ClinVar Genomic variation as it relates to human health
NM_000021.4(PSEN1):c.1292C>A (p.Ala431Glu)
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.
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.
No data submitted for somatic clinical impact
No data submitted for oncogenicity
Variant Details
- Identifiers
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NM_000021.4(PSEN1):c.1292C>A (p.Ala431Glu)
Variation ID: 18155 Accession: VCV000018155.26
- Type and length
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single nucleotide variant, 1 bp
- Location
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Cytogenetic: 14q24.2 14: 73219177 (GRCh38) [ NCBI UCSC ] 14: 73685885 (GRCh37) [ NCBI UCSC ]
- Timeline in ClinVar
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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 Apr 4, 2013 Jun 9, 2024 Feb 19, 2024 - HGVS
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Nucleotide Protein Molecular
consequenceNM_000021.4:c.1292C>A MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.
NP_000012.1:p.Ala431Glu missense NM_007318.3:c.1280C>A NP_015557.2:p.Ala427Glu missense NC_000014.9:g.73219177C>A NC_000014.8:g.73685885C>A NG_007386.2:g.87707C>A LRG_224:g.87707C>A LRG_224t1:c.1292C>A LRG_224p1:p.Ala431Glu P49768:p.Ala431Glu - Protein change
- A431E, A427E
- Other names
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- Canonical SPDI
- NC_000014.9:73219176:C:A
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Functional
consequence HelpThe effect of the variant on RNA or protein function, based on experimental evidence from submitters.
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Global minor allele
frequency (GMAF) HelpThe 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.
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Allele frequency
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The frequency of the allele represented by this VCV record.
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Trans-Omics for Precision Medicine (TOPMed) 0.00001
- Links
Genes
Gene | OMIM | ClinGen Gene Dosage Sensitivity Curation |
Variation Viewer
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Links to Variation Viewer, a genome browser to view variation data from NCBI databases. |
Related variants | ||
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HI score
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The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
TS score
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The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
Within gene
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The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants. |
All
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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. |
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PSEN1 | - | - |
GRCh38 GRCh37 |
529 | 546 |
Conditions - Germline
Condition
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The condition for this variant-condition (RCV) record in ClinVar. |
Classification
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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
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The most recent date that a submitter evaluated this variant for the condition. |
Variation/condition record
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The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page. |
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Pathogenic (4) |
criteria provided, multiple submitters, no conflicts
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Feb 19, 2024 | RCV000019785.41 | |
Pathogenic (1) |
criteria provided, single submitter
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Jan 5, 2024 | RCV000640606.17 | |
Pathogenic (4) |
criteria provided, multiple submitters, no conflicts
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Dec 19, 2023 | RCV000517533.22 |
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
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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
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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. |
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Pathogenic
(Sep 10, 2023)
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criteria provided, single submitter
Method: clinical testing
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Not Provided
Affected status: yes
Allele origin:
germline
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GeneDx
Accession: SCV001811424.2
First in ClinVar: Sep 08, 2021 Last updated: Sep 22, 2023 |
Comment:
Published functional studies demonstrate a damaging effect (Nelson et al., 2010; Sun et al., 2017); In silico analysis supports that this missense variant has a … (more)
Published functional studies demonstrate a damaging effect (Nelson et al., 2010; Sun et al., 2017); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 27614114, 20634584, 20145736, 27930341, 26756738, 30716424, 11524469, 16628450, 16801675, 16897084, 31884479, 33274538) (less)
