rs376233432

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001128164.2(ATXN1):​c.636G>T​(p.Gln212His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000495 in 1,515,692 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 Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Q212P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000092 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000046 ( 0 hom. )

Consequence

ATXN1
NM_001128164.2 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 0.00

Publications

6 publications found
Variant links:
Genes affected
ATXN1 (HGNC:10548): (ataxin 1) The autosomal dominant cerebellar ataxias (ADCA) are a heterogeneous group of neurodegenerative disorders characterized by progressive degeneration of the cerebellum, brain stem and spinal cord. Clinically, ADCA has been divided into three groups: ADCA types I-III. ADCAI is genetically heterogeneous, with five genetic loci, designated spinocerebellar ataxia (SCA) 1, 2, 3, 4 and 6, being assigned to five different chromosomes. ADCAII, which always presents with retinal degeneration (SCA7), and ADCAIII often referred to as the `pure' cerebellar syndrome (SCA5), are most likely homogeneous disorders. Several SCA genes have been cloned and shown to contain CAG repeats in their coding regions. ADCA is caused by the expansion of the CAG repeats, producing an elongated polyglutamine tract in the corresponding protein. The expanded repeats are variable in size and unstable, usually increasing in size when transmitted to successive generations. The function of the ataxins is not known. This locus has been mapped to chromosome 6, and it has been determined that the diseased allele contains 40-83 CAG repeats, compared to 6-39 in the normal allele, and is associated with spinocerebellar ataxia type 1 (SCA1). Alternative splicing results in multiple transcript variants, with one variant encoding multiple distinct proteins, ATXN1 and Alt-ATXN1, due to the use of overlapping alternate reading frames. [provided by RefSeq, Nov 2017]
ATXN1 Gene-Disease associations (from GenCC):
  • spinocerebellar ataxia type 1
    Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0496521).
BS2
High AC in GnomAd4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATXN1NM_001128164.2 linkc.636G>T p.Gln212His missense_variant Exon 7 of 8 ENST00000436367.6 NP_001121636.1 P54253-1Q96FF1
ATXN1NM_000332.4 linkc.636G>T p.Gln212His missense_variant Exon 8 of 9 NP_000323.2 P54253-1Q96FF1
ATXN1NM_001357857.2 linkc.*49G>T 3_prime_UTR_variant Exon 8 of 9 NP_001344786.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATXN1ENST00000436367.6 linkc.636G>T p.Gln212His missense_variant Exon 7 of 8 1 NM_001128164.2 ENSP00000416360.1 P54253-1
ATXN1ENST00000244769.8 linkc.636G>T p.Gln212His missense_variant Exon 8 of 9 1 ENSP00000244769.3 P54253-1
ATXN1ENST00000642969.1 linkc.*49G>T downstream_gene_variant ENSP00000493530.1 A0A2R8YCF3

Frequencies

GnomAD3 genomes
AF:
0.0000920
AC:
11
AN:
119624
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000280
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000844
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000487
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000631
AC:
9
AN:
142684
AF XY:
0.0000630
show subpopulations
Gnomad AFR exome
AF:
0.000317
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000305
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000458
AC:
64
AN:
1395978
Hom.:
0
Cov.:
120
AF XY:
0.0000403
AC XY:
28
AN XY:
694028
show subpopulations
African (AFR)
AF:
0.000150
AC:
4
AN:
26682
American (AMR)
AF:
0.0000500
AC:
2
AN:
39964
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25340
East Asian (EAS)
AF:
0.0000573
AC:
2
AN:
34908
South Asian (SAS)
AF:
0.0000368
AC:
3
AN:
81508
European-Finnish (FIN)
AF:
0.0000917
AC:
4
AN:
43600
Middle Eastern (MID)
AF:
0.000193
AC:
1
AN:
5176
European-Non Finnish (NFE)
AF:
0.0000444
AC:
48
AN:
1081554
Other (OTH)
AF:
0.00
AC:
0
AN:
57246
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.441
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000919
AC:
11
AN:
119714
Hom.:
0
Cov.:
32
AF XY:
0.000103
AC XY:
6
AN XY:
58180
show subpopulations
African (AFR)
AF:
0.000279
AC:
7
AN:
25132
American (AMR)
AF:
0.0000843
AC:
1
AN:
11868
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3152
East Asian (EAS)
AF:
0.00
AC:
0
AN:
2316
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3508
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9322
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
260
European-Non Finnish (NFE)
AF:
0.0000487
AC:
3
AN:
61652
Other (OTH)
AF:
0.00
AC:
0
AN:
1692
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.457
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00927
Hom.:
0
ExAC
AF:
0.0000305
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Apr 04, 2014
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
May 01, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.636G>T (p.Q212H) alteration is located in exon 8 (coding exon 1) of the ATXN1 gene. This alteration results from a G to T substitution at nucleotide position 636, causing the glutamine (Q) at amino acid position 212 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

not provided Uncertain:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Spinocerebellar ataxia type 1 Uncertain:1
Feb 24, 2023
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
9.0
DANN
Benign
0.84
DEOGEN2
Benign
0.32
T;T
Eigen
Benign
-0.96
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.019
N
LIST_S2
Benign
0.19
.;T
M_CAP
Benign
0.066
D
MetaRNN
Benign
0.050
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N;N
PhyloP100
0.0
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
0.25
N;N
REVEL
Benign
0.0090
Sift
Benign
0.10
T;T
Sift4G
Uncertain
0.0050
D;D
Vest4
0.18
MutPred
0.24
Loss of helix (P = 0.2271);Loss of helix (P = 0.2271);
MVP
0.72
MPC
0.39
ClinPred
0.030
T
Varity_R
0.13
gMVP
0.41
Mutation Taster
=100/0
polymorphism

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: rs376233432; hg19: chr6-16327906; COSMIC: COSV55210791; COSMIC: COSV55210791; API