19-35300381-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_002361.4(MAG):​c.947G>T​(p.Arg316Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000021 in 1,430,034 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

MAG
NM_002361.4 missense

Scores

8
11

Clinical Significance

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

Conservation

PhyloP100: 2.03

Publications

0 publications found
Variant links:
Genes affected
MAG (HGNC:6783): (myelin associated glycoprotein) The protein encoded by this gene is a type I membrane protein and member of the immunoglobulin superfamily. It is thought to be involved in the process of myelination. It is a lectin that binds to sialylated glycoconjugates and mediates certain myelin-neuron cell-cell interactions. Three alternatively spliced transcripts encoding different isoforms have been described for this gene. [provided by RefSeq, Nov 2010]
MAG Gene-Disease associations (from GenCC):
  • complex hereditary spastic paraplegia
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • hereditary spastic paraplegia 75
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MAGNM_002361.4 linkc.947G>T p.Arg316Leu missense_variant Exon 6 of 11 ENST00000392213.8 NP_002352.1 P20916-1Q53ES7
MAGNM_001199216.2 linkc.872G>T p.Arg291Leu missense_variant Exon 6 of 11 NP_001186145.1 P20916-3
MAGNM_080600.3 linkc.947G>T p.Arg316Leu missense_variant Exon 6 of 12 NP_542167.1 P20916-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MAGENST00000392213.8 linkc.947G>T p.Arg316Leu missense_variant Exon 6 of 11 1 NM_002361.4 ENSP00000376048.2 P20916-1
MAGENST00000537831.2 linkc.872G>T p.Arg291Leu missense_variant Exon 6 of 11 1 ENSP00000440695.1 P20916-3
MAGENST00000361922.8 linkc.947G>T p.Arg316Leu missense_variant Exon 6 of 12 1 ENSP00000355234.4 P20916-2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000876
AC:
2
AN:
228398
AF XY:
0.00000799
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000590
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000210
AC:
3
AN:
1430034
Hom.:
0
Cov.:
32
AF XY:
0.00000282
AC XY:
2
AN XY:
708556
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33216
American (AMR)
AF:
0.0000453
AC:
2
AN:
44158
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25542
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39212
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85082
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
38248
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5704
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1099428
Other (OTH)
AF:
0.0000168
AC:
1
AN:
59444
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
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
Cov.:
33
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Hereditary spastic paraplegia 75 Uncertain:1
Apr 15, 2021
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces arginine with leucine at codon 316 of the MAG protein (p.Arg316Leu). The arginine residue is moderately conserved and there is a moderate physicochemical difference between arginine and leucine. This variant is not present in population databases (ExAC no frequency). This variant has not been reported in the literature in individuals with MAG-related disease. Algorithms developed to predict the effect of missense changes on protein structure and function do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). 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. -

Inborn genetic diseases Uncertain:1
Nov 13, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.947G>T (p.R316L) alteration is located in exon 6 (coding exon 4) of the MAG gene. This alteration results from a G to T substitution at nucleotide position 947, causing the arginine (R) at amino acid position 316 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Uncertain
0.046
T
BayesDel_noAF
Benign
-0.17
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Benign
0.31
T;.;.
Eigen
Benign
-0.13
Eigen_PC
Benign
-0.11
FATHMM_MKL
Benign
0.43
N
LIST_S2
Benign
0.83
T;T;T
M_CAP
Uncertain
0.21
D
MetaRNN
Uncertain
0.58
D;D;D
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
1.1
L;L;.
PhyloP100
2.0
PrimateAI
Uncertain
0.62
T
PROVEAN
Uncertain
-4.1
D;D;D
REVEL
Uncertain
0.41
Sift
Benign
0.048
D;T;T
Sift4G
Uncertain
0.043
D;D;D
Polyphen
0.72
P;.;.
Vest4
0.55
MutPred
0.63
Loss of catalytic residue at R316 (P = 0.087);Loss of catalytic residue at R316 (P = 0.087);.;
MVP
0.70
MPC
0.95
ClinPred
0.96
D
GERP RS
2.5
Varity_R
0.43
gMVP
0.81
Mutation Taster
=74/26
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: rs370453303; hg19: chr19-35791284; COSMIC: COSV62702322; COSMIC: COSV62702322; API