1-46194400-C-A
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate
The NM_017739.4(POMGNT1):c.753G>T(p.Glu251Asp) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000867 in 1,614,102 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E251K) has been classified as Uncertain significance.
Frequency
Consequence
NM_017739.4 missense, splice_region
Scores
Clinical Significance
Conservation
Publications
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ACMG classification
Our verdict: Likely_benign. The variant received -2 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_017739.4. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| POMGNT1 | NM_017739.4 | MANE Select | c.753G>T | p.Glu251Asp | missense splice_region | Exon 9 of 22 | NP_060209.4 | ||
| POMGNT1 | NM_001243766.2 | c.753G>T | p.Glu251Asp | missense splice_region | Exon 9 of 23 | NP_001230695.2 | |||
| POMGNT1 | NM_001410783.1 | c.753G>T | p.Glu251Asp | missense splice_region | Exon 9 of 22 | NP_001397712.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| POMGNT1 | ENST00000371984.8 | TSL:1 MANE Select | c.753G>T | p.Glu251Asp | missense splice_region | Exon 9 of 22 | ENSP00000361052.3 | ||
| POMGNT1 | ENST00000371992.1 | TSL:2 | c.753G>T | p.Glu251Asp | missense splice_region | Exon 9 of 23 | ENSP00000361060.1 | ||
| POMGNT1 | ENST00000692369.1 | c.753G>T | p.Glu251Asp | missense splice_region | Exon 9 of 22 | ENSP00000508453.1 |
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152222Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.0000358 AC: 9AN: 251284 AF XY: 0.0000442 show subpopulations
GnomAD4 exome AF: 0.00000684 AC: 10AN: 1461880Hom.: 0 Cov.: 35 AF XY: 0.00000825 AC XY: 6AN XY: 727240 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000263 AC: 4AN: 152222Hom.: 0 Cov.: 33 AF XY: 0.0000134 AC XY: 1AN XY: 74368 show subpopulations
ClinVar
Submissions by phenotype
not provided Uncertain:2
Has not been previously published as pathogenic or benign to our knowledge; In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function; The majority of missense variants in this gene are considered pathogenic (Stenson et al., 2014); This variant is associated with the following publications: (PMID: 25326635)
Muscular dystrophy-dystroglycanopathy (congenital with intellectual disability), type B3;C3150417:Autosomal recessive limb-girdle muscular dystrophy type 2O Uncertain:1
This sequence change replaces glutamic acid, which is acidic and polar, with aspartic acid, which is acidic and polar, at codon 251 of the POMGNT1 protein (p.Glu251Asp). This variant is present in population databases (rs751316371, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with POMGNT1-related conditions. ClinVar contains an entry for this variant (Variation ID: 561091). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The aspartic acid amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. 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.
Muscle eye brain disease Uncertain:1
Possible pathogenicity based on finding it once in our laboratory with another variant (phase undetermined) in a newborn male with possible Walker-Warburg syndrome (hydrocephaly, kinked brainstem, cobblestone lissencephaly, multiple VSDs, possible anomalous pulmonary venous return), similarly affected prior pregnancy in mom (not tested)
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at