rs4358080

Variant summary

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

The NM_004304.5(ALK):​c.27C>G​(p.Leu9Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.905 in 1,541,888 control chromosomes in the GnomAD database, including 632,759 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. L9L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.89 ( 59984 hom., cov: 31)
Exomes 𝑓: 0.91 ( 572775 hom. )

Consequence

ALK
NM_004304.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.0660

Publications

22 publications found
Variant links:
Genes affected
ALK (HGNC:427): (ALK receptor tyrosine kinase) This gene encodes a receptor tyrosine kinase, which belongs to the insulin receptor superfamily. This protein comprises an extracellular domain, an hydrophobic stretch corresponding to a single pass transmembrane region, and an intracellular kinase domain. It plays an important role in the development of the brain and exerts its effects on specific neurons in the nervous system. This gene has been found to be rearranged, mutated, or amplified in a series of tumours including anaplastic large cell lymphomas, neuroblastoma, and non-small cell lung cancer. The chromosomal rearrangements are the most common genetic alterations in this gene, which result in creation of multiple fusion genes in tumourigenesis, including ALK (chromosome 2)/EML4 (chromosome 2), ALK/RANBP2 (chromosome 2), ALK/ATIC (chromosome 2), ALK/TFG (chromosome 3), ALK/NPM1 (chromosome 5), ALK/SQSTM1 (chromosome 5), ALK/KIF5B (chromosome 10), ALK/CLTC (chromosome 17), ALK/TPM4 (chromosome 19), and ALK/MSN (chromosome X).[provided by RefSeq, Jan 2011]
ALK Gene-Disease associations (from GenCC):
  • neuroblastoma, susceptibility to, 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen, G2P

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=-0.61).
BP6
Variant 2-29920633-G-C is Benign according to our data. Variant chr2-29920633-G-C is described in ClinVar as Benign. ClinVar VariationId is 259269.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.066 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.976 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004304.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALK
NM_004304.5
MANE Select
c.27C>Gp.Leu9Leu
synonymous
Exon 1 of 29NP_004295.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ALK
ENST00000389048.8
TSL:1 MANE Select
c.27C>Gp.Leu9Leu
synonymous
Exon 1 of 29ENSP00000373700.3Q9UM73
ENSG00000233862
ENST00000669284.1
n.157+34616C>G
intron
N/A
ENSG00000233862
ENST00000769926.1
n.534+5586C>G
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.887
AC:
134873
AN:
152002
Hom.:
59934
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.837
Gnomad AMI
AF:
0.854
Gnomad AMR
AF:
0.920
Gnomad ASJ
AF:
0.855
Gnomad EAS
AF:
0.999
Gnomad SAS
AF:
0.895
Gnomad FIN
AF:
0.848
Gnomad MID
AF:
0.858
Gnomad NFE
AF:
0.910
Gnomad OTH
AF:
0.884
GnomAD2 exomes
AF:
0.907
AC:
128604
AN:
141848
AF XY:
0.904
show subpopulations
Gnomad AFR exome
AF:
0.832
Gnomad AMR exome
AF:
0.938
Gnomad ASJ exome
AF:
0.862
Gnomad EAS exome
AF:
1.00
Gnomad FIN exome
AF:
0.856
Gnomad NFE exome
AF:
0.908
Gnomad OTH exome
AF:
0.894
GnomAD4 exome
AF:
0.907
AC:
1261113
AN:
1389768
Hom.:
572775
Cov.:
64
AF XY:
0.906
AC XY:
622214
AN XY:
686492
show subpopulations
African (AFR)
AF:
0.833
AC:
26556
AN:
31878
American (AMR)
AF:
0.935
AC:
34146
AN:
36510
Ashkenazi Jewish (ASJ)
AF:
0.860
AC:
21701
AN:
25242
East Asian (EAS)
AF:
1.00
AC:
36144
AN:
36158
South Asian (SAS)
AF:
0.884
AC:
70597
AN:
79856
European-Finnish (FIN)
AF:
0.856
AC:
29493
AN:
34464
Middle Eastern (MID)
AF:
0.861
AC:
3700
AN:
4298
European-Non Finnish (NFE)
AF:
0.910
AC:
986285
AN:
1083312
Other (OTH)
AF:
0.904
AC:
52491
AN:
58050
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
6943
13886
20828
27771
34714
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
21144
42288
63432
84576
105720
<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:
0.887
AC:
134982
AN:
152120
Hom.:
59984
Cov.:
31
AF XY:
0.887
AC XY:
65915
AN XY:
74352
show subpopulations
African (AFR)
AF:
0.837
AC:
34769
AN:
41534
American (AMR)
AF:
0.920
AC:
14075
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.855
AC:
2965
AN:
3466
East Asian (EAS)
AF:
0.999
AC:
5112
AN:
5116
South Asian (SAS)
AF:
0.895
AC:
4308
AN:
4816
European-Finnish (FIN)
AF:
0.848
AC:
8986
AN:
10598
Middle Eastern (MID)
AF:
0.861
AC:
253
AN:
294
European-Non Finnish (NFE)
AF:
0.910
AC:
61864
AN:
67974
Other (OTH)
AF:
0.886
AC:
1871
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
768
1537
2305
3074
3842
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
902
1804
2706
3608
4510
<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:
0.896
Hom.:
11207
Bravo
AF:
0.891
Asia WGS
AF:
0.949
AC:
3300
AN:
3478

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
Neuroblastoma, susceptibility to, 3 (5)
-
-
3
not specified (3)
-
-
2
not provided (2)
-
-
1
Hereditary cancer-predisposing syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.61
CADD
Benign
8.3
DANN
Benign
0.56
PhyloP100
0.066
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: rs4358080; hg19: chr2-30143499; COSMIC: COSV66573286; API