14-77327990-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 4P and 2B. PS1_ModeratePP5_ModerateBP4BS2_Supporting

The NM_145870.3(GSTZ1):​c.295G>A​(p.Val99Met) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00073 in 1,614,066 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin UniProt.

Frequency

Genomes: 𝑓 0.00048 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00076 ( 4 hom. )

Consequence

GSTZ1
NM_145870.3 missense

Scores

3
10
5

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1U:1O:1

Conservation

PhyloP100: 7.23
Variant links:
Genes affected
GSTZ1 (HGNC:4643): (glutathione S-transferase zeta 1) This gene is a member of the glutathione S-transferase (GSTs) super-family which encodes multifunctional enzymes important in the detoxification of electrophilic molecules, including carcinogens, mutagens, and several therapeutic drugs, by conjugation with glutathione. This enzyme catalyzes the conversion of maleylacetoacetate to fumarylacetoacatate, which is one of the steps in the phenylalanine/tyrosine degradation pathway. Deficiency of a similar gene in mouse causes oxidative stress. Several transcript variants of this gene encode multiple protein isoforms. [provided by RefSeq, Jul 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PS1
Transcript NM_145870.3 (GSTZ1) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PP5
Variant 14-77327990-G-A is Pathogenic according to our data. Variant chr14-77327990-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 431044.Status of the report is criteria_provided_single_submitter, 1 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.15578839). . Strength limited to SUPPORTING due to the PP5.
BS2
High Homozygotes in GnomAdExome4 at 4 AR geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GSTZ1NM_145870.3 linkuse as main transcriptc.295G>A p.Val99Met missense_variant 5/9 ENST00000216465.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GSTZ1ENST00000216465.10 linkuse as main transcriptc.295G>A p.Val99Met missense_variant 5/91 NM_145870.3

Frequencies

GnomAD3 genomes
AF:
0.000480
AC:
73
AN:
152198
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000434
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000808
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000502
AC:
126
AN:
251144
Hom.:
1
AF XY:
0.000508
AC XY:
69
AN XY:
135762
show subpopulations
Gnomad AFR exome
AF:
0.000431
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00101
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000756
AC:
1105
AN:
1461750
Hom.:
4
Cov.:
33
AF XY:
0.000708
AC XY:
515
AN XY:
727182
show subpopulations
Gnomad4 AFR exome
AF:
0.000209
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000963
Gnomad4 OTH exome
AF:
0.000414
GnomAD4 genome
AF:
0.000479
AC:
73
AN:
152316
Hom.:
0
Cov.:
33
AF XY:
0.000456
AC XY:
34
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.000433
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000809
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000769
Hom.:
0
Bravo
AF:
0.000461
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00128
AC:
11
ExAC
AF:
0.000527
AC:
64
EpiCase
AF:
0.000600
EpiControl
AF:
0.00113

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1Uncertain:1Other:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2022GSTZ1: PM2, PP4:Moderate, PM3:Supporting, PS3:Supporting -
GSTZ1-related disorder Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 21, 2024The GSTZ1 c.295G>A variant is predicted to result in the amino acid substitution p.Val99Met. This variant has been reported in the heterozygous state in a newborn with elevated succinylacetone in the blood (Yang et al. 2016. PubMed ID: 27876694). In a bacterial expression assay, the p.Val99Met substitution was reported to mildly reduce the activity of the maleylacetoacetate isomerase enzyme (Yang et al. 2016. PubMed ID: 27876694). This variant is reported in 0.10% of alleles in individuals of European (Non-Finnish) descent in gnomAD, including one homozygous individual. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Maleylacetoacetate isomerase deficiency Other:1
Affects, no assertion criteria providedliterature onlyOMIMJul 26, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Uncertain
0.0
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.084
.;.;T;.;.;T;.;.
Eigen
Pathogenic
0.85
Eigen_PC
Pathogenic
0.77
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Pathogenic
0.98
D;.;D;.;D;D;D;D
M_CAP
Benign
0.044
D
MetaRNN
Benign
0.16
T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.23
T
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.62
T
PROVEAN
Uncertain
-2.5
D;D;D;D;D;N;D;D
REVEL
Uncertain
0.32
Sift
Uncertain
0.0010
D;D;D;D;D;D;D;D
Sift4G
Uncertain
0.028
D;D;D;D;T;D;D;D
Vest4
0.62
MVP
0.79
MPC
0.23
ClinPred
0.23
T
GERP RS
4.8
gMVP
0.88

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs140540096; hg19: chr14-77794333; COSMIC: COSV53623560; COSMIC: COSV53623560; API