rs376022544
Variant summary
Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4BP6
The NM_015046.7(SETX):āc.2750T>Cā(p.Met917Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000551 in 1,613,880 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_015046.7 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000788 AC: 12AN: 152252Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.0000956 AC: 24AN: 250972Hom.: 0 AF XY: 0.0000885 AC XY: 12AN XY: 135654
GnomAD4 exome AF: 0.0000527 AC: 77AN: 1461628Hom.: 0 Cov.: 36 AF XY: 0.0000578 AC XY: 42AN XY: 727108
GnomAD4 genome AF: 0.0000788 AC: 12AN: 152252Hom.: 0 Cov.: 33 AF XY: 0.0000807 AC XY: 6AN XY: 74374
ClinVar
Submissions by phenotype
not provided Uncertain:2Benign:1
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SETX: BP4 -
In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 25382069, 32028661, 32397312) -
not specified Uncertain:1
Variant summary: SETX c.2750T>C (p.Met917Thr) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 9.6e-05 in 250972 control chromosomes. This frequency does not allow conclusions about variant significance. c.2750T>C has been reported in the literature in settings of multigene panel testing among cohorts with sporadic or a not-specified form of Amyotrophic Lateral Sclerosis (example, Cady_2015, Scarlino_2020, Pensato_2020) and in unaffected non-neurological controls (example, Scarlino_2020). These report(s) do not provide unequivocal conclusions about association of the variant with Amyotrophic Lateral Sclerosis Type 4. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Three clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Inborn genetic diseases Uncertain:1
The p.M917T variant (also known as c.2750T>C), located in coding exon 8 of the SETX gene, results from a T to C substitution at nucleotide position 2750. The methionine at codon 917 is replaced by threonine, an amino acid with similar properties. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Based on the supporting evidence, this variant is unlikely to be causative of autosomal dominant juvenile amyotrophic lateral sclerosis 4; however, its contribution to the development of autosomal recessive spinocerebellar ataxia with axonal neuropathy 2 is uncertain. -
SETX-related disorder Uncertain:1
The SETX c.2750T>C variant is predicted to result in the amino acid substitution p.Met917Thr. This variant was reported in two individuals with amyotrophic lateral sclerosis (Cady et al. 2015. PubMed ID: 25382069; Pensato et al. 2020. PubMed ID: 32028661). This variant is reported in 0.014% of alleles in individuals of Latino descent in gnomAD (http://gnomad.broadinstitute.org/variant/9-135204235-A-G). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2;C1865409:Amyotrophic lateral sclerosis type 4 Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at