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19-34368601-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 8P and 4B. PS1_ModeratePP3_StrongPP5_ModerateBS2

The NM_000175.5(GPI):​c.301G>A​(p.Val101Met) variant causes a missense change. The variant allele was found at a frequency of 0.00000867 in 1,614,042 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin UniProt.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

GPI
NM_000175.5 missense

Scores

3
9
2

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 4.38
Variant links:
Genes affected
GPI (HGNC:4458): (glucose-6-phosphate isomerase) This gene encodes a member of the glucose phosphate isomerase protein family. The encoded protein has been identified as a moonlighting protein based on its ability to perform mechanistically distinct functions. In the cytoplasm, the gene product functions as a glycolytic enzyme (glucose-6-phosphate isomerase) that interconverts glucose-6-phosphate and fructose-6-phosphate. Extracellularly, the encoded protein (also referred to as neuroleukin) functions as a neurotrophic factor that promotes survival of skeletal motor neurons and sensory neurons, and as a lymphokine that induces immunoglobulin secretion. The encoded protein is also referred to as autocrine motility factor based on an additional function as a tumor-secreted cytokine and angiogenic factor. Defects in this gene are the cause of nonspherocytic hemolytic anemia and a severe enzyme deficiency can be associated with hydrops fetalis, immediate neonatal death and neurological impairment. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PS1
Transcript NM_000175.5 (GPI) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PP3
MetaRNN computational evidence supports a deleterious effect, 0.95
PP5
Variant 19-34368601-G-A is Pathogenic according to our data. Variant chr19-34368601-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 1697237.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAdExome4 at 13 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GPINM_000175.5 linkuse as main transcriptc.301G>A p.Val101Met missense_variant 4/18 ENST00000356487.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GPIENST00000356487.11 linkuse as main transcriptc.301G>A p.Val101Met missense_variant 4/181 NM_000175.5 P1P06744-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152188
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000795
AC:
2
AN:
251424
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135916
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000879
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000889
AC:
13
AN:
1461854
Hom.:
0
Cov.:
33
AF XY:
0.0000110
AC XY:
8
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000108
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152188
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74346
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Hemolytic anemia due to glucophosphate isomerase deficiency Pathogenic:1
Pathogenic, criteria provided, single submitterprovider interpretationDepartment of Endocrinology, The Children’s Hospital of Zhejiang University School of MedicineFeb 01, 2022Note: This variant was found in clinical genetic testing performed by one or more labs who may also submit to ClinVar. Therefore, any internal case data may overlap with the internal case data of other submitters. The interpretation and rationale are that of the Department of Endocrinology, The Children’s Hospital of Zhejiang University School of Medicine. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Pathogenic
0.33
D
BayesDel_noAF
Pathogenic
0.24
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.66
D;.;.;.;D;D;D;.;D
Eigen
Uncertain
0.40
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.88
D
M_CAP
Uncertain
0.25
D
MetaRNN
Pathogenic
0.95
D;D;D;D;D;D;D;D;D
MetaSVM
Uncertain
0.64
D
MutationTaster
Benign
0.95
D;D;D
PrimateAI
Uncertain
0.59
T
Sift4G
Uncertain
0.0020
D;.;D;.;D;.;D;.;D
Polyphen
1.0
.;.;.;.;.;D;.;.;D
Vest4
0.69, 0.79
MutPred
0.87
.;.;.;.;Gain of MoRF binding (P = 0.0835);Gain of MoRF binding (P = 0.0835);Gain of MoRF binding (P = 0.0835);Gain of MoRF binding (P = 0.0835);Gain of MoRF binding (P = 0.0835);
MVP
0.96
MPC
1.2
ClinPred
0.84
D
GERP RS
3.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.41
gMVP
0.64

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs757341382; hg19: chr19-34859506; API