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Pathogenic
(Oct 30, 2023)
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criteria provided, single submitter
Method: clinical testing
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not provided
Affected status: unknown
Allele origin:
germline
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ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Accession: SCV002048085.2
First in ClinVar: Jan 08, 2022 Last updated: Feb 20, 2024 |
Comment:
The PSEN1 c.1292C>A; p.Ala431Glu (rs63750083) variant is reported in the literature in several individuals and families with Alzheimer's disease (Parker 2019, Portelius 2010, Soosman 2016) … (more)
The PSEN1 c.1292C>A; p.Ala431Glu (rs63750083) variant is reported in the literature in several individuals and families with Alzheimer's disease (Parker 2019, Portelius 2010, Soosman 2016) and is implicated as a founder variant in individuals from Jalisco state in Mexico (Murrell 2006). The variant is reported in the ClinVar database as pathogenic by several sources (Variation ID: 18155) but is absent from the Genome Aggregation Database, indicating it is not a common polymorphism. The alanine at codon 431 is highly conserved, and computational analyses predict that this variant is deleterious (REVEL: 0.946). Functional studies indicate this variant inhibits gamma secretase activity and impair its function as a calcium leak channel (Nelson 2010, Sun 2017). Based on available information, this variant is classified as pathogenic. References: Murrell J et al. The A431E mutation in PSEN1 causing familial Alzheimer's disease originating in Jalisco State, Mexico: an additional fifteen families. Neurogenetics. 2006 Nov;7(4):277-9. Nelson O et al. Familial Alzheimer's disease mutations in presenilins: effects on endoplasmic reticulum calcium homeostasis and correlation with clinical phenotypes. J Alzheimers Dis. 2010;21(3):781-93. Parker J et al. Homozygosity for the A431E mutation in PSEN1 presenting with a relatively aggressive phenotype. Neurosci Lett. 2019 Apr 23;699:195-198. Portelius E et al. Distinct cerebrospinal fluid amyloid beta peptide signatures in sporadic and PSEN1 A431E-associated familial Alzheimer's disease. Mol Neurodegener. 2010 Jan 14;5:2. Soosman SK et al. Widespread white matter and conduction defects in PSEN1-related spastic paraparesis. Neurobiol Aging. 2016 Nov;47:201-209. Sun L et al. Analysis of 138 pathogenic mutations in presenilin-1 on the in vitro production of AB42 and AB40 peptides by gamma-secretase. Proc Natl Acad Sci U S A. 2017 Jan 24;114(4):E476-E485. (less)
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Pathogenic
(Jan 05, 2024)
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criteria provided, single submitter
Method: clinical testing
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Alzheimer disease 3
Pick disease Acne inversa, familial, 3 Frontotemporal dementia
Explanation for multiple conditions: Uncertain.
The variant was classified for several related diseases, possibly a spectrum of disease; the variant may be associated with one or more the diseases.
Affected status: unknown
Allele origin:
germline
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Labcorp Genetics (formerly Invitae), Labcorp
Accession: SCV000762200.8
First in ClinVar: May 28, 2018 Last updated: Feb 28, 2024 |
Comment:
This sequence change replaces alanine, which is neutral and non-polar, with glutamic acid, which is acidic and polar, at codon 431 of the PSEN1 protein … (more)
This sequence change replaces alanine, which is neutral and non-polar, with glutamic acid, which is acidic and polar, at codon 431 of the PSEN1 protein (p.Ala431Glu). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with autosomal dominant Alzheimer disease (PMID: 16628450, 16897084). It is commonly reported in individuals of Mexican ancestry (PMID: 16628450, 16897084). ClinVar contains an entry for this variant (Variation ID: 18155). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt PSEN1 protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects PSEN1 function (PMID: 20145736, 20634584, 21373759, 27930341). For these reasons, this variant has been classified as Pathogenic. (less)
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Pathogenic
(Feb 19, 2024)
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criteria provided, single submitter
Method: clinical testing
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Alzheimer disease 3
Affected status: unknown
Allele origin:
unknown
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Baylor Genetics
Accession: SCV005049466.1
First in ClinVar: Jun 09, 2024 Last updated: Jun 09, 2024 |
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Pathogenic
(Mar 08, 2022)
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criteria provided, single submitter
Method: clinical testing
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Alzheimer disease 3
