rs757130394

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_ModerateBS1BS2

The NM_014946.4(SPAST):​c.1417C>A​(p.Gln473Lys) variant causes a missense change. The variant allele was found at a frequency of 0.0000353 in 1,613,012 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000038 ( 2 hom. )

Consequence

SPAST
NM_014946.4 missense

Scores

2
5
12

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 7.00
Variant links:
Genes affected
SPAST (HGNC:11233): (spastin) This gene encodes a member of the AAA (ATPases associated with a variety of cellular activities) protein family. Members of this protein family share an ATPase domain and have roles in diverse cellular processes including membrane trafficking, intracellular motility, organelle biogenesis, protein folding, and proteolysis. The use of alternative translational initiation sites in this gene results in a single transcript variant that can produce isoforms that differ in the length of their N-terminus and which thereby differ in the efficiency of their export from the nucleus to the cytoplasm. In addition, alternative splicing results in multiple transcript variants that encode isoforms that differ in other protein regions as well. One isoform of this gene has been shown to be a microtubule-severing enzyme that regulates microtubule abundance, mobility, and plus-end distribution. Mutations in this gene cause the most frequent form of autosomal dominant spastic paraplegia 4. [provided by RefSeq, May 2018]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10226151).
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.0000383 (56/1460846) while in subpopulation SAS AF= 0.000649 (56/86242). AF 95% confidence interval is 0.000513. There are 2 homozygotes in gnomad4_exome. There are 46 alleles in male gnomad4_exome subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High AC in GnomAdExome4 at 56 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SPASTNM_014946.4 linkc.1417C>A p.Gln473Lys missense_variant Exon 12 of 17 ENST00000315285.9 NP_055761.2 Q9UBP0-1E5KRP5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SPASTENST00000315285.9 linkc.1417C>A p.Gln473Lys missense_variant Exon 12 of 17 1 NM_014946.4 ENSP00000320885.3 Q9UBP0-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152166
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000955
AC:
24
AN:
251190
Hom.:
0
AF XY:
0.000169
AC XY:
23
AN XY:
135748
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000784
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000383
AC:
56
AN:
1460846
Hom.:
2
Cov.:
31
AF XY:
0.0000633
AC XY:
46
AN XY:
726836
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000649
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152166
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74336
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.000148
AC:
18

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Benign:1
Feb 24, 2025
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: SPAST c.1417C>A (p.Gln473Lys) results in a conservative amino acid change located in the AAA+ ATPase domain (IPR003593) of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 3.5e-05 in 1606024 control chromosomes, predominantly at a frequency of 0.00063 within the South Asian subpopulation in the gnomAD database, including 2 homozygotes. To our knowledge, no occurrence of c.1417C>A in individuals affected with Spastic Paraplegia 4, Autosomal Dominant and no experimental evidence demonstrating its impact on protein function have been reported. No submitters have cited clinical-significance assessments for this variant to ClinVar. Based on the evidence outlined above, the variant was classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.27
BayesDel_addAF
Benign
-0.044
T
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
25
DANN
Benign
0.77
DEOGEN2
Benign
0.41
T;T;.;.;.;.;.;.
Eigen
Benign
-0.054
Eigen_PC
Benign
0.16
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
.;D;D;.;D;D;D;D
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.10
T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.085
T
MutationAssessor
Benign
-0.30
N;N;.;.;.;.;.;.
PrimateAI
Pathogenic
0.79
T
PROVEAN
Benign
-0.97
N;.;N;.;.;.;.;.
REVEL
Uncertain
0.56
Sift
Benign
0.95
T;.;T;.;.;.;.;.
Sift4G
Benign
0.93
T;T;T;.;.;.;.;.
Polyphen
0.17
B;B;.;.;.;.;.;.
Vest4
0.66
MutPred
0.41
Gain of ubiquitination at Q473 (P = 0.0121);Gain of ubiquitination at Q473 (P = 0.0121);.;.;.;.;.;.;
MVP
0.92
MPC
1.9
ClinPred
0.16
T
GERP RS
5.4
Varity_R
0.59
gMVP
0.89

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs757130394; hg19: chr2-32362181; API