11-3811356-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_014489.4(PGAP2):​c.97G>A​(p.Ala33Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000041 in 1,461,788 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

PGAP2
NM_014489.4 missense

Scores

1
8
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 6.90
Variant links:
Genes affected
PGAP2 (HGNC:17893): (post-GPI attachment to proteins 2) The protein encoded by this gene plays a role in the maturation of glycosylphosphatidylinositol (GPI) anchors on GPI-anchored proteins. Mutations in this gene are associated with an autosomal recessive syndrome characterized by hyperphosphatasia and intellectual disability. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a chain Post-GPI attachment to proteins factor 2 (size 253) in uniprot entity PGAP2_HUMAN there are 26 pathogenic changes around while only 5 benign (84%) in NM_014489.4
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PGAP2NM_014489.4 linkuse as main transcriptc.97G>A p.Ala33Thr missense_variant 2/7 ENST00000278243.9
LOC124902618XR_007062559.1 linkuse as main transcriptn.361C>T non_coding_transcript_exon_variant 3/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PGAP2ENST00000278243.9 linkuse as main transcriptc.97G>A p.Ala33Thr missense_variant 2/71 NM_014489.4 A1Q9UHJ9-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000410
AC:
6
AN:
1461788
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727214
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 06, 2020The c.97G>A (p.A33T) alteration is located in exon 2 (coding exon 1) of the PGAP2 gene. This alteration results from a G to A substitution at nucleotide position 97, causing the alanine (A) at amino acid position 33 to be replaced by a threonine (T). Based on data from the Genome Aggregation Database (gnomAD), the PGAP2 c.97G>A alteration was not observed, with coverage at this position. This amino acid position is well conserved in available vertebrate species. The p.A33T alteration is predicted to be tolerated by in silico analysis. Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxOct 20, 2023Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Micrognathia;C0344482:Hypoplasia of the corpus callosum;C0795690:Congenital omphalocele Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGenomic Medicine Lab, University of California San FranciscoMar 21, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.88
BayesDel_addAF
Benign
-0.075
T
BayesDel_noAF
Benign
-0.35
CADD
Pathogenic
30
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
.;.;.;.;.;.;.;T;.
Eigen
Uncertain
0.48
Eigen_PC
Uncertain
0.52
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.92
D;D;D;D;.;D;D;D;D
M_CAP
Benign
0.045
D
MetaRNN
Uncertain
0.47
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.75
T
MutationAssessor
Benign
1.3
.;.;.;.;L;L;L;L;.
MutationTaster
Benign
1.0
D;D;D;D;N;N;N;N;N;N
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-1.8
N;N;.;.;.;N;N;N;N
REVEL
Benign
0.23
Sift
Benign
0.16
T;T;.;.;.;T;D;D;D
Sift4G
Uncertain
0.010
D;D;D;D;D;D;D;D;D
Polyphen
0.99
D;.;.;.;.;.;.;D;.
Vest4
0.58
MutPred
0.72
Gain of catalytic residue at F93 (P = 0.1686);Gain of catalytic residue at F93 (P = 0.1686);.;.;.;.;.;.;.;
MVP
0.53
MPC
1.0
ClinPred
0.96
D
GERP RS
4.9
Varity_R
0.18
gMVP
0.68

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: rs1564998996; hg19: chr11-3832586; API