rs45461899

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_006415.4(SPTLC1):​c.452G>T​(p.Arg151Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0223 in 1,613,754 control chromosomes in the GnomAD database, including 468 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R151S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.017 ( 35 hom., cov: 32)
Exomes 𝑓: 0.023 ( 433 hom. )

Consequence

SPTLC1
NM_006415.4 missense

Scores

2
9
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 3.97

Publications

17 publications found
Variant links:
Genes affected
SPTLC1 (HGNC:11277): (serine palmitoyltransferase long chain base subunit 1) This gene encodes a member of the class-II pyridoxal-phosphate-dependent aminotransferase family. The encoded protein is the long chain base subunit 1 of serine palmitoyltransferase. Serine palmitoyltransferase converts L-serine and palmitoyl-CoA to 3-oxosphinganine with pyridoxal 5'-phosphate and is the key enzyme in sphingolipid biosynthesis. Mutations in this gene were identified in patients with hereditary sensory neuropathy type 1. Alternatively spliced variants encoding different isoforms have been identified. Pseudogenes of this gene have been defined on chromosomes 1, 6, 10, and 13. [provided by RefSeq, Jul 2013]
SPTLC1 Gene-Disease associations (from GenCC):
  • amyotrophic lateral sclerosis 27, juvenile
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • neuropathy, hereditary sensory and autonomic, type 1A
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • hereditary sensory and autonomic neuropathy type 1
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0135652125).
BP6
Variant 9-92068074-C-A is Benign according to our data. Variant chr9-92068074-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 367550.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0174 (2644/152248) while in subpopulation NFE AF = 0.0263 (1788/68020). AF 95% confidence interval is 0.0253. There are 35 homozygotes in GnomAd4. There are 1232 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 2644 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SPTLC1NM_006415.4 linkc.452G>T p.Arg151Leu missense_variant Exon 6 of 15 ENST00000262554.7 NP_006406.1 O15269-1A0A024R277Q6NUL7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SPTLC1ENST00000262554.7 linkc.452G>T p.Arg151Leu missense_variant Exon 6 of 15 1 NM_006415.4 ENSP00000262554.2 O15269-1

Frequencies

GnomAD3 genomes
AF:
0.0174
AC:
2644
AN:
152130
Hom.:
35
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00449
Gnomad AMI
AF:
0.0164
Gnomad AMR
AF:
0.0135
Gnomad ASJ
AF:
0.0337
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0193
Gnomad FIN
AF:
0.0178
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0263
Gnomad OTH
AF:
0.0215
GnomAD2 exomes
AF:
0.0202
AC:
5073
AN:
250894
AF XY:
0.0213
show subpopulations
Gnomad AFR exome
AF:
0.00339
Gnomad AMR exome
AF:
0.0112
Gnomad ASJ exome
AF:
0.0309
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0185
Gnomad NFE exome
AF:
0.0286
Gnomad OTH exome
AF:
0.0289
GnomAD4 exome
AF:
0.0228
AC:
33384
AN:
1461506
Hom.:
433
Cov.:
32
AF XY:
0.0230
AC XY:
16693
AN XY:
727046
show subpopulations
African (AFR)
AF:
0.00278
AC:
93
AN:
33470
American (AMR)
AF:
0.0118
AC:
526
AN:
44708
Ashkenazi Jewish (ASJ)
AF:
0.0315
AC:
824
AN:
26126
East Asian (EAS)
AF:
0.000151
AC:
6
AN:
39648
South Asian (SAS)
AF:
0.0178
AC:
1536
AN:
86228
European-Finnish (FIN)
AF:
0.0200
AC:
1067
AN:
53372
Middle Eastern (MID)
AF:
0.0293
AC:
169
AN:
5768
European-Non Finnish (NFE)
AF:
0.0250
AC:
27811
AN:
1111812
Other (OTH)
AF:
0.0224
AC:
1352
AN:
60374
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.451
Heterozygous variant carriers
0
1691
3382
5074
6765
8456
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1010
2020
3030
4040
5050
<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:
0.0174
AC:
2644
AN:
152248
Hom.:
35
Cov.:
32
AF XY:
0.0166
AC XY:
1232
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.00448
AC:
186
AN:
41536
American (AMR)
AF:
0.0135
AC:
207
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0337
AC:
117
AN:
3470
East Asian (EAS)
AF:
0.000386
AC:
2
AN:
5184
South Asian (SAS)
AF:
0.0193
AC:
93
AN:
4812
European-Finnish (FIN)
AF:
0.0178
AC:
189
AN:
10604
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.0263
AC:
1788
AN:
68020
Other (OTH)
AF:
0.0213
AC:
45
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
135
270
404
539
674
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
30
60
90
120
150
<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:
0.0232
Hom.:
179
Bravo
AF:
0.0162
TwinsUK
AF:
0.0240
AC:
89
ALSPAC
AF:
0.0239
AC:
92
ESP6500AA
AF:
0.00409
AC:
18
ESP6500EA
AF:
0.0291
AC:
250
ExAC
AF:
0.0216
AC:
2621
Asia WGS
AF:
0.00664
AC:
24
AN:
3478
EpiCase
AF:
0.0274
EpiControl
AF:
0.0255

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Nov 21, 2023
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:3
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Oct 30, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Charcot-Marie-Tooth disease Benign:1
-
Molecular Genetics Laboratory, London Health Sciences Centre
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Neuropathy, hereditary sensory and autonomic, type 1A Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary sensory and autonomic neuropathy type 1 Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.57
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.76
D
Eigen
Benign
-0.0056
Eigen_PC
Benign
0.11
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.75
T
MetaRNN
Benign
0.014
T
MetaSVM
Uncertain
0.011
D
MutationAssessor
Benign
1.2
L
PhyloP100
4.0
PrimateAI
Uncertain
0.54
T
PROVEAN
Pathogenic
-5.5
D
REVEL
Uncertain
0.48
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.0040
D
Polyphen
0.013
B
Vest4
0.32
MPC
0.75
ClinPred
0.080
T
GERP RS
4.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.85
gMVP
0.91
Mutation Taster
=75/25
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: rs45461899; hg19: chr9-94830356; COSMIC: COSV99071918; API