rs73404416
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate
The NM_000466.3(PEX1):c.1142C>T(p.Ala381Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000479 in 1,461,372 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A381D) has been classified as Likely benign.
Frequency
Consequence
NM_000466.3 missense
Scores
Clinical Significance
Conservation
Publications
- peroxisome biogenesis disorderInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- peroxisome biogenesis disorder 1A (Zellweger)Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health, Ambry Genetics
- Heimler syndrome 1Inheritance: AR Classification: STRONG, MODERATE Submitted by: PanelApp Australia, G2P, Ambry Genetics
- peroxisome biogenesis disorder 1BInheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
- Zellweger spectrum disordersInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| PEX1 | NM_000466.3 | c.1142C>T | p.Ala381Val | missense_variant | Exon 5 of 24 | ENST00000248633.9 | NP_000457.1 | |
| PEX1 | NM_001282677.2 | c.1142C>T | p.Ala381Val | missense_variant | Exon 5 of 23 | NP_001269606.1 | ||
| PEX1 | NM_001282678.2 | c.518C>T | p.Ala173Val | missense_variant | Exon 5 of 24 | NP_001269607.1 | ||
| PEX1 | XM_047420472.1 | c.1142C>T | p.Ala381Val | missense_variant | Exon 5 of 23 | XP_047276428.1 | 
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 251376 AF XY:  0.00000736   show subpopulations 
GnomAD4 exome  AF:  0.00000479  AC: 7AN: 1461372Hom.:  0  Cov.: 33 AF XY:  0.00000550  AC XY: 4AN XY: 727040 show subpopulations 
Age Distribution
GnomAD4 genome  
ClinVar
Submissions by phenotype
Zellweger spectrum disorders    Uncertain:1 
This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 381 of the PEX1 protein (p.Ala381Val). This variant is present in population databases (rs73404416, gnomAD 0.0009%). This variant has not been reported in the literature in individuals affected with PEX1-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt PEX1 protein function. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may create or strengthen a splice site. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at