1-147758953-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PM5PP3

The NM_181703.4(GJA5):​c.286G>A​(p.Ala96Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00000205 in 1,461,832 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A96S) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

GJA5
NM_181703.4 missense

Scores

6
9
4

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 6.17
Variant links:
Genes affected
GJA5 (HGNC:4279): (gap junction protein alpha 5) This gene is a member of the connexin gene family. The encoded protein is a component of gap junctions, which are composed of arrays of intercellular channels that provide a route for the diffusion of low molecular weight materials from cell to cell. Mutations in this gene may be associated with atrial fibrillation. Alternatively spliced transcript variants encoding the same isoform have been described. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a transmembrane_region Helical (size 20) in uniprot entity CXA5_HUMAN there are 5 pathogenic changes around while only 0 benign (100%) in NM_181703.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr1-147758953-C-A is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.813

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GJA5NM_181703.4 linkuse as main transcriptc.286G>A p.Ala96Thr missense_variant 2/2 ENST00000579774.3 NP_859054.1 P36382X5D2H9
GJA5NM_005266.7 linkuse as main transcriptc.286G>A p.Ala96Thr missense_variant 2/2 NP_005257.2 P36382X5D2H9
LOC102723321XR_922079.4 linkuse as main transcriptn.82-18608C>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GJA5ENST00000579774.3 linkuse as main transcriptc.286G>A p.Ala96Thr missense_variant 2/21 NM_181703.4 ENSP00000463851.1 P36382
GJA5ENST00000621517.1 linkuse as main transcriptc.286G>A p.Ala96Thr missense_variant 2/22 ENSP00000484552.1 P36382
GJA5ENST00000430508.1 linkuse as main transcriptc.286G>A p.Ala96Thr missense_variant 2/22 ENSP00000407645.1 A0A0B4J1Y3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461832
Hom.:
0
Cov.:
33
AF XY:
0.00000413
AC XY:
3
AN XY:
727214
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.34
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
23
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.73
D;D;T
Eigen
Uncertain
0.48
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.89
.;D;D
M_CAP
Uncertain
0.18
D
MetaRNN
Pathogenic
0.81
D;D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Benign
1.6
L;L;.
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-1.9
.;.;N
REVEL
Pathogenic
0.79
Sift
Uncertain
0.026
.;.;D
Sift4G
Benign
0.13
T;T;.
Polyphen
0.97
D;D;.
Vest4
0.49
MutPred
0.65
Gain of glycosylation at A96 (P = 0.0331);Gain of glycosylation at A96 (P = 0.0331);Gain of glycosylation at A96 (P = 0.0331);
MVP
0.98
ClinPred
0.87
D
GERP RS
4.7
Varity_R
0.43
gMVP
0.89

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs121434557; hg19: chr1-147231061; COSMIC: COSV54786869; COSMIC: COSV54786869; API