11-3825024-G-C

Variant summary

Our verdict is Pathogenic. Variant got 11 ACMG points: 12P and 1B. PM1PM2PP5_Very_StrongBP4

The NM_014489.4(PGAP2):ā€‹c.713G>Cā€‹(p.Arg238Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000149 in 1,614,024 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 Pathogenic (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 31)
Exomes š‘“: 0.000016 ( 0 hom. )

Consequence

PGAP2
NM_014489.4 missense

Scores

1
5
13

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 2.59
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 11 ACMG points.

PM1
In a chain Post-GPI attachment to proteins factor 2 (size 253) in uniprot entity PGAP2_HUMAN there are 16 pathogenic changes around while only 0 benign (100%) in NM_014489.4
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-3825024-G-C is Pathogenic according to our data. Variant chr11-3825024-G-C is described in ClinVar as [Pathogenic]. Clinvar id is 50503.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-3825024-G-C is described in Lovd as [Pathogenic].
BP4
Computational evidence support a benign effect (MetaRNN=0.17579004). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PGAP2NM_014489.4 linkuse as main transcriptc.713G>C p.Arg238Pro missense_variant 6/7 ENST00000278243.9 NP_055304.1 Q9UHJ9-2A0A024RCC6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PGAP2ENST00000278243.9 linkuse as main transcriptc.713G>C p.Arg238Pro missense_variant 6/71 NM_014489.4 ENSP00000278243.4 Q9UHJ9-2

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152182
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000358
AC:
9
AN:
251414
Hom.:
0
AF XY:
0.0000368
AC XY:
5
AN XY:
135872
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000261
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000879
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000157
AC:
23
AN:
1461842
Hom.:
0
Cov.:
31
AF XY:
0.0000234
AC XY:
17
AN XY:
727226
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:
0.000220
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152182
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74354
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000494
AC:
6

ClinVar

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

Submissions by phenotype

Hyperphosphatasia with intellectual disability syndrome 3 Pathogenic:3
Pathogenic, criteria provided, single submitterclinical testingInstitute for Genomic Statistics and Bioinformatics, University Hospital Bonn-- -
Pathogenic, criteria provided, single submitterresearchInstitute of Experimental Medicine, Department of Genetics, Istanbul UniversityJul 08, 2023- -
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 04, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.92
BayesDel_addAF
Benign
-0.077
T
BayesDel_noAF
Uncertain
-0.050
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.60
.;.;.;.;.;.;.;.;D;.;.;.
Eigen
Benign
0.076
Eigen_PC
Benign
0.069
FATHMM_MKL
Benign
0.043
N
LIST_S2
Benign
0.66
T;T;.;.;.;.;T;T;T;T;T;T
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.18
T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Uncertain
2.2
.;.;.;.;.;.;.;.;M;.;.;.
PrimateAI
Benign
0.36
T
PROVEAN
Uncertain
-2.6
D;N;D;.;.;.;.;N;D;N;D;N
REVEL
Benign
0.22
Sift
Benign
0.039
D;T;.;.;.;.;.;T;T;T;T;T
Sift4G
Benign
0.17
T;T;T;T;T;T;T;T;T;T;T;T
Polyphen
0.94
P;.;.;.;.;.;.;.;.;.;.;.
Vest4
0.85
MutPred
0.62
Loss of MoRF binding (P = 0.0114);.;.;.;.;.;.;.;.;.;.;.;
MVP
0.43
MPC
0.97
ClinPred
0.28
T
GERP RS
4.3
Varity_R
0.39
gMVP
0.87

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: rs774843232; hg19: chr11-3846254; API