12-101830658-C-T

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_024312.5(GNPTAB):​c.18G>A​(p.Leu6Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.116 in 1,604,472 control chromosomes in the GnomAD database, including 11,484 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. L6L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.097 ( 870 hom., cov: 31)
Exomes 𝑓: 0.12 ( 10614 hom. )

Consequence

GNPTAB
NM_024312.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 0.268

Publications

19 publications found
Variant links:
Genes affected
GNPTAB (HGNC:29670): (N-acetylglucosamine-1-phosphate transferase subunits alpha and beta) This gene encodes two of three subunit types of the membrane-bound enzyme N-acetylglucosamine-1-phosphotransferase, a heterohexameric complex composed of two alpha, two beta, and two gamma subunits. The encoded protein is proteolytically cleaved at the Lys928-Asp929 bond to yield mature alpha and beta polypeptides while the gamma subunits are the product of a distinct gene (GeneID 84572). In the Golgi apparatus, the heterohexameric complex catalyzes the first step in the synthesis of mannose 6-phosphate recognition markers on certain oligosaccharides of newly synthesized lysosomal enzymes. These recognition markers are essential for appropriate trafficking of lysosomal enzymes. Mutations in this gene have been associated with both mucolipidosis II and mucolipidosis IIIA.[provided by RefSeq, May 2010]
GNPTAB Gene-Disease associations (from GenCC):
  • GNPTAB-mucolipidosis
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • mucolipidosis
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • mucolipidosis type II
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics, PanelApp Australia, Genomics England PanelApp
  • mucolipidosis type III, alpha/beta
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, G2P, Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56).
BP6
Variant 12-101830658-C-T is Benign according to our data. Variant chr12-101830658-C-T is described in ClinVar as Benign. ClinVar VariationId is 96118.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.268 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.155 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GNPTABNM_024312.5 linkc.18G>A p.Leu6Leu synonymous_variant Exon 1 of 21 ENST00000299314.12 NP_077288.2
GNPTABXM_006719593.4 linkc.18G>A p.Leu6Leu synonymous_variant Exon 1 of 19 XP_006719656.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GNPTABENST00000299314.12 linkc.18G>A p.Leu6Leu synonymous_variant Exon 1 of 21 1 NM_024312.5 ENSP00000299314.7

Frequencies

GnomAD3 genomes
AF:
0.0975
AC:
14805
AN:
151838
Hom.:
870
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0350
Gnomad AMI
AF:
0.108
Gnomad AMR
AF:
0.142
Gnomad ASJ
AF:
0.126
Gnomad EAS
AF:
0.164
Gnomad SAS
AF:
0.0816
Gnomad FIN
AF:
0.0877
Gnomad MID
AF:
0.185
Gnomad NFE
AF:
0.121
Gnomad OTH
AF:
0.119
GnomAD2 exomes
AF:
0.116
AC:
28577
AN:
246864
AF XY:
0.114
show subpopulations
Gnomad AFR exome
AF:
0.0311
Gnomad AMR exome
AF:
0.172
Gnomad ASJ exome
AF:
0.116
Gnomad EAS exome
AF:
0.162
Gnomad FIN exome
AF:
0.0809
Gnomad NFE exome
AF:
0.119
Gnomad OTH exome
AF:
0.123
GnomAD4 exome
AF:
0.117
AC:
170650
AN:
1452516
Hom.:
10614
Cov.:
28
AF XY:
0.116
AC XY:
83901
AN XY:
723076
show subpopulations
African (AFR)
AF:
0.0314
AC:
1043
AN:
33248
American (AMR)
AF:
0.172
AC:
7672
AN:
44580
Ashkenazi Jewish (ASJ)
AF:
0.119
AC:
3090
AN:
25988
East Asian (EAS)
AF:
0.167
AC:
6591
AN:
39560
South Asian (SAS)
AF:
0.0839
AC:
7220
AN:
86036
European-Finnish (FIN)
AF:
0.0857
AC:
4545
AN:
53060
Middle Eastern (MID)
AF:
0.166
AC:
951
AN:
5732
European-Non Finnish (NFE)
AF:
0.120
AC:
132264
AN:
1104362
Other (OTH)
AF:
0.121
AC:
7274
AN:
59950
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
6327
12654
18981
25308
31635
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4806
9612
14418
19224
24030
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0974
AC:
14805
AN:
151956
Hom.:
870
Cov.:
31
AF XY:
0.0961
AC XY:
7140
AN XY:
74290
show subpopulations
African (AFR)
AF:
0.0349
AC:
1448
AN:
41516
American (AMR)
AF:
0.142
AC:
2162
AN:
15256
Ashkenazi Jewish (ASJ)
AF:
0.126
AC:
437
AN:
3464
East Asian (EAS)
AF:
0.165
AC:
847
AN:
5144
South Asian (SAS)
AF:
0.0827
AC:
399
AN:
4822
European-Finnish (FIN)
AF:
0.0877
AC:
927
AN:
10572
Middle Eastern (MID)
AF:
0.185
AC:
54
AN:
292
European-Non Finnish (NFE)
AF:
0.121
AC:
8186
AN:
67876
Other (OTH)
AF:
0.117
AC:
247
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
660
1320
1981
2641
3301
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
168
336
504
672
840
<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:
0.114
Hom.:
792
Bravo
AF:
0.103
Asia WGS
AF:
0.105
AC:
365
AN:
3478
EpiCase
AF:
0.120
EpiControl
AF:
0.116

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Jun 25, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 10, 2016
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: The GNPTAB c.18G>A (p.Leu6Leu) variant causes a synonymous change involving a non-conserved nucleotide with 4/5 splice prediction tools predict no significant impact on normal splicing and ESE finder predicts that this variant may alter ESE binding. The variant of interest was observed in the large, broad control population, ExAC, with an allele frequency of 13109/114946 control chromosomes (1/8, 763 homozygotes), which significantly exceeds the estimated maximal expected allele frequency for a pathogenic GNPTAB variant of 1/447, suggesting this variant is likely a benign polymorphism. In addition, multiple clinical diagnostic laboratories/databases cite the variant as Benign. Therefore, the variant of interest has been classified as Benign. -

Oct 20, 2015
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

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

- -

Mucolipidosis type II Benign:3
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

- -

Jul 01, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Pseudo-Hurler polydystrophy Benign:2
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. -

Jul 01, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:2
May 20, 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

- -

Pseudo-Hurler polydystrophy;C2673377:Mucolipidosis type II Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.56
CADD
Benign
6.3
DANN
Benign
0.84
PhyloP100
0.27
PromoterAI
0.046
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.9
Mutation Taster
=97/3
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs4764655; hg19: chr12-102224436; COSMIC: COSV54779982; API