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NM_001080.3(ALDH5A1):c.1478A>G (p.Asn493Ser) AND Succinate-semialdehyde dehydrogenase deficiency

Germline classification:
Conflicting interpretations of pathogenicity (2 submissions)
Last evaluated:
Mar 8, 2021
Review status:
criteria provided, conflicting classifications
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000634939.6

Allele description [Variation Report for NM_001080.3(ALDH5A1):c.1478A>G (p.Asn493Ser)]

NM_001080.3(ALDH5A1):c.1478A>G (p.Asn493Ser)

Gene:
ALDH5A1:aldehyde dehydrogenase 5 family member A1 [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
6p22.3
Genomic location:
Preferred name:
NM_001080.3(ALDH5A1):c.1478A>G (p.Asn493Ser)
HGVS:
  • NC_000006.12:g.24533582A>G
  • NG_008161.1:g.43614A>G
  • NM_001080.3:c.1478A>GMANE SELECT
  • NM_001368954.1:c.1334A>G
  • NM_170740.1:c.1517A>G
  • NP_001071.1:p.Asn493Ser
  • NP_001355883.1:p.Asn445Ser
  • NP_733936.1:p.Asn506Ser
  • NC_000006.11:g.24533810A>G
Protein change:
N445S
Links:
dbSNP: rs776978579
NCBI 1000 Genomes Browser:
rs776978579
Molecular consequence:
  • NM_001080.3:c.1478A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001368954.1:c.1334A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_170740.1:c.1517A>G - missense variant - [Sequence Ontology: SO:0001583]
Functional consequence:
effect on protein interaction site [Variation Ontology: 0118]

Condition(s)

Name:
Succinate-semialdehyde dehydrogenase deficiency (SSADHD)
Synonyms:
4-hydroxybutyric aciduria; Gamma-hydroxybutyricaciduria
Identifiers:
MONDO: MONDO:0010083; MedGen: C0268631; Orphanet: 22; OMIM: 271980

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000756311Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Uncertain significance
(Oct 12, 2017)
germlineclinical testing

PubMed (1)
[See all records that cite this PMID]

SCV002820040Elsea Laboratory, Baylor College of Medicine
criteria provided, single submitter

(Martin et al. (J Child Neurol. 2021))
Likely pathogenic
(Mar 8, 2021)
germlinecuration

PubMed (3)
[See all records that cite these PMIDs]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineyesnot providednot providednot providednot providednot providedcuration
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria.

Nykamp K, Anderson M, Powers M, Garcia J, Herrera B, Ho YY, Kobayashi Y, Patil N, Thusberg J, Westbrook M; Invitae Clinical Genomics Group., Topper S.

Genet Med. 2017 Oct;19(10):1105-1117. doi: 10.1038/gim.2017.37. Epub 2017 May 11. Erratum in: Genet Med. 2020 Jan;22(1):240. doi: 10.1038/s41436-019-0624-9.

PubMed [citation]
PMID:
28492532
PMCID:
PMC5632818

Functional analysis of thirty-four suspected pathogenic missense variants in ALDH5A1 gene associated with succinic semialdehyde dehydrogenase deficiency.

Pop A, Smith DEC, Kirby T, Walters D, Gibson KM, Mahmoudi S, van Dooren SJM, Kanhai WA, Fernandez-Ojeda MR, Wever EJM, Koster J, Waterham HR, Grob B, Roos B, Wamelink MMC, Chen J, Natesan S, Salomons GS.

Mol Genet Metab. 2020 Jul;130(3):172-178. doi: 10.1016/j.ymgme.2020.04.004. Epub 2020 May 4.

PubMed [citation]
PMID:
32402538
See all PubMed Citations (4)

Details of each submission

From Labcorp Genetics (formerly Invitae), Labcorp, SCV000756311.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)

Description

This sequence change replaces asparagine with serine at codon 493 of the ALDH5A1 protein (p.Asn493Ser). The asparagine residue is highly conserved and there is a small physicochemical difference between asparagine and serine. This variant is present in population databases (rs776978579, ExAC 0.001%). This variant has not been reported in the literature in individuals with ALDH5A1-related disease. Algorithms developed to predict the effect of missense changes on protein structure and function do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). 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.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From Elsea Laboratory, Baylor College of Medicine, SCV002820040.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedcuration PubMed (3)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineyesnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Sep 29, 2024