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GeneBe

12-21580365-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_021957.4(GYS2):​c.280G>A​(p.Ala94Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00148 in 1,613,590 control chromosomes in the GnomAD database, including 31 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0077 ( 16 hom., cov: 33)
Exomes 𝑓: 0.00083 ( 15 hom. )

Consequence

GYS2
NM_021957.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.708
Variant links:
Genes affected
GYS2 (HGNC:4707): (glycogen synthase 2) The protein encoded by this gene, liver glycogen synthase, catalyzes the rate-limiting step in the synthesis of glycogen - the transfer of a glucose molecule from UDP-glucose to a terminal branch of the glycogen molecule. Mutations in this gene cause glycogen storage disease type 0 (GSD-0) - a rare type of early childhood fasting hypoglycemia with decreased liver glycogen content. [provided by RefSeq, Dec 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.002982229).
BP6
Variant 12-21580365-C-T is Benign according to our data. Variant chr12-21580365-C-T is described in ClinVar as [Benign]. Clinvar id is 137522.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00769 (1170/152226) while in subpopulation AFR AF= 0.0266 (1105/41524). AF 95% confidence interval is 0.0253. There are 16 homozygotes in gnomad4. There are 558 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 16 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GYS2NM_021957.4 linkuse as main transcriptc.280G>A p.Ala94Thr missense_variant 2/16 ENST00000261195.3
GYS2XM_024448960.2 linkuse as main transcriptc.280G>A p.Ala94Thr missense_variant 2/17
GYS2XM_017019245.3 linkuse as main transcriptc.280G>A p.Ala94Thr missense_variant 2/9
GYS2XM_006719063.4 linkuse as main transcript upstream_gene_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GYS2ENST00000261195.3 linkuse as main transcriptc.280G>A p.Ala94Thr missense_variant 2/161 NM_021957.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00769
AC:
1170
AN:
152108
Hom.:
16
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0267
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00295
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000828
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00669
GnomAD3 exomes
AF:
0.00208
AC:
522
AN:
251092
Hom.:
10
AF XY:
0.00172
AC XY:
234
AN XY:
135694
show subpopulations
Gnomad AFR exome
AF:
0.0260
Gnomad AMR exome
AF:
0.000810
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00193
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000705
Gnomad OTH exome
AF:
0.000490
GnomAD4 exome
AF:
0.000835
AC:
1220
AN:
1461364
Hom.:
15
Cov.:
31
AF XY:
0.000762
AC XY:
554
AN XY:
727012
show subpopulations
Gnomad4 AFR exome
AF:
0.0263
Gnomad4 AMR exome
AF:
0.000984
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00162
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000270
Gnomad4 OTH exome
AF:
0.00200
GnomAD4 genome
AF:
0.00769
AC:
1170
AN:
152226
Hom.:
16
Cov.:
33
AF XY:
0.00750
AC XY:
558
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.0266
Gnomad4 AMR
AF:
0.00294
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000829
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00662
Alfa
AF:
0.00154
Hom.:
6
Bravo
AF:
0.00915
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.0277
AC:
122
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00276
AC:
335
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000296

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxMar 31, 2014This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Glycogen storage disorder due to hepatic glycogen synthase deficiency Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -
Benign, criteria provided, single submitterclinical testingInvitaeDec 23, 2023- -
not provided Benign:1
Likely benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo ClinicApr 14, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.065
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
4.5
DANN
Benign
0.76
DEOGEN2
Benign
0.26
T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.023
N
LIST_S2
Benign
0.23
T
MetaRNN
Benign
0.0030
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
1.8
L
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.69
N
REVEL
Benign
0.17
Sift
Benign
0.25
T
Sift4G
Benign
0.25
T
Polyphen
0.0010
B
Vest4
0.076
MVP
0.43
MPC
0.12
ClinPred
0.0035
T
GERP RS
-5.4
Varity_R
0.031
gMVP
0.53

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs34225615; hg19: chr12-21733299; COSMIC: COSV99038906; API