20-49524089-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PP5_ModerateBP4BS2_Supporting

The NM_000961.4(PTGIS):​c.824G>A​(p.Arg275Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00118 in 1,614,220 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R275W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00095 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0012 ( 2 hom. )

Consequence

PTGIS
NM_000961.4 missense

Scores

1
4
14

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 2.71
Variant links:
Genes affected
PTGIS (HGNC:9603): (prostaglandin I2 synthase) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. However, this protein is considered a member of the cytochrome P450 superfamily on the basis of sequence similarity rather than functional similarity. This endoplasmic reticulum membrane protein catalyzes the conversion of prostglandin H2 to prostacyclin (prostaglandin I2), a potent vasodilator and inhibitor of platelet aggregation. An imbalance of prostacyclin and its physiological antagonist thromboxane A2 contribute to the development of myocardial infarction, stroke, and atherosclerosis. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PP5
Variant 20-49524089-C-T is Pathogenic according to our data. Variant chr20-49524089-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 208402.Status of the report is criteria_provided_single_submitter, 1 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.027326822). . Strength limited to SUPPORTING due to the PP5.
BS2
High Homozygotes in GnomAdExome4 at 2 AR geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PTGISNM_000961.4 linkuse as main transcriptc.824G>A p.Arg275Gln missense_variant 6/10 ENST00000244043.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PTGISENST00000244043.5 linkuse as main transcriptc.824G>A p.Arg275Gln missense_variant 6/101 NM_000961.4 P1
PTGISENST00000478971.1 linkuse as main transcriptn.645G>A non_coding_transcript_exon_variant 5/91

Frequencies

GnomAD3 genomes
AF:
0.000946
AC:
144
AN:
152214
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.0208
Gnomad AMR
AF:
0.00118
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000376
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00134
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.000979
AC:
246
AN:
251352
Hom.:
1
AF XY:
0.00100
AC XY:
136
AN XY:
135850
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.00107
Gnomad ASJ exome
AF:
0.000199
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.000261
Gnomad FIN exome
AF:
0.000185
Gnomad NFE exome
AF:
0.00152
Gnomad OTH exome
AF:
0.00261
GnomAD4 exome
AF:
0.00120
AC:
1758
AN:
1461888
Hom.:
2
Cov.:
32
AF XY:
0.00116
AC XY:
847
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.000299
Gnomad4 AMR exome
AF:
0.00110
Gnomad4 ASJ exome
AF:
0.000153
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.000220
Gnomad4 FIN exome
AF:
0.000150
Gnomad4 NFE exome
AF:
0.00141
Gnomad4 OTH exome
AF:
0.00119
GnomAD4 genome
AF:
0.000945
AC:
144
AN:
152332
Hom.:
0
Cov.:
32
AF XY:
0.000926
AC XY:
69
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.000240
Gnomad4 AMR
AF:
0.00118
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000376
Gnomad4 NFE
AF:
0.00134
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.00125
Hom.:
0
Bravo
AF:
0.00109
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00140
AC:
12
ExAC
AF:
0.000923
AC:
112
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00234
EpiControl
AF:
0.00249

ClinVar

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

Submissions by phenotype

Childhood-onset schizophrenia Pathogenic:1
Likely pathogenic, criteria provided, single submitterresearchDr. Guy Rouleau's laboratory, McGill UniversityJan 01, 2014COS with Obsessive Compulsive Disorder, Expressive Language Disorder -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.21
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.18
T
Eigen
Uncertain
0.48
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Benign
0.67
D
LIST_S2
Uncertain
0.90
D
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.027
T
MetaSVM
Benign
-0.56
T
MutationAssessor
Benign
2.0
M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-2.0
N
REVEL
Benign
0.29
Sift
Benign
0.099
T
Sift4G
Benign
0.10
T
Polyphen
1.0
D
Vest4
0.60
MVP
0.80
MPC
0.34
ClinPred
0.59
D
GERP RS
5.1
Varity_R
0.37
gMVP
0.58

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: rs61734270; hg19: chr20-48140626; API