2-38675916-C-A

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_138801.3(GALM):​c.195C>A​(p.Tyr65*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000123 in 1,613,798 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 (★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00013 ( 0 hom. )

Consequence

GALM
NM_138801.3 stop_gained

Scores

2
2
3

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 0.185
Variant links:
Genes affected
GALM (HGNC:24063): (galactose mutarotase) This gene encodes an enzyme that catalyzes the epimerization of hexose sugars such as glucose and galactose. The encoded protein is expressed in the cytoplasm and has a preference for galactose. The encoded protein may be required for normal galactose metabolism by maintaining the equilibrium of alpha and beta anomers of galactose.[provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-38675916-C-A is Pathogenic according to our data. Variant chr2-38675916-C-A is described in ClinVar as [Pathogenic]. Clinvar id is 2414354.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GALMNM_138801.3 linkuse as main transcriptc.195C>A p.Tyr65* stop_gained 2/7 ENST00000272252.10 NP_620156.1 Q96C23A0A384MDW6
GALMXM_011532540.3 linkuse as main transcriptc.195C>A p.Tyr65* stop_gained 2/6 XP_011530842.1 Q96C23
GALMXM_047443419.1 linkuse as main transcriptc.195C>A p.Tyr65* stop_gained 2/6 XP_047299375.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GALMENST00000272252.10 linkuse as main transcriptc.195C>A p.Tyr65* stop_gained 2/71 NM_138801.3 ENSP00000272252.5 Q96C23
GALMENST00000410063.5 linkuse as main transcriptc.190+9565C>A intron_variant 3 ENSP00000386233.1 B8ZZ75
GALMENST00000427858.4 linkuse as main transcriptn.276C>A non_coding_transcript_exon_variant 2/44
GALMENST00000444351.5 linkuse as main transcriptn.114C>A non_coding_transcript_exon_variant 2/75 ENSP00000409083.1 H7C320

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
151980
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.000103
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000477
AC:
12
AN:
251454
Hom.:
0
AF XY:
0.0000368
AC XY:
5
AN XY:
135896
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.000106
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000130
AC:
190
AN:
1461818
Hom.:
0
Cov.:
31
AF XY:
0.000113
AC XY:
82
AN XY:
727216
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
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:
0.000163
Gnomad4 OTH exome
AF:
0.000132
GnomAD4 genome
AF:
0.0000526
AC:
8
AN:
151980
Hom.:
0
Cov.:
31
AF XY:
0.0000539
AC XY:
4
AN XY:
74224
show subpopulations
Gnomad4 AFR
AF:
0.0000242
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:
0.000103
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000120
Hom.:
0
Bravo
AF:
0.0000680
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000412
AC:
5
EpiCase
AF:
0.000164
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 27, 2022For these reasons, this variant has been classified as Pathogenic. Studies have shown that this premature translational stop signal alters GALM gene expression (PMID: 30910422). This variant has not been reported in the literature in individuals affected with GALM-related conditions. This variant is present in population databases (rs367911059, gnomAD 0.01%). This sequence change creates a premature translational stop signal (p.Tyr65*) in the GALM gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in GALM are known to be pathogenic (PMID: 30451973). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.43
D
BayesDel_noAF
Pathogenic
0.59
CADD
Pathogenic
37
DANN
Uncertain
0.99
Eigen
Uncertain
0.19
Eigen_PC
Benign
-0.016
FATHMM_MKL
Benign
0.43
N
Vest4
0.72
GERP RS
2.4

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: rs367911059; hg19: chr2-38903058; API