2-219501538-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_013335.4(GMPPA):​c.201G>T​(p.Gln67His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000013 in 1,613,032 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000099 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

GMPPA
NM_013335.4 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.00
Variant links:
Genes affected
GMPPA (HGNC:22923): (GDP-mannose pyrophosphorylase A) This gene is thought to encode a GDP-mannose pyrophosphorylase. This enzyme catalyzes the reaction which converts mannose-1-phosphate and GTP to GDP-mannose which is involved in the production of N-linked oligosaccharides. [provided by RefSeq, Jul 2008]
ASIC4-AS1 (HGNC:40960): (ASIC4 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.24547562).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GMPPANM_013335.4 linkuse as main transcriptc.201G>T p.Gln67His missense_variant 4/13 ENST00000313597.10
ASIC4-AS1XR_923921.2 linkuse as main transcriptn.391+15158C>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GMPPAENST00000313597.10 linkuse as main transcriptc.201G>T p.Gln67His missense_variant 4/131 NM_013335.4 P1Q96IJ6-1
ASIC4-AS1ENST00000429882.1 linkuse as main transcriptn.182+15158C>A intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000986
AC:
15
AN:
152164
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000338
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:
251474
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135914
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
0.00000411
AC:
6
AN:
1460868
Hom.:
0
Cov.:
29
AF XY:
0.00000550
AC XY:
4
AN XY:
726834
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.0000986
AC:
15
AN:
152164
Hom.:
0
Cov.:
32
AF XY:
0.000121
AC XY:
9
AN XY:
74330
show subpopulations
Gnomad4 AFR
AF:
0.000338
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
Alfa
AF:
0.0000329
Hom.:
0
Bravo
AF:
0.0000793

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 05, 2023The c.201G>T (p.Q67H) alteration is located in exon 4 (coding exon 3) of the GMPPA gene. This alteration results from a G to T substitution at nucleotide position 201, causing the glutamine (Q) at amino acid position 67 to be replaced by a histidine (H). 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
0.10
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.15
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.60
D;.;D;D;.;D;D;.
Eigen
Benign
-0.016
Eigen_PC
Benign
0.013
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.80
.;T;.;.;T;T;T;T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.25
T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.27
D
MutationAssessor
Benign
0.92
L;L;L;L;.;.;L;.
MutationTaster
Benign
0.86
D;D;D;D;D
PrimateAI
Benign
0.22
T
PROVEAN
Benign
-2.1
N;N;N;N;N;N;N;.
REVEL
Uncertain
0.34
Sift
Benign
0.076
T;T;T;T;T;T;T;.
Sift4G
Benign
0.10
T;T;T;T;T;D;T;T
Polyphen
0.17
B;P;B;B;.;.;B;.
Vest4
0.15
MutPred
0.50
Gain of catalytic residue at L69 (P = 0.1957);Gain of catalytic residue at L69 (P = 0.1957);Gain of catalytic residue at L69 (P = 0.1957);Gain of catalytic residue at L69 (P = 0.1957);Gain of catalytic residue at L69 (P = 0.1957);.;Gain of catalytic residue at L69 (P = 0.1957);Gain of catalytic residue at L69 (P = 0.1957);
MVP
0.89
MPC
0.36
ClinPred
0.18
T
GERP RS
1.0
Varity_R
0.086
gMVP
0.44

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: rs1430916939; hg19: chr2-220366260; API