rs770058864

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_001627.4(ALCAM):​c.55G>A​(p.Ala19Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,708 control chromosomes in the GnomAD database, with no homozygous occurrence. 14/22 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. A19P) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

ALCAM
NM_001627.4 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.65

Publications

1 publications found
Variant links:
Genes affected
ALCAM (HGNC:400): (activated leukocyte cell adhesion molecule) This gene encodes activated leukocyte cell adhesion molecule (ALCAM), also known as CD166 (cluster of differentiation 166), which is a member of a subfamily of immunoglobulin receptors with five immunoglobulin-like domains (VVC2C2C2) in the extracellular domain. This protein binds to T-cell differentiation antigene CD6, and is implicated in the processes of cell adhesion and migration. Multiple alternatively spliced transcript variants encoding different isoforms have been found. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALCAMNM_001627.4 linkc.55G>A p.Ala19Thr missense_variant Exon 1 of 16 ENST00000306107.9 NP_001618.2 Q13740-1
ALCAMNM_001243280.2 linkc.55G>A p.Ala19Thr missense_variant Exon 1 of 15 NP_001230209.1 Q13740-2
ALCAMNM_001243281.2 linkc.55G>A p.Ala19Thr missense_variant Exon 1 of 14 NP_001230210.1 B3KNN9
ALCAMNM_001243283.2 linkc.55G>A p.Ala19Thr missense_variant Exon 1 of 3 NP_001230212.1 Q13740-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALCAMENST00000306107.9 linkc.55G>A p.Ala19Thr missense_variant Exon 1 of 16 1 NM_001627.4 ENSP00000305988.5 Q13740-1
ALCAMENST00000472644.6 linkc.55G>A p.Ala19Thr missense_variant Exon 1 of 15 1 ENSP00000419236.2 Q13740-2
ALCAMENST00000470756.5 linkn.546G>A non_coding_transcript_exon_variant Exon 1 of 3 1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000402
AC:
1
AN:
248818
AF XY:
0.00000742
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461708
Hom.:
0
Cov.:
30
AF XY:
0.00000138
AC XY:
1
AN XY:
727184
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33476
American (AMR)
AF:
0.00
AC:
0
AN:
44710
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26124
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39686
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53406
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111900
Other (OTH)
AF:
0.00
AC:
0
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Apr 10, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.55G>A (p.A19T) alteration is located in exon 1 (coding exon 1) of the ALCAM gene. This alteration results from a G to A substitution at nucleotide position 55, causing the alanine (A) at amino acid position 19 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.21
T;.
Eigen
Benign
0.0010
Eigen_PC
Benign
-0.027
FATHMM_MKL
Benign
0.23
N
LIST_S2
Benign
0.76
T;T
M_CAP
Benign
0.052
D
MetaRNN
Uncertain
0.60
D;D
MetaSVM
Benign
-0.61
T
MutationAssessor
Benign
1.9
L;L
PhyloP100
2.6
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-1.3
N;N
REVEL
Benign
0.29
Sift
Benign
0.055
T;T
Sift4G
Benign
0.066
T;T
Polyphen
1.0
D;.
Vest4
0.30
MutPred
0.76
Loss of stability (P = 0.0914);Loss of stability (P = 0.0914);
MVP
0.53
MPC
0.34
ClinPred
0.15
T
GERP RS
4.2
PromoterAI
-0.036
Neutral
Varity_R
0.056
gMVP
0.55
Mutation Taster
=76/24
polymorphism

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

Other links and lift over

dbSNP: rs770058864; hg19: chr3-105086307; API