VCV002584579.2 - ClinVar

NM_001110556.2(FLNA):c.382G>A (p.Ala128Thr)

Germline

Classification

The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.

(2)

Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.

Uncertain significance

criteria provided, single submitter

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NM_001110556.2(FLNA):c.382G>A (p.Ala128Thr)

Variation ID: 2584579 Accession: VCV002584579.2

Type and length

single nucleotide variant, 1 bp

Location

Cytogenetic: Xq28 X: 154368082 (GRCh38) [ NCBI UCSC ] X: 153596450 (GRCh37) [ NCBI UCSC ]

Timeline in ClinVar

	First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.	Last submission Help The date of the most recent submission for each type of classification for this variant.	Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline	Oct 21, 2023	Nov 25, 2023	Apr 3, 2023

HGVS

Nucleotide	Protein	Molecular consequence
NM_001110556.2:c.382G>A MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.	NP_001104026.1:p.Ala128Thr	missense
NM_001456.4:c.382G>A	NP_001447.2:p.Ala128Thr	missense
NC_000023.11:g.154368082C>T
NC_000023.10:g.153596450C>T
NG_011506.2:g.11557G>A
LRG_1340:g.11557G>A
LRG_1340t1:c.382G>A	LRG_1340p1:p.Ala128Thr

... more HGVS ... less HGVS

Protein change

A128T

Other names

Canonical SPDI

NC_000023.11:154368081:C:T

Functional consequence Help The effect of the variant on RNA or protein function, based on experimental evidence from submitters.

Global minor allele frequency (GMAF) Help The global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.

Allele frequency Help The frequency of the allele represented by this VCV record.

Links

VarSome

Genes

Gene	OMIM	ClinGen Gene Dosage Sensitivity Curation		Variation Viewer Help Links to Variation Viewer, a genome browser to view variation data from NCBI databases.	Related variants
Gene	OMIM	HI score Help The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.	TS score Help The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.		Within gene Help The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants.	All Help The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene.
FLNA		Sufficient evidence for dosage pathogenicity	No evidence available	GRCh38 GRCh37	3154	3595

Conditions - Germline

Condition Help The condition for this variant-condition (RCV) record in ClinVar.	Classification Help The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions)	Review status Help The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status.	Last evaluated Help The most recent date that a submitter evaluated this variant for the condition.	Variation/condition record Help The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page.
Cardiac valvular dysplasia, X-linked	Uncertain significance (2)	criteria provided, single submitter	Apr 3, 2023	RCV003336019.3

Submissions - Germline

Classification Help The submitted germline classification for each SCV record. (Last evaluated)	Review status Help Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria)	Condition Help The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant.	Submitter Help The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar.	More information Help This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter.
Uncertain significance (Apr 03, 2023)	criteria provided, single submitter (NYGC Assertion Criteria 2020) Method: clinical testing	Cardiac valvular dysplasia, X-linked Affected status: unknown Allele origin: germline	New York Genome Center Accession: SCV004046519.1 First in ClinVar: Oct 21, 2023 Last updated: Oct 21, 2023	Comment: The hemizygous c.382G>A p.(Ala128Thr) missense variant identified in the FLNA gene has not been reported in affected individuals in the literature or in the ClinVar … (more) The hemizygous c.382G>A p.(Ala128Thr) missense variant identified in the FLNA gene has not been reported in affected individuals in the literature or in the ClinVar database. However, a different missense variant [c.383C>T (p.Ala128Val)] affecting the same residue128 has been reported in a Spanish family in three females diagnosed with a connective tissue disorder suggestive of EDS type III and PNH [PMID:15994863]. The c.382G>A variant identified in this individual is absent in population databases (gnomAD v2.1.1 and v3.1.2, TOPMed Freeze 8), suggesting it is not a common benign variant in the populations represented in those databases. The c.382G>A variant is located in exon 3 of this 48-exon gene and is predicted to replace a highly conserved alanine residue with threonine at position 128 within the Calponin-homology (CH) 1 domain of the encoded protein [PMID:30089473]. In silico predictions are in favor of the variant’s damaging effect [REVEL =0.81]; however, functional studies to support or refute these predictions have not been reported. Due to the lack of inheritance information of this variant in the proband, and due to the lack of compelling evidence for the variant pathogenicity, the hemizygous c.382G>A p.(Ala128Thr) missense variant identified in the FLNA gene is reported as a Variant of Uncertain Significance. (less) Clinical Features: Aortopathy (present) , Ehlers Danlos Syndrome (present) Secondary finding: no
Likely pathogenic (Sep 14, 2022)	no assertion criteria provided Method: clinical testing	Cardiac valvular dysplasia, X-linked Affected status: yes Allele origin: germline	Clinical Genetics Laboratory, University Hospital Schleswig-Holstein Accession: SCV004167610.1 First in ClinVar: Nov 25, 2023 Last updated: Nov 25, 2023

Comment:

The hemizygous c.382G>A p.(Ala128Thr) missense variant identified in the FLNA gene has not been reported in affected individuals in the literature or in the ClinVar database. However, a different missense variant [c.383C>T (p.Ala128Val)] affecting the same residue128 has been reported in a Spanish family in three females diagnosed with a connective tissue disorder suggestive of EDS type III and PNH [PMID:15994863]. The c.382G>A variant identified in this individual is absent in population databases (gnomAD v2.1.1 and v3.1.2, TOPMed Freeze 8), suggesting it is not a common benign variant in the populations represented in those databases. The c.382G>A variant is located in exon 3 of this 48-exon gene and is predicted to replace a highly conserved alanine residue with threonine at position 128 within the Calponin-homology (CH) 1 domain of the encoded protein [PMID:30089473]. In silico predictions are in favor of the variant’s damaging effect [REVEL =0.81]; however, functional studies to support or refute these predictions have not been reported. Due to the lack of inheritance information of this variant in the proband, and due to the lack of compelling evidence for the variant pathogenicity, the hemizygous c.382G>A p.(Ala128Thr) missense variant identified in the FLNA gene is reported as a Variant of Uncertain Significance.

Germline Functional Evidence

There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Comment:

Citations for germline classification of this variant

There are no citations for germline classification of this variant in ClinVar. If you know of citations for this variation, please consider submitting that information to ClinVar.

Text-mined citations for this variant ...

Record last updated Jun 23, 2024

ClinVar Genomic variation as it relates to human health

NM_001110556.2(FLNA):c.382G>A (p.Ala128Thr)

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for this variant ...