17-44004671-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_153006.3(NAGS):​c.8C>T​(p.Thr3Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000332 in 1,534,516 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T3R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000033 ( 0 hom. )

Consequence

NAGS
NM_153006.3 missense

Scores

2
7
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.855

Publications

0 publications found
Variant links:
Genes affected
NAGS (HGNC:17996): (N-acetylglutamate synthase) The N-acetylglutamate synthase gene encodes a mitochondrial enzyme that catalyzes the formation of N-acetylglutamate (NAG) from glutamate and acetyl coenzyme-A. NAG is a cofactor of carbamyl phosphate synthetase I (CPSI), the first enzyme of the urea cycle in mammals. This gene may regulate ureagenesis by altering NAG availability and, thereby, CPSI activity. Deficiencies in N-acetylglutamate synthase have been associated with hyperammonemia. [provided by RefSeq, Jul 2008]
PYY (HGNC:9748): (peptide YY) This gene encodes a member of the neuropeptide Y (NPY) family of peptides. The encoded preproprotein is proteolytically processed to generate two alternative peptide products that differ in length by three amino acids. These peptides, secreted by endocrine cells in the gut, exhibit different binding affinities for each of the neuropeptide Y receptors. Binding of the encoded peptides to these receptors mediates regulation of pancreatic secretion, gut mobility and energy homeostasis. Rare variations in this gene could increase susceptibility to obesity and elevated serum levels of the encoded peptides may be associated with anorexia nervosa. [provided by RefSeq, Feb 2016]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.39052615).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_153006.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NAGS
NM_153006.3
MANE Select
c.8C>Tp.Thr3Met
missense
Exon 1 of 7NP_694551.1Q8N159
PYY
NM_004160.6
c.-743G>A
upstream_gene
N/ANP_004151.4P10082-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NAGS
ENST00000293404.8
TSL:1 MANE Select
c.8C>Tp.Thr3Met
missense
Exon 1 of 7ENSP00000293404.2Q8N159
NAGS
ENST00000906978.1
c.8C>Tp.Thr3Met
missense
Exon 1 of 7ENSP00000577037.1
NAGS
ENST00000906977.1
c.8C>Tp.Thr3Met
missense
Exon 1 of 7ENSP00000577036.1

Frequencies

GnomAD3 genomes
AF:
0.0000328
AC:
5
AN:
152228
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000735
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000101
AC:
2
AN:
198180
AF XY:
0.0000182
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000368
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000838
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000333
AC:
46
AN:
1382288
Hom.:
0
Cov.:
31
AF XY:
0.0000262
AC XY:
18
AN XY:
686740
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
29506
American (AMR)
AF:
0.00
AC:
0
AN:
37578
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23542
East Asian (EAS)
AF:
0.0000292
AC:
1
AN:
34274
South Asian (SAS)
AF:
0.00
AC:
0
AN:
74836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50186
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5222
European-Non Finnish (NFE)
AF:
0.0000420
AC:
45
AN:
1070594
Other (OTH)
AF:
0.00
AC:
0
AN:
56550
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
4
7
11
14
18
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.0000328
AC:
5
AN:
152228
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74370
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41470
American (AMR)
AF:
0.00
AC:
0
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000735
AC:
5
AN:
68040
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.535
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000108
Hom.:
0
Bravo
AF:
0.0000189

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Hyperammonemia, type III (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Uncertain
0.16
D
BayesDel_noAF
Uncertain
-0.010
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.39
T
Eigen
Benign
0.042
Eigen_PC
Benign
0.016
FATHMM_MKL
Benign
0.55
D
LIST_S2
Benign
0.53
T
M_CAP
Pathogenic
0.55
D
MetaRNN
Benign
0.39
T
MetaSVM
Uncertain
0.38
D
MutationAssessor
Benign
0.97
L
PhyloP100
0.85
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-0.65
N
REVEL
Uncertain
0.43
Sift
Uncertain
0.0040
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.99
D
Vest4
0.22
MutPred
0.30
Gain of stability (P = 0.0727)
MVP
0.98
MPC
0.77
ClinPred
0.49
T
GERP RS
3.5
PromoterAI
0.099
Neutral
Varity_R
0.10
gMVP
0.33
Mutation Taster
=93/7
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
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

Other links and lift over

dbSNP: rs958791517; hg19: chr17-42082039; API