rs74626221

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000027.4(AGA):​c.34G>T​(p.Val12Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0202 in 1,614,112 control chromosomes in the GnomAD database, including 415 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar.

Frequency

Genomes: 𝑓 0.015 ( 27 hom., cov: 32)
Exomes 𝑓: 0.021 ( 388 hom. )

Consequence

AGA
NM_000027.4 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:5

Conservation

PhyloP100: -1.74

Publications

5 publications found
Variant links:
Genes affected
AGA (HGNC:318): (aspartylglucosaminidase) This gene encodes a member of the N-terminal nucleophile (Ntn) hydrolase family of proteins. The encoded preproprotein is proteolytically processed to generate alpha and beta chains that comprise the mature enzyme. This enzyme is involved in the catabolism of N-linked oligosaccharides of glycoproteins. It cleaves asparagine from N-acetylglucosamines as one of the final steps in the lysosomal breakdown of glycoproteins. Mutations in this gene are associated with the lysosomal storage disease aspartylglycosaminuria that results in progressive neurodegeneration. Alternative splicing results in multiple transcript variants, at least one of which encodes an isoform that is subject to proteolytic processing. [provided by RefSeq, Nov 2015]
AGA-DT (HGNC:27730): (AGA divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0030047).
BP6
Variant 4-177442342-C-A is Benign according to our data. Variant chr4-177442342-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 188964.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.015 (2282/152348) while in subpopulation NFE AF = 0.0232 (1580/68028). AF 95% confidence interval is 0.0223. There are 27 homozygotes in GnomAd4. There are 1030 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 27 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AGANM_000027.4 linkc.34G>T p.Val12Leu missense_variant Exon 1 of 9 ENST00000264595.7 NP_000018.2 P20933

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AGAENST00000264595.7 linkc.34G>T p.Val12Leu missense_variant Exon 1 of 9 1 NM_000027.4 ENSP00000264595.2 P20933

Frequencies

GnomAD3 genomes
AF:
0.0150
AC:
2283
AN:
152230
Hom.:
27
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00403
Gnomad AMI
AF:
0.0899
Gnomad AMR
AF:
0.0177
Gnomad ASJ
AF:
0.0222
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00186
Gnomad FIN
AF:
0.00320
Gnomad MID
AF:
0.0380
Gnomad NFE
AF:
0.0232
Gnomad OTH
AF:
0.0239
GnomAD2 exomes
AF:
0.0144
AC:
3609
AN:
251166
AF XY:
0.0145
show subpopulations
Gnomad AFR exome
AF:
0.00481
Gnomad AMR exome
AF:
0.0117
Gnomad ASJ exome
AF:
0.0209
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00481
Gnomad NFE exome
AF:
0.0225
Gnomad OTH exome
AF:
0.0223
GnomAD4 exome
AF:
0.0208
AC:
30384
AN:
1461764
Hom.:
388
Cov.:
34
AF XY:
0.0205
AC XY:
14883
AN XY:
727194
show subpopulations
African (AFR)
AF:
0.00370
AC:
124
AN:
33476
American (AMR)
AF:
0.0127
AC:
567
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0209
AC:
547
AN:
26130
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39694
South Asian (SAS)
AF:
0.00428
AC:
369
AN:
86258
European-Finnish (FIN)
AF:
0.00537
AC:
287
AN:
53400
Middle Eastern (MID)
AF:
0.0251
AC:
145
AN:
5766
European-Non Finnish (NFE)
AF:
0.0244
AC:
27125
AN:
1111928
Other (OTH)
AF:
0.0202
AC:
1219
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
1811
3621
5432
7242
9053
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1018
2036
3054
4072
5090
<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:
0.0150
AC:
2282
AN:
152348
Hom.:
27
Cov.:
32
AF XY:
0.0138
AC XY:
1030
AN XY:
74498
show subpopulations
African (AFR)
AF:
0.00402
AC:
167
AN:
41586
American (AMR)
AF:
0.0177
AC:
271
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.0222
AC:
77
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00186
AC:
9
AN:
4830
European-Finnish (FIN)
AF:
0.00320
AC:
34
AN:
10628
Middle Eastern (MID)
AF:
0.0408
AC:
12
AN:
294
European-Non Finnish (NFE)
AF:
0.0232
AC:
1580
AN:
68028
Other (OTH)
AF:
0.0237
AC:
50
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
117
235
352
470
587
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
28
56
84
112
140
<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:
0.0201
Hom.:
108
Bravo
AF:
0.0158
TwinsUK
AF:
0.0243
AC:
90
ALSPAC
AF:
0.0249
AC:
96
ESP6500AA
AF:
0.00499
AC:
22
ESP6500EA
AF:
0.0260
AC:
224
ExAC
AF:
0.0144
AC:
1753
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.0274
EpiControl
AF:
0.0247

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Aspartylglucosaminuria Uncertain:1Benign:3
Sep 19, 2014
Counsyl
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:literature only

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

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

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Dec 02, 2019
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
Apr 25, 2017
Mayo Clinic Laboratories, Mayo Clinic
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Nov 27, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 11309371) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.061
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
0.20
DANN
Benign
0.65
DEOGEN2
Benign
0.087
T
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.033
N
LIST_S2
Benign
0.40
T
MetaRNN
Benign
0.0030
T
MetaSVM
Benign
-0.75
T
MutationAssessor
Benign
-0.71
N
PhyloP100
-1.7
PrimateAI
Benign
0.45
T
PROVEAN
Benign
0.17
N
REVEL
Benign
0.23
Sift
Benign
0.70
T
Sift4G
Benign
1.0
T
Polyphen
0.0020
B
Vest4
0.068
MutPred
0.79
Loss of sheet (P = 0.0011);
MPC
0.11
ClinPred
0.0061
T
GERP RS
-7.2
PromoterAI
0.026
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.040
gMVP
0.40
Mutation Taster
=95/5
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs74626221; hg19: chr4-178363496; COSMIC: COSV52806729; COSMIC: COSV52806729; API