1-6470881-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_001265593.2(PLEKHG5):​c.1603G>A​(p.Ala535Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000000707 in 1,413,632 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 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. A535V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., cov: 33)
Exomes 𝑓: 7.1e-7 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

PLEKHG5
NM_001265593.2 missense

Scores

2
11
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.21

Publications

1 publications found
Variant links:
Genes affected
PLEKHG5 (HGNC:29105): (pleckstrin homology and RhoGEF domain containing G5) This gene encodes a protein that activates the nuclear factor kappa B (NFKB1) signaling pathway. Mutations in this gene are associated with autosomal recessive distal spinal muscular atrophy. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2012]
PLEKHG5 Gene-Disease associations (from GenCC):
  • neuromuscular disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Charcot-Marie-Tooth disease recessive intermediate C
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • neuronopathy, distal hereditary motor, autosomal recessive 4
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3528207).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001265593.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHG5
NM_020631.6
MANE Select
c.1396G>Ap.Ala466Thr
missense
Exon 14 of 21NP_065682.2
PLEKHG5
NM_001265593.2
c.1603G>Ap.Ala535Thr
missense
Exon 14 of 21NP_001252522.1
PLEKHG5
NM_001042663.3
c.1507G>Ap.Ala503Thr
missense
Exon 15 of 22NP_001036128.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHG5
ENST00000377728.8
TSL:2 MANE Select
c.1396G>Ap.Ala466Thr
missense
Exon 14 of 21ENSP00000366957.3
PLEKHG5
ENST00000377732.5
TSL:1
c.1507G>Ap.Ala503Thr
missense
Exon 14 of 21ENSP00000366961.1
PLEKHG5
ENST00000400915.8
TSL:1
c.1507G>Ap.Ala503Thr
missense
Exon 15 of 22ENSP00000383706.4

Frequencies

GnomAD3 genomes
AF:
0.0000457
AC:
6
AN:
131306
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000177
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000124
AC:
2
AN:
161548
AF XY:
0.0000114
show subpopulations
Gnomad AFR exome
AF:
0.000215
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
7.07e-7
AC:
1
AN:
1413632
Hom.:
0
Cov.:
35
AF XY:
0.00000143
AC XY:
1
AN XY:
698988
show subpopulations
African (AFR)
AF:
0.0000307
AC:
1
AN:
32524
American (AMR)
AF:
0.00
AC:
0
AN:
37868
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25284
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37340
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81042
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48378
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5678
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1086990
Other (OTH)
AF:
0.00
AC:
0
AN:
58528
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000457
AC:
6
AN:
131306
Hom.:
0
Cov.:
33
AF XY:
0.0000317
AC XY:
2
AN XY:
63156
show subpopulations
African (AFR)
AF:
0.000177
AC:
6
AN:
33844
American (AMR)
AF:
0.00
AC:
0
AN:
12560
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3252
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4208
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3812
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
282
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
62210
Other (OTH)
AF:
0.00
AC:
0
AN:
1718
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.442
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000182
AC:
2

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Neuronopathy, distal hereditary motor, autosomal recessive 4;C3809309:Charcot-Marie-Tooth disease recessive intermediate C (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.55
BayesDel_addAF
Uncertain
0.058
T
BayesDel_noAF
Benign
-0.15
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.19
T
Eigen
Uncertain
0.35
Eigen_PC
Uncertain
0.32
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Pathogenic
0.97
D
M_CAP
Pathogenic
0.47
D
MetaRNN
Benign
0.35
T
MetaSVM
Benign
-0.40
T
MutationAssessor
Uncertain
2.6
M
PhyloP100
4.2
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-2.1
N
REVEL
Uncertain
0.33
Sift
Uncertain
0.016
D
Sift4G
Uncertain
0.0090
D
Polyphen
0.98
D
Vest4
0.46
MutPred
0.53
Gain of methylation at K524 (P = 0.1337)
MVP
0.72
MPC
0.89
ClinPred
0.74
D
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.16
gMVP
0.69
Mutation Taster
=69/31
polymorphism

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

Other links and lift over

dbSNP: rs757292650; hg19: chr1-6530941; API