21-46431862-C-G
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong
The NM_006031.6(PCNT):c.8398C>G(p.Arg2800Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000144 in 1,613,998 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R2800Q) has been classified as Likely benign.
Frequency
Consequence
NM_006031.6 missense
Scores
Clinical Significance
Conservation
Publications
- microcephalic osteodysplastic primordial dwarfism type IIInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics
- Moyamoya diseaseInheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_006031.6. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| PCNT | NM_006031.6 | MANE Select | c.8398C>G | p.Arg2800Gly | missense | Exon 38 of 47 | NP_006022.3 | ||
| PCNT | NM_001315529.2 | c.8044C>G | p.Arg2682Gly | missense | Exon 38 of 47 | NP_001302458.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| PCNT | ENST00000359568.10 | TSL:1 MANE Select | c.8398C>G | p.Arg2800Gly | missense | Exon 38 of 47 | ENSP00000352572.5 | ||
| PCNT | ENST00000480896.5 | TSL:1 | c.8044C>G | p.Arg2682Gly | missense | Exon 38 of 47 | ENSP00000511989.1 | ||
| PCNT | ENST00000695558.1 | c.8431C>G | p.Arg2811Gly | missense | Exon 39 of 48 | ENSP00000512015.1 |
Frequencies
GnomAD3 genomes AF: 0.000414 AC: 63AN: 152230Hom.: 0 Cov.: 34 show subpopulations
GnomAD2 exomes AF: 0.000112 AC: 28AN: 250978 AF XY: 0.0000663 show subpopulations
GnomAD4 exome AF: 0.000115 AC: 168AN: 1461650Hom.: 0 Cov.: 40 AF XY: 0.000107 AC XY: 78AN XY: 727108 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000420 AC: 64AN: 152348Hom.: 0 Cov.: 34 AF XY: 0.000376 AC XY: 28AN XY: 74492 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:2
Has not been previously published as pathogenic or benign to our knowledge; In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; Missense variant in a gene in which most reported pathogenic variants are truncating/loss-of-function
This sequence change replaces arginine, which is basic and polar, with glycine, which is neutral and non-polar, at codon 2800 of the PCNT protein (p.Arg2800Gly). This variant is present in population databases (rs142608069, gnomAD 0.1%). This variant has not been reported in the literature in individuals affected with PCNT-related conditions. ClinVar contains an entry for this variant (Variation ID: 1218299). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or 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.
PCNT-related disorder Uncertain:1
The PCNT c.8398C>G variant is predicted to result in the amino acid substitution p.Arg2800Gly. To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.14% of alleles in individuals of African descent in gnomAD, which is likely too common to be an unreported primary cause of disease. Although we suspect that this variant may be benign, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at