rs376302473
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_Strong
The NM_001378454.1(ALMS1):c.3472G>A(p.Ala1158Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000186 in 1,611,902 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/18 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. A1158P) has been classified as Uncertain significance.
Frequency
Consequence
NM_001378454.1 missense
Scores
Clinical Significance
Conservation
Publications
- Alstrom syndromeInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, PanelApp Australia, G2P, Orphanet, Genomics England PanelApp
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ACMG classification
Our verdict: Likely_benign. The variant received -2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.00000666  AC: 1AN: 150048Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.00000803  AC: 2AN: 248932 AF XY:  0.00000741   show subpopulations 
GnomAD4 exome  AF:  0.00000137  AC: 2AN: 1461738Hom.:  0  Cov.: 40 AF XY:  0.00000275  AC XY: 2AN XY: 727178 show subpopulations 
Age Distribution
GnomAD4 genome  0.00000666  AC: 1AN: 150164Hom.:  0  Cov.: 33 AF XY:  0.0000136  AC XY: 1AN XY: 73396 show subpopulations 
ClinVar
Submissions by phenotype
Alstrom syndrome    Uncertain:3 
This sequence change replaces alanine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 1159 of the ALMS1 protein (p.Ala1159Thr). This variant is present in population databases (no rsID available, gnomAD 0.01%). This variant has not been reported in the literature in individuals affected with ALMS1-related conditions. ClinVar contains an entry for this variant (Variation ID: 554140). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -
This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -
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Cardiovascular phenotype    Uncertain:1 
The p.A1159T variant (also known as c.3475G>A), located in coding exon 8 of the ALMS1 gene, results from a G to A substitution at nucleotide position 3475. The alanine at codon 1159 is replaced by threonine, an amino acid with similar properties. This alteration has been reported in a genetic eye disease cohort (Xu Y et al. Clin Genet, 2016 Apr;89:442-447). This amino acid position is poorly conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at