infantile epileptic encephalopathy (EIEE) is uncertain. -
Charcot-Marie-Tooth disease type 2 Uncertain:1
This sequence change replaces asparagine, which is neutral and polar, with serine, which is neutral and polar, at codon 604 of the AARS protein (p.Asn604Ser). This variant is present in population databases (rs371595630, gnomAD 0.03%). This missense change has been observed in individual(s) with clinical features of Charcot-Marie-Tooth disease (PMID: 32376792). ClinVar contains an entry for this variant (Variation ID: 543167). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed for this missense variant. However, the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on AARS protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
AARS1-related disorder Uncertain:1
The AARS1 c.1811A>G variant is predicted to result in the amino acid substitution p.Asn604Ser. This variant was reported as a variant of uncertain significance in a large cohort study in patients with Charcot-Marie-Tooth disease (Volodarsky et al 2021. PubMed ID: 32376792). This variant is reported in 0.036% of alleles in individuals of European (Finnish) descent in gnomAD and indicates this variant is likely too common for an autosomal dominant disorder. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at