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NM_000478.6(ALPL):c.299_300insT (p.Tyr101fs)

Germline
Classification
Pathogenic
This classification is based on the single submission received Help

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.

1
Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NM_000478.6(ALPL):c.299_300insT (p.Tyr101fs)

Variation ID: 2762389 Accession: VCV002762389.2

Type and length

Insertion, 1 bp

Location

Cytogenetic: 1p36.12 1: 21563111-21563112 (GRCh38) [ NCBI UCSC ] 1: 21889604-21889605 (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 Feb 14, 2024 Mar 4, 2025 Sep 21, 2023
HGVS
Nucleotide Protein Molecular
consequence
NM_000478.6:c.299_300insT MANE Select Help

Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.

NP_000469.3:p.Tyr101fs frameshift
NM_001127501.4:c.134_135insT NP_001120973.2:p.Tyr46fs frameshift
NM_001177520.3:c.68_69insT NP_001170991.1:p.Tyr24fs frameshift
NM_001369803.2:c.299_300insT NP_001356732.1:p.Tyr101fs frameshift
NM_001369804.2:c.299_300insT NP_001356733.1:p.Tyr101fs frameshift
NM_001369805.2:c.299_300insT NP_001356734.1:p.Tyr101fs frameshift
NC_000001.11:g.21563111_21563112insT
NC_000001.10:g.21889604_21889605insT
NG_008940.1:g.58747_58748insT
NG_008940.2:g.59129_59130insT
... more HGVS ... less HGVS
Protein change
Y101fs, Y46fs, Y24fs
Other names
-
Canonical SPDI
NC_000001.11:21563111::T
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

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
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.

ALPL - - GRCh38
GRCh37
1530 1546

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.

Pathogenic (1)
criteria provided, single submitter
Sep 21, 2023 RCV003570050.3

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.

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.

Pathogenic
(Sep 21, 2023)
C
Contributing to aggregate classification
criteria provided, single submitter
not provided Labcorp Genetics (formerly Invitae), Labcorp
Accession: SCV004325561.2
First in ClinVar: Feb 14, 2024
Last updated: Mar 04, 2025
Publications:
PubMed (4)
PubMed: 3174660106799463297334433814268
Comment:
This sequence change creates a premature translational stop signal (p.Tyr101Valfs*9) in the ALPL gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in ALPL are known to be pathogenic (PMID: 3174660, 10679946, 32973344, 33814268). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with ALPL-related conditions. For these reasons, this variant has been classified as Pathogenic.
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: unknown

Observation 1

Collection method: clinical testing
Allele origin: germline
Affected status: unknown

Citations for germline classification of this variant

Help
Title Author Journal Year Link
Investigation of ALPL variant states and clinical outcomes: An analysis of adults and adolescents with hypophosphatasia treated with asfotase alfa. Kishnani PS Molecular genetics and metabolism 2021 PMID: 33814268
Hypophosphatasia: a genetic-based nosology and new insights in genotype-phenotype correlation. Mornet E European journal of human genetics : EJHG 2021 PMID: 32973344
Fifteen new mutations (-195C>T, L-12X, 298-2A>G, T117N, A159T, R229S, 997+2T>A, E274X, A331T, H364R, D389G, 1256delC, R433H, N461I, C472S) in the tissue-nonspecific alkaline phosphatase (TNSALP) gene in patients with hypophosphatasia. Taillandier A Human mutation 2000 PMID: 10679946
A missense mutation in the human liver/bone/kidney alkaline phosphatase gene causing a lethal form of hypophosphatasia. Weiss MJ Proceedings of the National Academy of Sciences of the United States of America 1988 PMID: 3174660

Text-mined citations for rs2545298399 ...

Help
These citations are identified by LitVar using the rs number, so they may include citations for more than one variant at this location. Please review the LitVar results carefully for your variant of interest.

Record last updated May 19, 2025

This date represents the last time this VCV record was updated. The update may be due to an update to one of the included submitted records (SCVs), or due to an update that ClinVar made to the variant such as adding HGVS expressions or a rs number. So this date may be different from the date of the "most recent submission" reported at the top of this page.

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