Affected status: unknown
Allele origin:
germline
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Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Accession: SCV002500189.1
First in ClinVar: Apr 23, 2022 Last updated: Apr 23, 2022 |
Comment:
Variant summary: PSEN1 c.1292C>A (p.Ala431Glu) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging … (more)
Variant summary: PSEN1 c.1292C>A (p.Ala431Glu) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant was absent in 251436 control chromosomes. c.1292C>A has been widely reported in the literature in multiple individuals affected with Alzheimer Disease, Type 3 and is regarded as a founder variant of Mexican origin (example, Murrell_2006). These data indicate that the variant is very likely to be associated with disease. At least two publications report experimental evidence evaluating an impact on protein function demonstrating a modulation of the gamma secretase activity and an increased ratio of long A-beta APP (amyloid precursor protein) cleavage fragments over shorter ones, exemplified by the ratio of A-beta42 over A-beta 40, consistent with the established pathophysiology of disease (example, Portelius_2010, Sun_2017). Five clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. (less)
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Pathogenic
(May 16, 2022)
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criteria provided, single submitter
Method: clinical testing
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not provided
Affected status: unknown
Allele origin:
unknown
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Athena Diagnostics
Accession: SCV000614819.3
First in ClinVar: Dec 19, 2017 Last updated: Dec 31, 2022 |
Comment:
This variant has been identified in multiple unrelated individuals with autosomal dominant Alzheimer disease and is considered the most common cause of Alzheimer disease among … (more)
This variant has been identified in multiple unrelated individuals with autosomal dominant Alzheimer disease and is considered the most common cause of Alzheimer disease among individuals of Mexican ancestry (PMID: 16628450, 16897084, 33274538). This variant has not been reported in large, multi-ethnic general populations. (Genome Aggregation Database (gnomAD), Cambridge, MA (URL: http://gnomad.broadinstitute.org)) At least one other missense variant at this codon is considered to be pathogenic or likely pathogenic, suggesting this variant may also cause disease. Assessment of experimental evidence suggests this variant results in abnormal protein function. A study shows this variant results in increased amyloid-beta 42 peptide production (PMID: 27930341). (less)
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Pathogenic
(Dec 19, 2023)
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criteria provided, single submitter
Method: clinical testing
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not provided
Affected status: unknown
Allele origin:
germline
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Revvity Omics, Revvity
Accession: SCV002024760.3
First in ClinVar: Nov 29, 2021 Last updated: Feb 04, 2024 |
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Pathogenic
(Nov 01, 2006)
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no assertion criteria provided
Method: literature only
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ALZHEIMER DISEASE, FAMILIAL, 3
Affected status: not provided
Allele origin:
germline
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OMIM
Accession: SCV000040083.3
First in ClinVar: Apr 04, 2013 Last updated: May 15, 2017 |
Comment on evidence:
In affected members of 9 Mexican families with early-onset Alzheimer disease-3 (AD3; 607822), Yescas et al. (2006) identified a heterozygous mutation in exon 12 of … (more)
In affected members of 9 Mexican families with early-onset Alzheimer disease-3 (AD3; 607822), Yescas et al. (2006) identified a heterozygous mutation in exon 12 of the PSEN1 gene, resulting in an ala431-to-glu (A431E) substitution. The A431E mutation was found in 19 (32%) of 60 apparently unaffected family members, suggesting either a presymptomatic state or reduced penetrance. All families were from the state of Jalisco in western Mexico, and haplotype analysis indicated a founder effect. The A431E mutation was not identified in 100 control individuals. Murrell et al. (2006) found the A431E mutation in 20 individuals with AD3 from 15 families identified in Guadalajara, southern California, and Chicago. Age at disease onset ranged from 33 to 44 years, and spasticity was a common clinical feature. Fourteen families were of Mexican mestizo descent, and of these families, 9 could trace the illness to ancestors from the state of Jalisco in Mexico. The remaining proband had a more remote Mexican ancestry. The findings further supported a founder effect for the A431E mutation. (less)
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not provided
(-)
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no classification provided
