rs57902950

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_001182.5(ALDH7A1):​c.675C>T​(p.Leu225Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00618 in 1,613,094 control chromosomes in the GnomAD database, including 268 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.018 ( 84 hom., cov: 32)
Exomes 𝑓: 0.0049 ( 184 hom. )

Consequence

ALDH7A1
NM_001182.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 1.65

Publications

4 publications found
Variant links:
Genes affected
ALDH7A1 (HGNC:877): (aldehyde dehydrogenase 7 family member A1) The protein encoded by this gene is a member of subfamily 7 in the aldehyde dehydrogenase gene family. These enzymes are thought to play a major role in the detoxification of aldehydes generated by alcohol metabolism and lipid peroxidation. This particular member has homology to a previously described protein from the green garden pea, the 26g pea turgor protein. It is also involved in lysine catabolism that is known to occur in the mitochondrial matrix. Recent reports show that this protein is found both in the cytosol and the mitochondria, and the two forms likely arise from the use of alternative translation initiation sites. An additional variant encoding a different isoform has also been found for this gene. Mutations in this gene are associated with pyridoxine-dependent epilepsy. Several related pseudogenes have also been identified. [provided by RefSeq, Jan 2011]
ALDH7A1 Gene-Disease associations (from GenCC):
  • pyridoxine-dependent epilepsy
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Illumina, Orphanet, ClinGen
  • pyridoxine-dependent epilepsy caused by ALDH7A1 mutant
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.34).
BP6
Variant 5-126575440-G-A is Benign according to our data. Variant chr5-126575440-G-A is described in ClinVar as Benign. ClinVar VariationId is 128349.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.65 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0527 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALDH7A1NM_001182.5 linkc.675C>T p.Leu225Leu synonymous_variant Exon 7 of 18 ENST00000409134.8 NP_001173.2
ALDH7A1NM_001201377.2 linkc.591C>T p.Leu197Leu synonymous_variant Exon 7 of 18 NP_001188306.1
ALDH7A1NM_001202404.2 linkc.675C>T p.Leu225Leu synonymous_variant Exon 7 of 16 NP_001189333.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALDH7A1ENST00000409134.8 linkc.675C>T p.Leu225Leu synonymous_variant Exon 7 of 18 1 NM_001182.5 ENSP00000387123.3

Frequencies

GnomAD3 genomes
AF:
0.0184
AC:
2791
AN:
152026
Hom.:
83
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0547
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00532
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.0484
Gnomad SAS
AF:
0.0278
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.000383
Gnomad OTH
AF:
0.0130
GnomAD2 exomes
AF:
0.0121
AC:
3028
AN:
250542
AF XY:
0.0120
show subpopulations
Gnomad AFR exome
AF:
0.0573
Gnomad AMR exome
AF:
0.00293
Gnomad ASJ exome
AF:
0.0000996
Gnomad EAS exome
AF:
0.0548
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000458
Gnomad OTH exome
AF:
0.00834
GnomAD4 exome
AF:
0.00491
AC:
7177
AN:
1460950
Hom.:
184
Cov.:
30
AF XY:
0.00541
AC XY:
3929
AN XY:
726724
show subpopulations
African (AFR)
AF:
0.0567
AC:
1897
AN:
33440
American (AMR)
AF:
0.00343
AC:
153
AN:
44662
Ashkenazi Jewish (ASJ)
AF:
0.000153
AC:
4
AN:
26082
East Asian (EAS)
AF:
0.0365
AC:
1446
AN:
39644
South Asian (SAS)
AF:
0.0293
AC:
2521
AN:
86000
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53326
Middle Eastern (MID)
AF:
0.00661
AC:
38
AN:
5748
European-Non Finnish (NFE)
AF:
0.000349
AC:
388
AN:
1111716
Other (OTH)
AF:
0.0121
AC:
730
AN:
60332
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
318
636
953
1271
1589
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
130
260
390
520
650
<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:
0.0184
AC:
2795
AN:
152144
Hom.:
84
Cov.:
32
AF XY:
0.0178
AC XY:
1322
AN XY:
74400
show subpopulations
African (AFR)
AF:
0.0546
AC:
2267
AN:
41534
American (AMR)
AF:
0.00531
AC:
81
AN:
15258
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3468
East Asian (EAS)
AF:
0.0487
AC:
253
AN:
5190
South Asian (SAS)
AF:
0.0276
AC:
133
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10608
Middle Eastern (MID)
AF:
0.0204
AC:
6
AN:
294
European-Non Finnish (NFE)
AF:
0.000383
AC:
26
AN:
67956
Other (OTH)
AF:
0.0133
AC:
28
AN:
2102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
137
274
411
548
685
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
38
76
114
152
190
<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:
0.00813
Hom.:
46
Bravo
AF:
0.0212
Asia WGS
AF:
0.0610
AC:
210
AN:
3478
EpiCase
AF:
0.000654
EpiControl
AF:
0.000890

ClinVar

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

Submissions by phenotype

not specified Benign:5
-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 08, 2012
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
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. -

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

- -

Pyridoxine-dependent epilepsy Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 11, 2023
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Inborn genetic diseases Benign:1
Mar 21, 2016
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.34
CADD
Benign
9.1
DANN
Benign
0.73
PhyloP100
1.7
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs57902950; hg19: chr5-125911132; COSMIC: COSV107512038; COSMIC: COSV107512038; API