11-64753682-G-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005609.4(PYGM):​c.1240C>G​(p.Arg414Gly) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.01 in 1,605,310 control chromosomes in the GnomAD database, including 1,362 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 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 Benign (★★).

Frequency

Genomes: 𝑓 0.053 ( 736 hom., cov: 33)
Exomes 𝑓: 0.0055 ( 626 hom. )

Consequence

PYGM
NM_005609.4 missense, splice_region

Scores

4
14
Splicing: ADA: 0.001135
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8O:1

Conservation

PhyloP100: 0.0260
Variant links:
Genes affected
PYGM (HGNC:9726): (glycogen phosphorylase, muscle associated) This gene encodes a muscle enzyme involved in glycogenolysis. Highly similar enzymes encoded by different genes are found in liver and brain. Mutations in this gene are associated with McArdle disease (myophosphorylase deficiency), a glycogen storage disease of muscle. Alternative splicing results in multiple transcript variants.[provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004038334).
BP6
Variant 11-64753682-G-C is Benign according to our data. Variant chr11-64753682-G-C is described in ClinVar as [Benign]. Clinvar id is 95289.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.182 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PYGMNM_005609.4 linkc.1240C>G p.Arg414Gly missense_variant, splice_region_variant Exon 11 of 20 ENST00000164139.4 NP_005600.1 P11217-1
PYGMNM_001164716.1 linkc.976C>G p.Arg326Gly missense_variant, splice_region_variant Exon 9 of 18 NP_001158188.1 P11217-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PYGMENST00000164139.4 linkc.1240C>G p.Arg414Gly missense_variant, splice_region_variant Exon 11 of 20 1 NM_005609.4 ENSP00000164139.3 P11217-1
PYGMENST00000377432.7 linkc.976C>G p.Arg326Gly missense_variant, splice_region_variant Exon 9 of 18 2 ENSP00000366650.3 P11217-2
PYGMENST00000460413.1 linkn.317C>G splice_region_variant, non_coding_transcript_exon_variant Exon 3 of 3 3

Frequencies

GnomAD3 genomes
AF:
0.0534
AC:
8120
AN:
152052
Hom.:
736
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.185
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0193
Gnomad ASJ
AF:
0.00346
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.000750
Gnomad OTH
AF:
0.0441
GnomAD3 exomes
AF:
0.0136
AC:
3137
AN:
230338
Hom.:
246
AF XY:
0.0100
AC XY:
1269
AN XY:
126638
show subpopulations
Gnomad AFR exome
AF:
0.188
Gnomad AMR exome
AF:
0.00928
Gnomad ASJ exome
AF:
0.00355
Gnomad EAS exome
AF:
0.0000567
Gnomad SAS exome
AF:
0.000273
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000755
Gnomad OTH exome
AF:
0.00686
GnomAD4 exome
AF:
0.00550
AC:
7987
AN:
1453140
Hom.:
626
Cov.:
45
AF XY:
0.00469
AC XY:
3391
AN XY:
722592
show subpopulations
Gnomad4 AFR exome
AF:
0.186
Gnomad4 AMR exome
AF:
0.0103
Gnomad4 ASJ exome
AF:
0.00339
Gnomad4 EAS exome
AF:
0.0000253
Gnomad4 SAS exome
AF:
0.000340
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000466
Gnomad4 OTH exome
AF:
0.0108
GnomAD4 genome
AF:
0.0534
AC:
8130
AN:
152170
Hom.:
736
Cov.:
33
AF XY:
0.0512
AC XY:
3806
AN XY:
74394
show subpopulations
Gnomad4 AFR
AF:
0.185
Gnomad4 AMR
AF:
0.0193
Gnomad4 ASJ
AF:
0.00346
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000750
Gnomad4 OTH
AF:
0.0436
Alfa
AF:
0.00403
Hom.:
7
Bravo
AF:
0.0599
ESP6500AA
AF:
0.180
AC:
788
ESP6500EA
AF:
0.000466
AC:
4
ExAC
AF:
0.0165
AC:
1989
Asia WGS
AF:
0.00808
AC:
30
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Glycogen storage disease, type V Benign:3Other:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Sep 16, 2020
Natera, Inc.
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
GeneReviews
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Apr 17, 2017
Mayo Clinic Laboratories, Mayo Clinic
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mar 03, 2015
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:2
Nov 13, 2014
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.14
CADD
Uncertain
25
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.42
.;T
Eigen
Benign
-0.70
Eigen_PC
Benign
-0.62
FATHMM_MKL
Benign
0.67
D
LIST_S2
Uncertain
0.96
D;D
MetaRNN
Benign
0.0040
T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
0.97
.;L
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.9
N;N
REVEL
Uncertain
0.33
Sift
Benign
0.18
T;T
Sift4G
Benign
0.12
T;T
Polyphen
0.0
.;B
Vest4
0.77
MPC
0.38
ClinPred
0.015
T
GERP RS
1.8
Varity_R
0.52
gMVP
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0011
dbscSNV1_RF
Benign
0.20
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: rs11231866; hg19: chr11-64521154; COSMIC: COSV51217197; COSMIC: COSV51217197; API