20-44258497-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_024034.6(GDAP1L1):​c.437G>A​(p.Arg146Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000282 in 1,561,790 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000029 ( 0 hom. )

Consequence

GDAP1L1
NM_024034.6 missense

Scores

11
4
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.51
Variant links:
Genes affected
GDAP1L1 (HGNC:4213): (ganglioside induced differentiation associated protein 1 like 1) The ganglioside GD3 synthase causes cell differentiation with neurite sprouting when transfected into the mouse neuroblastoma cell line Neuro2a. After differentiation, the expression of several genes is upregulated, including one that encodes a protein termed ganglioside-induced differentiation-associated protein 1 (Gdap1). A similar gene was found in humans, and mutations in the human gene are associated with Charcot-Marie-Tooth type 4A disease. The protein encoded by this gene is similar in sequence to the human GDAP1 protein. Several transcript variants encoding different isoforms, as well as a noncoding transcript variant, have been found for this gene. [provided by RefSeq, Feb 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.85

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GDAP1L1NM_024034.6 linkuse as main transcriptc.437G>A p.Arg146Gln missense_variant 3/6 ENST00000342560.10 NP_076939.3 Q96MZ0-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GDAP1L1ENST00000342560.10 linkuse as main transcriptc.437G>A p.Arg146Gln missense_variant 3/61 NM_024034.6 ENSP00000341782.5 Q96MZ0-1

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152140
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
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:
0.0000711
AC:
12
AN:
168758
Hom.:
0
AF XY:
0.0000554
AC XY:
5
AN XY:
90232
show subpopulations
Gnomad AFR exome
AF:
0.000104
Gnomad AMR exome
AF:
0.0000381
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000404
Gnomad SAS exome
AF:
0.0000425
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000589
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000291
AC:
41
AN:
1409650
Hom.:
0
Cov.:
32
AF XY:
0.0000316
AC XY:
22
AN XY:
696554
show subpopulations
Gnomad4 AFR exome
AF:
0.0000313
Gnomad4 AMR exome
AF:
0.0000268
Gnomad4 ASJ exome
AF:
0.0000396
Gnomad4 EAS exome
AF:
0.000192
Gnomad4 SAS exome
AF:
0.0000250
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000249
Gnomad4 OTH exome
AF:
0.0000171
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152140
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74316
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.0000302
ExAC
AF:
0.0000253
AC:
3

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 24, 2023The c.437G>A (p.R146Q) alteration is located in exon 3 (coding exon 3) of the GDAP1L1 gene. This alteration results from a G to A substitution at nucleotide position 437, causing the arginine (R) at amino acid position 146 to be replaced by a glutamine (Q). 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
Uncertain
0.35
BayesDel_addAF
Pathogenic
0.40
D
BayesDel_noAF
Pathogenic
0.26
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.030
T;T;.;.
Eigen
Uncertain
0.68
Eigen_PC
Pathogenic
0.69
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Pathogenic
0.98
D;D;D;D
M_CAP
Pathogenic
0.46
D
MetaRNN
Pathogenic
0.85
D;D;D;D
MetaSVM
Pathogenic
1.2
D
MutationAssessor
Benign
1.9
.;L;.;.
PrimateAI
Uncertain
0.77
T
PROVEAN
Benign
-1.8
.;N;.;.
REVEL
Pathogenic
0.74
Sift
Uncertain
0.010
.;D;.;.
Sift4G
Pathogenic
0.0
D;D;D;T
Polyphen
1.0
.;D;.;.
Vest4
0.86
MutPred
0.70
.;Loss of helix (P = 0.079);.;Loss of helix (P = 0.079);
MVP
0.98
MPC
1.5
ClinPred
0.27
T
GERP RS
5.4
Varity_R
0.37
gMVP
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs756414545; hg19: chr20-42887137; COSMIC: COSV61158898; API