17-50168529-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 4P and 2B. PM1PM5BP4_Moderate

The NM_000023.4(SGCA):​c.541C>T​(p.Arg181Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000305 in 1,576,054 control chromosomes in the GnomAD database, including 1 homozygotes. 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. R181S) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.00016 ( 1 hom., cov: 32)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

SGCA
NM_000023.4 missense

Scores

6
6
6

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:7

Conservation

PhyloP100: 2.53

Publications

1 publications found
Variant links:
Genes affected
SGCA (HGNC:10805): (sarcoglycan alpha) This gene encodes a component of the dystrophin-glycoprotein complex (DGC), which is critical to the stability of muscle fiber membranes and to the linking of the actin cytoskeleton to the extracellular matrix. Its expression is thought to be restricted to striated muscle. Mutations in this gene result in type 2D autosomal recessive limb-girdle muscular dystrophy. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2008]
SGCA Gene-Disease associations (from GenCC):
  • autosomal recessive limb-girdle muscular dystrophy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • autosomal recessive limb-girdle muscular dystrophy type 2D
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Myriad Women’s Health, Laboratory for Molecular Medicine, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 8 uncertain in NM_000023.4
PM5
Other missense variant is known to change same aminoacid residue: Variant chr17-50168529-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 288595.
BP4
Computational evidence support a benign effect (MetaRNN=0.19013453).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000023.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SGCA
NM_000023.4
MANE Select
c.541C>Tp.Arg181Cys
missense
Exon 5 of 10NP_000014.1
SGCA
NM_001135697.3
c.541C>Tp.Arg181Cys
missense
Exon 5 of 8NP_001129169.1
SGCA
NR_135553.2
n.577C>T
non_coding_transcript_exon
Exon 5 of 9

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SGCA
ENST00000262018.8
TSL:1 MANE Select
c.541C>Tp.Arg181Cys
missense
Exon 5 of 10ENSP00000262018.3
SGCA
ENST00000344627.10
TSL:1
c.541C>Tp.Arg181Cys
missense
Exon 5 of 8ENSP00000345522.6
SGCA
ENST00000682109.1
c.421C>Tp.Arg141Cys
missense
Exon 4 of 8ENSP00000508041.1

Frequencies

GnomAD3 genomes
AF:
0.000158
AC:
24
AN:
152134
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00131
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:
0.00
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.0000372
AC:
7
AN:
187924
AF XY:
0.0000399
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000216
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000126
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000169
AC:
24
AN:
1423802
Hom.:
0
Cov.:
33
AF XY:
0.0000156
AC XY:
11
AN XY:
704482
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32820
American (AMR)
AF:
0.000258
AC:
10
AN:
38832
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25428
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37984
South Asian (SAS)
AF:
0.0000123
AC:
1
AN:
81122
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50804
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5728
European-Non Finnish (NFE)
AF:
0.00000641
AC:
7
AN:
1092110
Other (OTH)
AF:
0.000102
AC:
6
AN:
58974
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000158
AC:
24
AN:
152252
Hom.:
1
Cov.:
32
AF XY:
0.000215
AC XY:
16
AN XY:
74446
show subpopulations
African (AFR)
AF:
0.0000722
AC:
3
AN:
41540
American (AMR)
AF:
0.00131
AC:
20
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68002
Other (OTH)
AF:
0.000473
AC:
1
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.520
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.0000162
Hom.:
0
Bravo
AF:
0.000370
ExAC
AF:
0.0000250
AC:
3

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
5
-
Autosomal recessive limb-girdle muscular dystrophy type 2D (5)
-
1
-
not provided (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Pathogenic
0.45
D
BayesDel_noAF
Pathogenic
0.41
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.90
D
Eigen
Benign
-0.043
Eigen_PC
Benign
0.043
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.93
D
M_CAP
Pathogenic
0.48
D
MetaRNN
Benign
0.19
T
MetaSVM
Uncertain
0.76
D
MutationAssessor
Benign
1.6
L
PhyloP100
2.5
PrimateAI
Uncertain
0.79
T
PROVEAN
Uncertain
-2.8
D
REVEL
Pathogenic
0.79
Sift
Benign
0.035
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.26
B
Vest4
0.65
MVP
0.98
MPC
0.85
ClinPred
0.34
T
GERP RS
3.6
Varity_R
0.18
gMVP
0.85
Mutation Taster
=11/89
disease causing

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: rs574376340; hg19: chr17-48245890; API