rs9425753

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_018122.5(DARS2):​c.228-12C>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000204 in 1,370,658 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000014 ( 0 hom., cov: 30)
Exomes 𝑓: 0.000021 ( 0 hom. )

Consequence

DARS2
NM_018122.5 intron

Scores

2
Splicing: ADA: 0.001811
2

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: -0.138

Publications

4 publications found
Variant links:
Genes affected
DARS2 (HGNC:25538): (aspartyl-tRNA synthetase 2, mitochondrial) The protein encoded by this gene belongs to the class-II aminoacyl-tRNA synthetase family. It is a mitochondrial enzyme that specifically aminoacylates aspartyl-tRNA. Mutations in this gene are associated with leukoencephalopathy with brainstem and spinal cord involvement and lactate elevation (LBSL). [provided by RefSeq, Nov 2009]
DARS2 Gene-Disease associations (from GenCC):
  • leukoencephalopathy with brain stem and spinal cord involvement-high lactate syndrome
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P, Orphanet
  • mitochondrial disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.78).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DARS2NM_018122.5 linkc.228-12C>A intron_variant Intron 2 of 16 ENST00000649689.2 NP_060592.2 Q6PI48Q9H9J7
DARS2NM_001365212.1 linkc.228-12C>A intron_variant Intron 2 of 15 NP_001352141.1
DARS2NM_001365213.2 linkc.228-12C>A intron_variant Intron 2 of 13 NP_001352142.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DARS2ENST00000649689.2 linkc.228-12C>A intron_variant Intron 2 of 16 NM_018122.5 ENSP00000497569.1 Q6PI48

Frequencies

GnomAD3 genomes
AF:
0.0000136
AC:
2
AN:
147476
Hom.:
0
Cov.:
30
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:
0.000211
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000150
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000120
AC:
3
AN:
250472
AF XY:
0.0000148
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000265
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000213
AC:
26
AN:
1223182
Hom.:
0
Cov.:
30
AF XY:
0.0000130
AC XY:
8
AN XY:
614340
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30106
American (AMR)
AF:
0.00
AC:
0
AN:
41818
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20290
East Asian (EAS)
AF:
0.0000332
AC:
1
AN:
30118
South Asian (SAS)
AF:
0.0000734
AC:
6
AN:
81720
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
45708
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4852
European-Non Finnish (NFE)
AF:
0.0000207
AC:
19
AN:
919416
Other (OTH)
AF:
0.00
AC:
0
AN:
49154
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.533
Heterozygous variant carriers
0
2
3
5
6
8
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
AF:
0.0000136
AC:
2
AN:
147476
Hom.:
0
Cov.:
30
AF XY:
0.0000139
AC XY:
1
AN XY:
71794
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40548
American (AMR)
AF:
0.00
AC:
0
AN:
14694
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3396
East Asian (EAS)
AF:
0.000211
AC:
1
AN:
4734
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4370
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9792
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
302
European-Non Finnish (NFE)
AF:
0.0000150
AC:
1
AN:
66716
Other (OTH)
AF:
0.00
AC:
0
AN:
2018
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
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

Genome 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
Alfa
AF:
0.00
Hom.:
15

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Leukoencephalopathy with brain stem and spinal cord involvement-high lactate syndrome Uncertain:2
Jan 16, 2025
Broad Center for Mendelian Genomics, Broad Institute of MIT and Harvard
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:curation

The c.228-12C>A variant in DARS2 has been reported in 1 individual with leukoencephalopathy with brain stem and spinal cord involvement-high lactate syndrome (PMID: 21493805), and has been identified in 0.007% (6/86090) of South Asian chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP rs9425753). Although this variant has been seen in the general population in a heterozygous state, its frequency is low enough to be consistent with a recessive carrier frequency. This variant has also been reported in ClinVar (Variation ID: 1213670) and has been interpreted as a variant of uncertain significance by GeneDx and Invitae. This variant is located in the intron 2 splice region. This region of DARS2 is an established mutational hotspot and most individuals with LBSL have variants in this region (PMID: 24566671). Variants that occur in this intron 2 splice region are known to be leaky, which may explain some variability in disease phenotype (PMID: 24566671). In summary, the clinical significance of the c.228-12C>A variant is uncertain. ACMG/AMP Criteria applied: PM1_supporting, PM2_supporting (Richards 2015). -

Apr 11, 2023
Genome-Nilou Lab
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:2
Aug 17, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. ClinVar contains an entry for this variant (Variation ID: 1213670). This variant has been observed in individual(s) with leukoencephalopathy (PMID: 21493805). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. This variant is present in population databases (rs9425753, gnomAD 0.005%). This sequence change falls in intron 2 of the DARS2 gene. It does not directly change the encoded amino acid sequence of the DARS2 protein. -

Jul 20, 2025
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In silico analysis supports that this variant does not alter splicing; Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 21493805) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.78
CADD
Benign
0.77
DANN
Benign
0.67
PhyloP100
-0.14
Mutation Taster
=27/73
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0018
dbscSNV1_RF
Benign
0.096
SpliceAI score (max)
0.050
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: rs9425753; hg19: chr1-173797459; API