Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_198576.4(AGRN):c.2457G>C(p.Gly819Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00703 in 1,612,524 control chromosomes in the GnomAD database, including 176 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. G819G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.021 ( 68 hom., cov: 33)

Exomes 𝑓: 0.0056 ( 108 hom. )

Consequence

AGRN
NM_198576.4 synonymous

Scores

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: -0.188

Publications

7 publications found

Variant links:

Genes affected

AGRN (HGNC:329): (agrin) This gene encodes one of several proteins that are critical in the development of the neuromuscular junction (NMJ), as identified in mouse knock-out studies. The encoded protein contains several laminin G, Kazal type serine protease inhibitor, and epidermal growth factor domains. Additional post-translational modifications occur to add glycosaminoglycans and disulfide bonds. In one family with congenital myasthenic syndrome affecting limb-girdle muscles, a mutation in this gene was found. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Mar 2015]

AGRN Gene-Disease associations (from GenCC):

congenital myasthenic syndrome 8
Inheritance: AR Classification: STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
presynaptic congenital myasthenic syndrome
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
postsynaptic congenital myasthenic syndrome
Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

AGRN links:

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4

Computational evidence support a benign effect (BayesDel_noAF=-0.67).

BP6

Variant 1-1045444-G-C is Benign according to our data. Variant chr1-1045444-G-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 190974.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

BP7

Synonymous conserved (PhyloP=-0.188 with no splicing effect.

BA1

GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0545 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_198576.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein
AGRN	NM_198576.4	MANE Select	c.2457G>C	p.Gly819Gly	synonymous	Exon 14 of 36	NP_940978.2
AGRN	NM_001305275.2		c.2457G>C	p.Gly819Gly	synonymous	Exon 14 of 39	NP_001292204.1
AGRN	NM_001364727.2		c.2142G>C	p.Gly714Gly	synonymous	Exon 13 of 36	NP_001351656.1

Ensembl Transcripts

Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein
AGRN	ENST00000379370.7	TSL:1 MANE Select	c.2457G>C	p.Gly819Gly	synonymous	Exon 14 of 36	ENSP00000368678.2
AGRN	ENST00000651234.1		c.2142G>C	p.Gly714Gly	synonymous	Exon 13 of 38	ENSP00000499046.1
AGRN	ENST00000652369.2		c.2142G>C	p.Gly714Gly	synonymous	Exon 13 of 35	ENSP00000498543.1

Frequencies

GnomAD3 genomes

AF:

0.0205

AC:

3113

AN:

152222

Hom.:

Cov.:

show subpopulations

Gnomad AFR

AF:

0.0563

Gnomad AMI

AF:

0.00

Gnomad AMR

AF:

0.0106

Gnomad ASJ

AF:

0.00374

Gnomad EAS

AF:

0.0316

Gnomad SAS

AF:

0.00952

Gnomad FIN

AF:

0.0190

Gnomad MID

AF:

0.00

Gnomad NFE

AF:

0.00243

Gnomad OTH

AF:

0.0129

GnomAD2 exomes

AF:

0.0109

AC:

2707

AN:

249244

AF XY:

0.0102

show subpopulations

Gnomad AFR exome

AF:

0.0553

Gnomad AMR exome

AF:

0.00565

Gnomad ASJ exome

AF:

0.00571

Gnomad EAS exome

AF:

0.0269

Gnomad FIN exome

AF:

0.0198

Gnomad NFE exome

AF:

0.00300

Gnomad OTH exome

AF:

0.00886

GnomAD4 exome

AF:

0.00562

AC:

8210

AN:

1460184

Hom.:

108

Cov.:

AF XY:

0.00555

AC XY:

4031

AN XY:

726366

show subpopulations

African (AFR)

AF:

0.0579

AC:

1937

AN:

33472

American (AMR)

AF:

0.00595

AC:

266

AN:

44706

Ashkenazi Jewish (ASJ)

AF:

0.00547

AC:

143

AN:

26126

East Asian (EAS)

AF:

0.0299

AC:

1185

AN:

39686

South Asian (SAS)

AF:

0.00923

AC:

796

AN:

86244

European-Finnish (FIN)

AF:

0.0183

AC:

950

AN:

52006

Middle Eastern (MID)

AF:

0.0106

AC:

AN:

5768

European-Non Finnish (NFE)

AF:

0.00209

AC:

2320

AN:

1111808

Other (OTH)

AF:

0.00914

AC:

552

AN:

60368

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.467

Heterozygous variant carriers

541

1081

1622

2162

2703

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Exome Het

Exome Hom

Variant carriers

138

276

414

552

690

<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:

0.0205

AC:

3126

AN:

152340

Hom.:

Cov.:

AF XY:

0.0210

AC XY:

1566

AN XY:

74486

show subpopulations

African (AFR)

AF:

0.0564

AC:

2346

AN:

41574

American (AMR)

AF:

0.0106

AC:

162

AN:

15310

Ashkenazi Jewish (ASJ)

AF:

0.00374

AC:

AN:

3472

East Asian (EAS)

AF:

0.0315

AC:

163

AN:

5182

South Asian (SAS)

AF:

0.00973

AC:

AN:

4828

European-Finnish (FIN)

AF:

0.0190

AC:

202

AN:

10630

Middle Eastern (MID)

AF:

0.00340

AC:

AN:

294

European-Non Finnish (NFE)

AF:

0.00243

AC:

165

AN:

68024

Other (OTH)

AF:

0.0128

AC:

AN:

2114

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.488

Heterozygous variant carriers

138

275

413

550

688

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Genome Het

Genome Hom

Variant carriers

102

136

170

<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:

0.00299

Hom.:

Bravo

AF:

0.0206

EpiCase

AF:

0.00224

EpiControl

AF:

0.00261

ClinVar

ClinVar submissions as Germline

Significance:Benign/Likely benign

Revision:criteria provided, multiple submitters, no conflicts

View on ClinVar

Pathogenic

VUS

Benign

Condition

not specified (3)

Congenital myasthenic syndrome 8 (2)

not provided (1)

Computational scores

Source: dbNSFP v4.9

Name

Calibrated prediction

Score

Prediction

BayesDel_noAF

Benign

-0.67

CADD

Benign

2.3

(source)

DANN

Benign

0.30

PhyloP100

-0.19

RBP_binding_hub_radar

0.0

RBP_regulation_power_radar

1.8

Mutation Taster

=85/15

polymorphism (auto)

(source)

Splicing

Name

Calibrated prediction

Score

Prediction

SpliceAI score (max)

0.010

Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

You must be logged in to view publications. This limit was set because tens of millions (!) of queries from AI bots are generated daily.

Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

Publications

ACMG classification

Variant Effect in Transcripts

RefSeq Transcripts

Ensembl Transcripts

Frequencies

Age Distribution

Age Distribution

ClinVar

ClinVar submissions as Germline

Computational scores

Splicing

Publications

Other links and lift over