19-18869058-G-T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001492.6(GDF1):​c.658C>A​(p.Arg220Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000177 in 1,061,632 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00019 ( 0 hom. )

Consequence

GDF1
NM_001492.6 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.372

Publications

0 publications found
Variant links:
Genes affected
GDF1 (HGNC:4214): (growth differentiation factor 1) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate each subunit of the disulfide-linked homodimer. Studies in rodents suggest that this protein is involved in the establishment of left-right asymmetry in early embryogenesis and in neural development in later embryogenesis. The encoded protein is translated from a bicistronic mRNA that also encodes ceramide synthase 1. Mutations in this gene are associated with several congenital cardiovascular malformations. [provided by RefSeq, Jul 2016]
CERS1 (HGNC:14253): (ceramide synthase 1) This gene encodes a ceramide synthase enzyme, which catalyzes the synthesis of ceramide, the hydrophobic moiety of sphingolipids. The encoded enzyme synthesizes 18-carbon (C18) ceramide in brain neurons. Elevated expression of this gene may be associated with increased longevity, while decreased expression of this gene may be associated with myoclonus epilepsy with dementia in human patients. This protein is transcribed from a monocistronic mRNA as well as a bicistronic mRNA, which also encodes growth differentiation factor 1. [provided by RefSeq, Jul 2016]
CERS1 Gene-Disease associations (from GenCC):
  • progressive myoclonic epilepsy type 8
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.14569649).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GDF1NM_001492.6 linkc.658C>A p.Arg220Ser missense_variant Exon 8 of 8 ENST00000247005.8 NP_001483.3 P27539A0A024R7N8
CERS1NM_021267.5 linkc.*927C>A 3_prime_UTR_variant Exon 8 of 8 ENST00000623882.4 NP_067090.1 P27544-1
GDF1NM_001387438.1 linkc.658C>A p.Arg220Ser missense_variant Exon 5 of 5 NP_001374367.1
CERS1NM_001387440.1 linkc.*1519C>A 3_prime_UTR_variant Exon 7 of 7 NP_001374369.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GDF1ENST00000247005.8 linkc.658C>A p.Arg220Ser missense_variant Exon 8 of 8 1 NM_001492.6 ENSP00000247005.5 P27539
CERS1ENST00000623882.4 linkc.*927C>A 3_prime_UTR_variant Exon 8 of 8 1 NM_021267.5 ENSP00000485308.1 P27544-1

Frequencies

GnomAD3 genomes
AF:
0.000109
AC:
16
AN:
147286
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000244
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000202
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:
0.000181
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.000188
AC:
172
AN:
914346
Hom.:
0
Cov.:
29
AF XY:
0.000170
AC XY:
73
AN XY:
429174
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
17268
American (AMR)
AF:
0.00
AC:
0
AN:
3358
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
7326
East Asian (EAS)
AF:
0.00
AC:
0
AN:
8980
South Asian (SAS)
AF:
0.00
AC:
0
AN:
18546
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2020
European-Non Finnish (NFE)
AF:
0.000205
AC:
167
AN:
814092
Other (OTH)
AF:
0.000156
AC:
5
AN:
32138
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
10
20
31
41
51
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000109
AC:
16
AN:
147286
Hom.:
0
Cov.:
33
AF XY:
0.000112
AC XY:
8
AN XY:
71684
show subpopulations
African (AFR)
AF:
0.0000244
AC:
1
AN:
40970
American (AMR)
AF:
0.000202
AC:
3
AN:
14828
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3392
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5150
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8718
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.000181
AC:
12
AN:
66146
Other (OTH)
AF:
0.00
AC:
0
AN:
2032
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.509
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.00
Hom.:
0
Bravo
AF:
0.0000907

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Nov 06, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.658C>A (p.R220S) alteration is located in exon 8 (coding exon 2) of the GDF1 gene. This alteration results from a C to A substitution at nucleotide position 658, causing the arginine (R) at amino acid position 220 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

not provided Uncertain:1
Aug 23, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces arginine, which is basic and polar, with serine, which is neutral and polar, at codon 220 of the GDF1 protein (p.Arg220Ser). This variant is present in population databases (no rsID available, gnomAD 0.02%). This variant has not been reported in the literature in individuals affected with GDF1-related conditions. ClinVar contains an entry for this variant (Variation ID: 471937). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.087
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
14
DANN
Benign
0.93
DEOGEN2
Benign
0.13
T;.
Eigen
Benign
-0.71
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.093
N
LIST_S2
Benign
0.39
T;.
M_CAP
Pathogenic
0.58
D
MetaRNN
Benign
0.15
T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
0.34
N;.
PhyloP100
0.37
PROVEAN
Benign
-0.14
N;.
REVEL
Benign
0.11
Sift
Benign
0.42
T;.
Sift4G
Benign
0.90
T;T
Vest4
0.098
MVP
0.26
MPC
1.2
ClinPred
0.061
T
GERP RS
1.2
Varity_R
0.089
gMVP
0.32
Mutation Taster
=95/5
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: rs1037827220; hg19: chr19-18979867; API