rs41299625

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_018136.5(ASPM):​c.5452C>T​(p.Arg1818Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00141 in 1,612,936 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts 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. R1818L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0010 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0014 ( 2 hom. )

Consequence

ASPM
NM_018136.5 missense

Scores

7
6
5

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:11B:1

Conservation

PhyloP100: 2.48

Publications

11 publications found
Variant links:
Genes affected
ASPM (HGNC:19048): (assembly factor for spindle microtubules) This gene is the human ortholog of the Drosophila melanogaster 'abnormal spindle' gene (asp), which is essential for normal mitotic spindle function in embryonic neuroblasts. Studies in mouse also suggest a role of this gene in mitotic spindle regulation, with a preferential role in regulating neurogenesis. Mutations in this gene are associated with microcephaly primary type 5. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, May 2011]
ASPM Gene-Disease associations (from GenCC):
  • autosomal recessive primary microcephaly
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • microcephaly 5, primary, autosomal recessive
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.048324525).
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00102 (155/152018) while in subpopulation NFE AF = 0.00178 (121/67908). AF 95% confidence interval is 0.00152. There are 0 homozygotes in GnomAd4. There are 53 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_018136.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ASPM
NM_018136.5
MANE Select
c.5452C>Tp.Arg1818Cys
missense
Exon 18 of 28NP_060606.3
ASPM
NM_001206846.2
c.4066-7635C>T
intron
N/ANP_001193775.1Q8IZT6-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ASPM
ENST00000367409.9
TSL:1 MANE Select
c.5452C>Tp.Arg1818Cys
missense
Exon 18 of 28ENSP00000356379.4Q8IZT6-1
ASPM
ENST00000294732.11
TSL:1
c.4066-7635C>T
intron
N/AENSP00000294732.7Q8IZT6-2
ASPM
ENST00000367408.6
TSL:1
n.2108-7635C>T
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.00103
AC:
156
AN:
151900
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000338
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.000790
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00180
Gnomad OTH
AF:
0.000959
GnomAD2 exomes
AF:
0.00115
AC:
288
AN:
249754
AF XY:
0.00116
show subpopulations
Gnomad AFR exome
AF:
0.000493
Gnomad AMR exome
AF:
0.00113
Gnomad ASJ exome
AF:
0.0000996
Gnomad EAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.000463
Gnomad NFE exome
AF:
0.00187
Gnomad OTH exome
AF:
0.00132
GnomAD4 exome
AF:
0.00145
AC:
2118
AN:
1460918
Hom.:
2
Cov.:
38
AF XY:
0.00143
AC XY:
1042
AN XY:
726762
show subpopulations
African (AFR)
AF:
0.000269
AC:
9
AN:
33424
American (AMR)
AF:
0.00108
AC:
48
AN:
44586
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26100
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39676
South Asian (SAS)
AF:
0.000197
AC:
17
AN:
86244
European-Finnish (FIN)
AF:
0.000431
AC:
23
AN:
53320
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5760
European-Non Finnish (NFE)
AF:
0.00172
AC:
1914
AN:
1111484
Other (OTH)
AF:
0.00169
AC:
102
AN:
60324
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
143
287
430
574
717
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
70
140
210
280
350
<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:
0.00102
AC:
155
AN:
152018
Hom.:
0
Cov.:
32
AF XY:
0.000713
AC XY:
53
AN XY:
74306
show subpopulations
African (AFR)
AF:
0.000337
AC:
14
AN:
41518
American (AMR)
AF:
0.000789
AC:
12
AN:
15214
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.000194
AC:
1
AN:
5160
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4828
European-Finnish (FIN)
AF:
0.0000943
AC:
1
AN:
10610
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00178
AC:
121
AN:
67908
Other (OTH)
AF:
0.000949
AC:
2
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
9
18
28
37
46
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00138
Hom.:
0
Bravo
AF:
0.00111
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00198
AC:
17
ExAC
AF:
0.00131
AC:
159
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00136
EpiControl
AF:
0.00231

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
5
-
Microcephaly 5, primary, autosomal recessive (5)
-
5
-
not provided (5)
-
-
1
ASPM-related disorder (1)
-
1
-
Intellectual disability (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Uncertain
0.060
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.35
T
Eigen
Pathogenic
0.92
Eigen_PC
Pathogenic
0.80
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.87
D
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.048
T
MetaSVM
Uncertain
0.41
D
MutationAssessor
Pathogenic
3.4
M
PhyloP100
2.5
PrimateAI
Benign
0.38
T
PROVEAN
Pathogenic
-5.7
D
REVEL
Uncertain
0.61
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.59
MVP
0.93
ClinPred
0.14
T
GERP RS
5.7
Varity_R
0.64
gMVP
0.26
Mutation Taster
=65/35
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: rs41299625; hg19: chr1-197072929; COSMIC: COSV54129474; API