rs4143768

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_014363.6(SACS):​c.6195T>C​(p.Ile2065Ile) 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:13

Conservation

PhyloP100: 1.32

Publications

18 publications found
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]
SACS Gene-Disease associations (from GenCC):
  • Charlevoix-Saguenay spastic ataxia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), Myriad Women’s Health

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -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 Benign/Likely_benign. ClinVar VariationId is 130203.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
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 rank MANE Protein UniProt
SACSNM_014363.6 linkc.6195T>C p.Ile2065Ile synonymous_variant Exon 10 of 10 ENST00000382292.9 NP_055178.3 Q9NZJ4-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SACSENST00000382292.9 linkc.6195T>C p.Ile2065Ile synonymous_variant Exon 10 of 10 5 NM_014363.6 ENSP00000371729.3 Q9NZJ4-1

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
GnomAD2 exomes
AF:
0.288
AC:
71541
AN:
248368
AF XY:
0.288
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 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
African (AFR)
AF:
0.0853
AC:
2845
AN:
33350
American (AMR)
AF:
0.379
AC:
16875
AN:
44544
Ashkenazi Jewish (ASJ)
AF:
0.402
AC:
10487
AN:
26108
East Asian (EAS)
AF:
0.346
AC:
13736
AN:
39682
South Asian (SAS)
AF:
0.342
AC:
29363
AN:
85970
European-Finnish (FIN)
AF:
0.239
AC:
12722
AN:
53156
Middle Eastern (MID)
AF:
0.326
AC:
1880
AN:
5766
European-Non Finnish (NFE)
AF:
0.257
AC:
285157
AN:
1111524
Other (OTH)
AF:
0.261
AC:
15764
AN:
60330
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
16805
33611
50416
67222
84027
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
9812
19624
29436
39248
49060
<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:
0.226
AC:
34437
AN:
152068
Hom.:
4574
Cov.:
32
AF XY:
0.232
AC XY:
17237
AN XY:
74346
show subpopulations
African (AFR)
AF:
0.0914
AC:
3793
AN:
41514
American (AMR)
AF:
0.327
AC:
4987
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.402
AC:
1392
AN:
3464
East Asian (EAS)
AF:
0.340
AC:
1755
AN:
5164
South Asian (SAS)
AF:
0.355
AC:
1707
AN:
4812
European-Finnish (FIN)
AF:
0.237
AC:
2500
AN:
10568
Middle Eastern (MID)
AF:
0.303
AC:
89
AN:
294
European-Non Finnish (NFE)
AF:
0.258
AC:
17516
AN:
67956
Other (OTH)
AF:
0.258
AC:
546
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1321
2643
3964
5286
6607
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
368
736
1104
1472
1840
<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:
0.257
Hom.:
14222
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:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

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. -

not provided Benign:4
May 21, 2019
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 19, 2016
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Jul 17, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Charlevoix-Saguenay spastic ataxia Benign:3
Jul 01, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Spastic paraplegia Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary spastic paraplegia Benign:1
Dec 12, 2016
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.63
CADD
Benign
5.2
DANN
Benign
0.67
PhyloP100
1.3
Mutation Taster
=100/0
polymorphism (auto)

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