5-151822809-C-T

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_ModerateBP6_Very_StrongBS1

The NM_000171.4(GLRA1):​c.1214G>A​(p.Arg405Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000231 in 1,614,044 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00022 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00023 ( 0 hom. )

Consequence

GLRA1
NM_000171.4 missense

Scores

1
10
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 3.84
Variant links:
Genes affected
GLRA1 (HGNC:4326): (glycine receptor alpha 1) The protein encoded by this gene is a subunit of a pentameric inhibitory glycine receptor, which mediates postsynaptic inhibition in the central nervous system. Defects in this gene are a cause of startle disease (STHE), also known as hereditary hyperekplexia or congenital stiff-person syndrome. Multiple transcript variants encoding different isoforms have been found. [provided by RefSeq, Dec 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08248192).
BP6
Variant 5-151822809-C-T is Benign according to our data. Variant chr5-151822809-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 352307.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.000232 (339/1461828) while in subpopulation MID AF= 0.00607 (35/5766). AF 95% confidence interval is 0.00449. There are 0 homozygotes in gnomad4_exome. There are 171 alleles in male gnomad4_exome subpopulation. Median coverage is 32. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GLRA1NM_000171.4 linkuse as main transcriptc.1214G>A p.Arg405Gln missense_variant 9/9 ENST00000274576.9 NP_000162.2 P23415-2
GLRA1NM_001146040.2 linkuse as main transcriptc.1238G>A p.Arg413Gln missense_variant 9/9 NP_001139512.1 P23415-1
GLRA1NM_001292000.2 linkuse as main transcriptc.965G>A p.Arg322Gln missense_variant 8/8 NP_001278929.1 Q14C71
GLRA1XM_047417105.1 linkuse as main transcriptc.1262G>A p.Arg421Gln missense_variant 9/9 XP_047273061.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GLRA1ENST00000274576.9 linkuse as main transcriptc.1214G>A p.Arg405Gln missense_variant 9/91 NM_000171.4 ENSP00000274576.5 P23415-2
GLRA1ENST00000455880.2 linkuse as main transcriptc.1238G>A p.Arg413Gln missense_variant 9/91 ENSP00000411593.2 P23415-1
GLRA1ENST00000462581.6 linkuse as main transcriptn.*972G>A non_coding_transcript_exon_variant 8/81 ENSP00000430595.1 E5RJ70
GLRA1ENST00000462581.6 linkuse as main transcriptn.*972G>A 3_prime_UTR_variant 8/81 ENSP00000430595.1 E5RJ70

Frequencies

GnomAD3 genomes
AF:
0.000224
AC:
34
AN:
152098
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000655
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000265
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000278
AC:
70
AN:
251396
Hom.:
0
AF XY:
0.000294
AC XY:
40
AN XY:
135872
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000202
Gnomad ASJ exome
AF:
0.00208
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000196
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000299
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000232
AC:
339
AN:
1461828
Hom.:
0
Cov.:
32
AF XY:
0.000235
AC XY:
171
AN XY:
727218
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.000224
Gnomad4 ASJ exome
AF:
0.00210
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000406
Gnomad4 FIN exome
AF:
0.0000374
Gnomad4 NFE exome
AF:
0.000159
Gnomad4 OTH exome
AF:
0.000348
GnomAD4 genome
AF:
0.000223
AC:
34
AN:
152216
Hom.:
0
Cov.:
31
AF XY:
0.000282
AC XY:
21
AN XY:
74414
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000654
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000265
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000331
Hom.:
0
Bravo
AF:
0.000306
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000280
AC:
34
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000600
EpiControl
AF:
0.000296

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hyperekplexia 1 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Hereditary hyperekplexia Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 30, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.16
CADD
Pathogenic
29
DANN
Uncertain
1.0
Eigen
Uncertain
0.59
Eigen_PC
Uncertain
0.58
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Uncertain
0.91
D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.082
T;T
MetaSVM
Uncertain
0.48
D
MutationAssessor
Pathogenic
3.4
.;M
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
-1.6
N;N
REVEL
Uncertain
0.47
Sift
Benign
0.10
T;D
Sift4G
Uncertain
0.056
T;T
Polyphen
0.99
D;D
Vest4
0.45
MVP
0.88
MPC
0.075
ClinPred
0.25
T
GERP RS
5.0
Varity_R
0.31
gMVP
0.74

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: rs199561280; hg19: chr5-151202370; COSMIC: COSV51014468; API