rs3810950

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_020549.5(CHAT):​c.358G>A​(p.Ala120Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.237 in 1,610,550 control chromosomes in the GnomAD database, including 47,769 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.18 ( 3040 hom., cov: 33)
Exomes 𝑓: 0.24 ( 44729 hom. )

Consequence

CHAT
NM_020549.5 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 1.34
Variant links:
Genes affected
CHAT (HGNC:1912): (choline O-acetyltransferase) This gene encodes an enzyme which catalyzes the biosynthesis of the neurotransmitter acetylcholine. This gene product is a characteristic feature of cholinergic neurons, and changes in these neurons may explain some of the symptoms of Alzheimer's disease. Polymorphisms in this gene have been associated with Alzheimer's disease and mild cognitive impairment. Mutations in this gene are associated with congenital myasthenic syndrome associated with episodic apnea. Multiple transcript variants encoding different isoforms have been found for this gene, and some of these variants have been shown to encode more than one isoform. [provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003578037).
BP6
Variant 10-49616573-G-A is Benign according to our data. Variant chr10-49616573-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 128724.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-49616573-G-A is described in Lovd as [Benign]. Variant chr10-49616573-G-A is described in Lovd as [Pathogenic].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.26 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CHATNM_020549.5 linkuse as main transcriptc.358G>A p.Ala120Thr missense_variant 2/15 ENST00000337653.7 NP_065574.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CHATENST00000337653.7 linkuse as main transcriptc.358G>A p.Ala120Thr missense_variant 2/151 NM_020549.5 ENSP00000337103 P2P28329-1

Frequencies

GnomAD3 genomes
AF:
0.180
AC:
27291
AN:
152026
Hom.:
3042
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0483
Gnomad AMI
AF:
0.268
Gnomad AMR
AF:
0.185
Gnomad ASJ
AF:
0.234
Gnomad EAS
AF:
0.158
Gnomad SAS
AF:
0.273
Gnomad FIN
AF:
0.182
Gnomad MID
AF:
0.217
Gnomad NFE
AF:
0.249
Gnomad OTH
AF:
0.191
GnomAD3 exomes
AF:
0.207
AC:
51237
AN:
247220
Hom.:
5826
AF XY:
0.218
AC XY:
29048
AN XY:
133496
show subpopulations
Gnomad AFR exome
AF:
0.0412
Gnomad AMR exome
AF:
0.143
Gnomad ASJ exome
AF:
0.243
Gnomad EAS exome
AF:
0.145
Gnomad SAS exome
AF:
0.273
Gnomad FIN exome
AF:
0.179
Gnomad NFE exome
AF:
0.244
Gnomad OTH exome
AF:
0.227
GnomAD4 exome
AF:
0.243
AC:
354143
AN:
1458404
Hom.:
44729
Cov.:
33
AF XY:
0.245
AC XY:
177619
AN XY:
725372
show subpopulations
Gnomad4 AFR exome
AF:
0.0391
Gnomad4 AMR exome
AF:
0.149
Gnomad4 ASJ exome
AF:
0.246
Gnomad4 EAS exome
AF:
0.173
Gnomad4 SAS exome
AF:
0.276
Gnomad4 FIN exome
AF:
0.186
Gnomad4 NFE exome
AF:
0.256
Gnomad4 OTH exome
AF:
0.235
GnomAD4 genome
AF:
0.179
AC:
27284
AN:
152146
Hom.:
3040
Cov.:
33
AF XY:
0.179
AC XY:
13322
AN XY:
74342
show subpopulations
Gnomad4 AFR
AF:
0.0482
Gnomad4 AMR
AF:
0.185
Gnomad4 ASJ
AF:
0.234
Gnomad4 EAS
AF:
0.157
Gnomad4 SAS
AF:
0.273
Gnomad4 FIN
AF:
0.182
Gnomad4 NFE
AF:
0.249
Gnomad4 OTH
AF:
0.190
Alfa
AF:
0.239
Hom.:
8666
Bravo
AF:
0.171
TwinsUK
AF:
0.257
AC:
953
ALSPAC
AF:
0.273
AC:
1054
ESP6500AA
AF:
0.0517
AC:
228
ESP6500EA
AF:
0.249
AC:
2144
ExAC
AF:
0.207
AC:
25173
Asia WGS
AF:
0.191
AC:
664
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesFeb 01, 2016- -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 22, 2013- -
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpDec 03, 2021- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Aug 04, 2016- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 11, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 28, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: MAF -
Familial infantile myasthenia Benign:2
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 22, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
not provided Benign:2
Benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo ClinicFeb 11, 2016- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
13
DANN
Benign
0.84
DEOGEN2
Benign
0.070
.;.;.;T;.
Eigen
Benign
-0.78
Eigen_PC
Benign
-0.72
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.58
.;.;T;T;T
MetaRNN
Benign
0.0036
T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.69
.;.;.;N;.
MutationTaster
Benign
1.0
P;P;P;P;P;P
PrimateAI
Benign
0.30
T
PROVEAN
Benign
0.030
N;N;N;N;N
REVEL
Benign
0.10
Sift
Benign
0.13
T;T;T;T;T
Sift4G
Benign
0.12
T;T;T;T;T
Polyphen
0.014
.;.;.;B;.
Vest4
0.22
MPC
0.24
ClinPred
0.0033
T
GERP RS
3.0
Varity_R
0.026
gMVP
0.17

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs3810950; hg19: chr10-50824619; COSMIC: COSV60321229; COSMIC: COSV60321229; API