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rs4143768

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_014363.6(SACS):c.6195T>C(p.Ile2065=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.262 in 1,612,498 control chromosomes in the GnomAD database, including 58,136 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.23 ( 4574 hom., cov: 32)
Exomes 𝑓: 0.27 ( 53562 hom. )

Consequence

SACS
NM_014363.6 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 1.32
Variant links:
Genes affected
SACS (HGNC:10519): (sacsin molecular chaperone) This gene encodes the sacsin protein, which includes a UbL domain at the N-terminus, a DnaJ domain, and a HEPN domain at the C-terminus. The gene is highly expressed in the central nervous system, also found in skin, skeletal muscles and at low levels in the pancreas. This gene includes a very large exon spanning more than 12.8 kb. Mutations in this gene result in autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS), a neurodegenerative disorder characterized by early-onset cerebellar ataxia with spasticity and peripheral neuropathy. The authors of a publication on the effects of siRNA-mediated sacsin knockdown concluded that sacsin protects against mutant ataxin-1 and suggest that "the large multi-domain sacsin protein is able to recruit Hsp70 chaperone action and has the potential to regulate the effects of other ataxia proteins" (Parfitt et al., PubMed: 19208651). A pseudogene associated with this gene is located on chromosome 11. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2013]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.63).
BP6
Variant 13-23337681-A-G is Benign according to our data. Variant chr13-23337681-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 130203.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr13-23337681-A-G is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=1.32 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.341 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SACSNM_014363.6 linkuse as main transcriptc.6195T>C p.Ile2065= synonymous_variant 10/10 ENST00000382292.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SACSENST00000382292.9 linkuse as main transcriptc.6195T>C p.Ile2065= synonymous_variant 10/105 NM_014363.6 P1Q9NZJ4-1

Frequencies

GnomAD3 genomes
AF:
0.227
AC:
34421
AN:
151948
Hom.:
4571
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0913
Gnomad AMI
AF:
0.167
Gnomad AMR
AF:
0.326
Gnomad ASJ
AF:
0.402
Gnomad EAS
AF:
0.340
Gnomad SAS
AF:
0.356
Gnomad FIN
AF:
0.237
Gnomad MID
AF:
0.301
Gnomad NFE
AF:
0.258
Gnomad OTH
AF:
0.256
GnomAD3 exomes
AF:
0.288
AC:
71541
AN:
248368
Hom.:
11078
AF XY:
0.288
AC XY:
38874
AN XY:
134808
show subpopulations
Gnomad AFR exome
AF:
0.0885
Gnomad AMR exome
AF:
0.388
Gnomad ASJ exome
AF:
0.402
Gnomad EAS exome
AF:
0.352
Gnomad SAS exome
AF:
0.344
Gnomad FIN exome
AF:
0.246
Gnomad NFE exome
AF:
0.258
Gnomad OTH exome
AF:
0.279
GnomAD4 exome
AF:
0.266
AC:
388829
AN:
1460430
Hom.:
53562
Cov.:
39
AF XY:
0.269
AC XY:
195190
AN XY:
726486
show subpopulations
Gnomad4 AFR exome
AF:
0.0853
Gnomad4 AMR exome
AF:
0.379
Gnomad4 ASJ exome
AF:
0.402
Gnomad4 EAS exome
AF:
0.346
Gnomad4 SAS exome
AF:
0.342
Gnomad4 FIN exome
AF:
0.239
Gnomad4 NFE exome
AF:
0.257
Gnomad4 OTH exome
AF:
0.261
GnomAD4 genome
AF:
0.226
AC:
34437
AN:
152068
Hom.:
4574
Cov.:
32
AF XY:
0.232
AC XY:
17237
AN XY:
74346
show subpopulations
Gnomad4 AFR
AF:
0.0914
Gnomad4 AMR
AF:
0.327
Gnomad4 ASJ
AF:
0.402
Gnomad4 EAS
AF:
0.340
Gnomad4 SAS
AF:
0.355
Gnomad4 FIN
AF:
0.237
Gnomad4 NFE
AF:
0.258
Gnomad4 OTH
AF:
0.258
Alfa
AF:
0.270
Hom.:
6237
Bravo
AF:
0.230
Asia WGS
AF:
0.318
AC:
1107
AN:
3478
EpiCase
AF:
0.265
EpiControl
AF:
0.268

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxJul 17, 2018- -
Benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo ClinicFeb 19, 2016- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 21, 2019- -
Charlevoix-Saguenay spastic ataxia Benign:3
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 01, 2021- -
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -
Spastic paraplegia Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Hereditary spastic paraplegia Benign:1
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenDec 12, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.63
Cadd
Benign
5.2
Dann
Benign
0.67

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs4143768; hg19: chr13-23911820; COSMIC: COSV66544658; API