rs74923032

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBS1BS2

The NM_054012.4(ASS1):​c.766G>A​(p.Glu256Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00171 in 1,613,998 control chromosomes in the GnomAD database, including 41 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0086 ( 16 hom., cov: 33)
Exomes 𝑓: 0.00099 ( 25 hom. )

Consequence

ASS1
NM_054012.4 missense

Scores

1
6
11

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 7.00
Variant links:
Genes affected
ASS1 (HGNC:758): (argininosuccinate synthase 1) The protein encoded by this gene catalyzes the penultimate step of the arginine biosynthetic pathway. There are approximately 10 to 14 copies of this gene including the pseudogenes scattered across the human genome, among which the one located on chromosome 9 appears to be the only functional gene for argininosuccinate synthetase. Mutations in the chromosome 9 copy of this gene cause citrullinemia. Two transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Aug 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 4 uncertain in NM_054012.4
BP4
Computational evidence support a benign effect (MetaRNN=0.009927303).
BP6
Variant 9-130479793-G-A is Benign according to our data. Variant chr9-130479793-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 235312.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00859 (1309/152334) while in subpopulation AFR AF= 0.0294 (1223/41578). AF 95% confidence interval is 0.028. There are 16 homozygotes in gnomad4. There are 624 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 16 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ASS1NM_054012.4 linkuse as main transcriptc.766G>A p.Glu256Lys missense_variant 10/15 ENST00000352480.10
ASS1NM_000050.4 linkuse as main transcriptc.766G>A p.Glu256Lys missense_variant 11/16

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ASS1ENST00000352480.10 linkuse as main transcriptc.766G>A p.Glu256Lys missense_variant 10/151 NM_054012.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00859
AC:
1307
AN:
152216
Hom.:
16
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0295
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00379
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000162
Gnomad OTH
AF:
0.00621
GnomAD3 exomes
AF:
0.00220
AC:
554
AN:
251460
Hom.:
8
AF XY:
0.00167
AC XY:
227
AN XY:
135918
show subpopulations
Gnomad AFR exome
AF:
0.0290
Gnomad AMR exome
AF:
0.00165
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000106
Gnomad OTH exome
AF:
0.00163
GnomAD4 exome
AF:
0.000993
AC:
1452
AN:
1461664
Hom.:
25
Cov.:
32
AF XY:
0.000857
AC XY:
623
AN XY:
727166
show subpopulations
Gnomad4 AFR exome
AF:
0.0311
Gnomad4 AMR exome
AF:
0.00217
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000928
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.000137
Gnomad4 OTH exome
AF:
0.00224
GnomAD4 genome
AF:
0.00859
AC:
1309
AN:
152334
Hom.:
16
Cov.:
33
AF XY:
0.00838
AC XY:
624
AN XY:
74490
show subpopulations
Gnomad4 AFR
AF:
0.0294
Gnomad4 AMR
AF:
0.00379
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000162
Gnomad4 OTH
AF:
0.00614
Alfa
AF:
0.00161
Hom.:
3
Bravo
AF:
0.00999
ESP6500AA
AF:
0.0306
AC:
135
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00278
AC:
337
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000178

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Citrullinemia type I Benign:2
Benign, no assertion criteria providedclinical testingNatera, Inc.Apr 13, 2020- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxFeb 11, 2016This 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. -
Citrullinemia Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsFeb 11, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Uncertain
-0.030
CADD
Uncertain
24
DANN
Benign
0.95
DEOGEN2
Pathogenic
0.83
D;D;D
Eigen
Benign
-0.20
Eigen_PC
Benign
-0.036
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.90
.;.;D
MetaRNN
Benign
0.0099
T;T;T
MetaSVM
Uncertain
0.30
D
MutationAssessor
Benign
0.67
N;N;N
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.6
N;N;N
REVEL
Uncertain
0.49
Sift
Benign
0.48
T;T;T
Sift4G
Benign
0.59
T;T;T
Polyphen
0.0040
B;B;B
Vest4
0.46
MVP
0.95
MPC
0.30
ClinPred
0.017
T
GERP RS
4.9
Varity_R
0.38
gMVP
0.82

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs74923032; hg19: chr9-133355180; COSMIC: COSV61689967; COSMIC: COSV61689967; API