4-44686523-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001345867.2(GUF1):​c.-225C>T variant causes a 5 prime UTR premature start codon gain change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00388 in 1,610,132 control chromosomes in the GnomAD database, including 17 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0031 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0040 ( 16 hom. )

Consequence

GUF1
NM_001345867.2 5_prime_UTR_premature_start_codon_gain

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 0.805
Variant links:
Genes affected
GUF1 (HGNC:25799): (GTP binding elongation factor GUF1) This gene encodes a GTPase that triggers back-translocation of the elongating ribosome during mitochondrial protein synthesis. The protein contains a highly conserved C-terminal domain not found in other GTPases that facilitates tRNA binding. The encoded protein is thought to prevent misincorporation of amino acids in stressful, suboptimal conditions. An allelic variant in this gene has been associated with early infantile epileptic encephalopathy-40. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2016]
GNPDA2 (HGNC:21526): (glucosamine-6-phosphate deaminase 2) The protein encoded by this gene is an allosteric enzyme that catalyzes the reversible reaction converting D-glucosamine-6-phosphate into D-fructose-6-phosphate and ammonium. Variations of this gene have been reported to be associated with influencing body mass index and susceptibility to obesity. A pseudogene of this gene is located on chromosome 9. Alternative splicing results in multiple transcript variants that encode different protein isoforms. [provided by RefSeq, Aug 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0038073063).
BP6
Variant 4-44686523-C-T is Benign according to our data. Variant chr4-44686523-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 445372.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1}.
BS2
High Homozygotes in GnomAdExome4 at 16 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GUF1NM_021927.3 linkuse as main transcriptc.748C>T p.Arg250Cys missense_variant 8/17 ENST00000281543.6 NP_068746.2 Q8N442

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GUF1ENST00000281543.6 linkuse as main transcriptc.748C>T p.Arg250Cys missense_variant 8/171 NM_021927.3 ENSP00000281543.5 Q8N442

Frequencies

GnomAD3 genomes
AF:
0.00307
AC:
466
AN:
151868
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000991
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00441
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000755
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00505
Gnomad OTH
AF:
0.00336
GnomAD3 exomes
AF:
0.00234
AC:
585
AN:
250528
Hom.:
2
AF XY:
0.00231
AC XY:
313
AN XY:
135450
show subpopulations
Gnomad AFR exome
AF:
0.000433
Gnomad AMR exome
AF:
0.00227
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000360
Gnomad FIN exome
AF:
0.000742
Gnomad NFE exome
AF:
0.00403
Gnomad OTH exome
AF:
0.00278
GnomAD4 exome
AF:
0.00397
AC:
5784
AN:
1458146
Hom.:
16
Cov.:
30
AF XY:
0.00383
AC XY:
2776
AN XY:
725506
show subpopulations
Gnomad4 AFR exome
AF:
0.000540
Gnomad4 AMR exome
AF:
0.00249
Gnomad4 ASJ exome
AF:
0.0000384
Gnomad4 EAS exome
AF:
0.0000253
Gnomad4 SAS exome
AF:
0.000314
Gnomad4 FIN exome
AF:
0.000844
Gnomad4 NFE exome
AF:
0.00484
Gnomad4 OTH exome
AF:
0.00347
GnomAD4 genome
AF:
0.00307
AC:
466
AN:
151986
Hom.:
1
Cov.:
32
AF XY:
0.00299
AC XY:
222
AN XY:
74312
show subpopulations
Gnomad4 AFR
AF:
0.000988
Gnomad4 AMR
AF:
0.00440
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000755
Gnomad4 NFE
AF:
0.00505
Gnomad4 OTH
AF:
0.00332
Alfa
AF:
0.00350
Hom.:
1
Bravo
AF:
0.00309
TwinsUK
AF:
0.00405
AC:
15
ALSPAC
AF:
0.00441
AC:
17
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00454
AC:
39
ExAC
AF:
0.00227
AC:
276
Asia WGS
AF:
0.000578
AC:
2
AN:
3476

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 19, 2024- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024GUF1: BP4, BS2 -
Uncertain significance, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsMar 20, 2017- -
GUF1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesDec 06, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.11
T
Eigen
Benign
-0.46
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.15
N
LIST_S2
Uncertain
0.97
D
M_CAP
Benign
0.0058
T
MetaRNN
Benign
0.0038
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L
PrimateAI
Benign
0.26
T
PROVEAN
Uncertain
-2.4
N
REVEL
Benign
0.035
Sift
Benign
0.077
T
Sift4G
Benign
0.11
T
Polyphen
0.0010
B
Vest4
0.11
MVP
0.27
MPC
0.078
ClinPred
0.015
T
GERP RS
3.3
Varity_R
0.087
gMVP
0.40

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.12
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: rs116062572; hg19: chr4-44688540; COSMIC: COSV99029373; API