Method: literature only
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Alzheimer disease 3
Affected status: not provided
Allele origin:
unknown
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GeneReviews
Accession: SCV000040381.2
First in ClinVar: Apr 04, 2013 Last updated: Oct 01, 2022 |
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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. |
Citations for germline classification of this variant
HelpTitle | Author | Journal | Year | Link |
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Autosomal dominant early onset Alzheimer's disease in the Mexican state of Jalisco: High frequency of the mutation PSEN1 c.1292C>A and phenotypic profile of patients. | Dumois-Petersen S | American journal of medical genetics. Part C, Seminars in medical genetics | 2020 | PMID: 33274538 |
Dedifferentiation and neuronal repression define familial Alzheimer's disease. | Caldwell AB | Science advances | 2020 | PMID: 33188013 |
Homozygosity for the A431E mutation in PSEN1 presenting with a relatively aggressive phenotype. | Parker J | Neuroscience letters | 2019 | PMID: 30716424 |
Analysis of 138 pathogenic mutations in presenilin-1 on the in vitro production of Aβ42 and Aβ40 peptides by γ-secretase. | Sun L | Proceedings of the National Academy of Sciences of the United States of America | 2017 | PMID: 27930341 |
Widespread white matter and conduction defects in PSEN1-related spastic paraparesis. | Soosman SK | Neurobiology of aging | 2016 | PMID: 27614114 |
Quantitative interaction proteomics of neurodegenerative disease proteins. | Hosp F | Cell reports | 2015 | PMID: 25959826 |
Subjects harboring presenilin familial Alzheimer's disease mutations exhibit diverse white matter biochemistry alterations. | Roher AE | American journal of neurodegenerative disease | 2013 | PMID: 24093083 |
Conformation-dependent oligomers in cerebrospinal fluid of presymptomatic familial Alzheimer's disease mutation carriers. | Ringman JM | Dementia and geriatric cognitive disorders extra | 2012 | PMID: 23341831 |
Plasma signaling proteins in persons at genetic risk for Alzheimer disease: influence of APOE genotype. | Ringman JM | Archives of neurology | 2012 | PMID: 22689192 |
Early-Onset Familial Alzheimer Disease – RETIRED CHAPTER, FOR HISTORICAL REFERENCE ONLY. | Adam MP | - | 2012 | PMID: 20301414 |
Cortical and hippocampal atrophy in patients with autosomal dominant familial Alzheimer's disease. | Apostolova LG | Dementia and geriatric cognitive disorders | 2011 | PMID: 21952501 |
Alzheimer disease-related presenilin-1 variants exert distinct effects on monoamine oxidase-A activity in vitro. | Pennington PR | Journal of neural transmission (Vienna, Austria : 1996) | 2011 | PMID: 21373759 |
Effects of risk genes on BOLD activation in presymptomatic carriers of familial Alzheimer's disease mutations during a novelty encoding task. | Ringman JM | Cerebral cortex (New York, N.Y. : 1991) | 2011 | PMID: 20729396 |
Familial Alzheimer's disease mutations in presenilins: effects on endoplasmic reticulum calcium homeostasis and correlation with clinical phenotypes. | Nelson O | Journal of Alzheimer's disease : JAD | 2010 | PMID: 20634584 |
Distinct cerebrospinal fluid amyloid beta peptide signatures in sporadic and PSEN1 A431E-associated familial Alzheimer's disease. | Portelius E | Molecular neurodegeneration | 2010 | PMID: 20145736 |
Caspase-6 activation in familial alzheimer disease brains carrying amyloid precursor protein or presenilin i or presenilin II mutations. | Albrecht S | Journal of neuropathology and experimental neurology | 2009 | PMID: 19915487 |
Mutant presenilin 1 increases the expression and activity of BACE1. | Giliberto L | The Journal of biological chemistry | 2009 | PMID: 19196715 |
Histopathological and molecular heterogeneity among individuals with dementia associated with Presenilin mutations. | Maarouf CL | Molecular neurodegeneration | 2008 | PMID: 19021905 |
The A431E mutation in PSEN1 causing familial Alzheimer's disease originating in Jalisco State, Mexico: an additional fifteen families. | Murrell J | Neurogenetics | 2006 | PMID: 16897084 |
Founder effect for the Ala431Glu mutation of the presenilin 1 gene causing early-onset Alzheimer's disease in Mexican families. | Yescas P | Neurogenetics | 2006 | PMID: 16628450 |
Neuropsychological function in nondemented carriers of presenilin-1 mutations. | Ringman JM | Neurology | 2005 | PMID: 16116115 |
Female preclinical presenilin-1 mutation carriers unaware of their genetic status have higher levels of depression than their non-mutation carrying kin. | Ringman JM | Journal of neurology, neurosurgery, and psychiatry | 2004 | PMID: 14966176 |
Screening for PS1 mutations in a referral-based series of AD cases: 21 novel mutations. | Rogaeva EA | Neurology | 2001 | PMID: 11524469 |
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Text-mined citations for rs63750083 ...
HelpRecord last updated Nov 25, 2024
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.