16-10183567-GACACACACACACACACAC-GACACACACACACACACACACACACAC

Variant names:

• chr16-10183567-G-GACACACAC
• rs3219790
• ENST00000784515.1:n.209+1867_209+1868insACACACAC

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BA1

The ENST00000784515.1(ENSG00000302122):​n.209+1867_209+1868insACACACAC variant causes a intron change involving the alteration of a non-conserved nucleotide. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.081 (600 hom., cov: 0)
• Consequence: ENSG00000302122 ENST00000784515.1 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 1.32
• Publications: 9 publications found

Genes affected

ENSG00000302122 (HGNC:):

GRIN2A (HGNC:4585): (glutamate ionotropic receptor NMDA type subunit 2A) This gene encodes a member of the glutamate-gated ion channel protein family. The encoded protein is an N-methyl-D-aspartate (NMDA) receptor subunit. NMDA receptors are both ligand-gated and voltage-dependent, and are involved in long-term potentiation, an activity-dependent increase in the efficiency of synaptic transmission thought to underlie certain kinds of memory and learning. These receptors are permeable to calcium ions, and activation results in a calcium influx into post-synaptic cells, which results in the activation of several signaling cascades. Disruption of this gene is associated with focal epilepsy and speech disorder with or without cognitive disability. Alternative splicing results in multiple transcript variants. [provided by RefSeq, May 2014]

GRIN2A Gene-Disease associations (from GenCC):

• complex neurodevelopmental disorder

  Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
• Landau-Kleffner syndrome

  Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, Orphanet
• continuous spikes and waves during sleep

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• early-onset epileptic encephalopathy and intellectual disability due to GRIN2A mutation

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• rolandic epilepsy-speech dyspraxia syndrome

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• self-limited epilepsy with centrotemporal spikes

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• neurodevelopmental disorder

  Inheritance: AR Classification: LIMITED Submitted by: G2P

ACMG classification

Our verdict: Benign. The variant received -8 ACMG points.

• BA1: GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.137 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000784515.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
There are no transcript annotations for this variant.

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	ENSG00000302122	ENST00000784515.1		n.209+1867_209+1868insACACACAC		intron	N/A
	ENSG00000302122	ENST00000784516.1		n.209+1867_209+1868insACACACAC		intron	N/A
	ENSG00000302122	ENST00000784517.1		n.208+1867_208+1868insACACACAC		intron	N/A

Frequencies

GnomAD3 genomes AF: 0.0804 AC: 10083 AN: 125374 Hom.: 598 Cov.: 0

Gnomad AFR AF: 0.0955

Gnomad AMI AF: 0.287

Gnomad AMR AF: 0.0848

Gnomad ASJ AF: 0.0884

Gnomad EAS AF: 0.147

Gnomad SAS AF: 0.0857

Gnomad FIN AF: 0.0343

Gnomad MID AF: 0.101

Gnomad NFE AF: 0.0685

Gnomad OTH AF: 0.0860

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.0805 AC: 10098 AN: 125438 Hom.: 600 Cov.: 0 AF XY: 0.0807 AC XY: 4791 AN XY: 59390

African (AFR) AF: 0.0958 AC: 3108 AN: 32440

American (AMR) AF: 0.0847 AC: 1082 AN: 12772

Ashkenazi Jewish (ASJ) AF: 0.0884 AC: 282 AN: 3190

East Asian (EAS) AF: 0.147 AC: 593 AN: 4034

South Asian (SAS) AF: 0.0852 AC: 280 AN: 3286

European-Finnish (FIN) AF: 0.0343 AC: 240 AN: 7004

Middle Eastern (MID) AF: 0.109 AC: 26 AN: 238

European-Non Finnish (NFE) AF: 0.0685 AC: 4109 AN: 59978

Other (OTH) AF: 0.0873 AC: 148 AN: 1696

Alfa AF: 0.0439 Hom.: 154

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
PhyloP100		1.3

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Other links and lift over

dbSNP: rs3219790; hg19: chr16-10277424; COSMIC: COSV58032031;