5-151822862-G-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4BP6

The NM_000171.4(GLRA1):​c.1161C>G​(p.Asn387Lys) variant causes a missense change. The variant allele was found at a frequency of 0.0000124 in 1,614,038 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.000013 ( 0 hom., cov: 31)
Exomes š‘“: 0.000012 ( 0 hom. )

Consequence

GLRA1
NM_000171.4 missense

Scores

1
5
12

Clinical Significance

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

Conservation

PhyloP100: 5.29
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 Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.33743638).
BP6
Variant 5-151822862-G-C is Benign according to our data. Variant chr5-151822862-G-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 573739.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GLRA1NM_000171.4 linkc.1161C>G p.Asn387Lys missense_variant Exon 9 of 9 ENST00000274576.9 NP_000162.2 P23415-2
GLRA1NM_001146040.2 linkc.1185C>G p.Asn395Lys missense_variant Exon 9 of 9 NP_001139512.1 P23415-1
GLRA1NM_001292000.2 linkc.912C>G p.Asn304Lys missense_variant Exon 8 of 8 NP_001278929.1 Q14C71
GLRA1XM_047417105.1 linkc.1209C>G p.Asn403Lys missense_variant Exon 9 of 9 XP_047273061.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GLRA1ENST00000274576.9 linkc.1161C>G p.Asn387Lys missense_variant Exon 9 of 9 1 NM_000171.4 ENSP00000274576.5 P23415-2
GLRA1ENST00000455880.2 linkc.1185C>G p.Asn395Lys missense_variant Exon 9 of 9 1 ENSP00000411593.2 P23415-1
GLRA1ENST00000462581.6 linkn.*919C>G non_coding_transcript_exon_variant Exon 8 of 8 1 ENSP00000430595.1 E5RJ70
GLRA1ENST00000462581.6 linkn.*919C>G 3_prime_UTR_variant Exon 8 of 8 1 ENSP00000430595.1 E5RJ70

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152226
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000279
AC:
7
AN:
251322
Hom.:
0
AF XY:
0.0000368
AC XY:
5
AN XY:
135822
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000123
AC:
18
AN:
1461812
Hom.:
0
Cov.:
32
AF XY:
0.0000179
AC XY:
13
AN XY:
727208
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000128
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152226
Hom.:
0
Cov.:
31
AF XY:
0.0000269
AC XY:
2
AN XY:
74370
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378
ExAC
AF:
0.0000741
AC:
9
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Dec 16, 2021
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.1161C>G (p.N387K) alteration is located in exon 9 (coding exon 9) of the GLRA1 gene. This alteration results from a C to G substitution at nucleotide position 1161, causing the asparagine (N) at amino acid position 387 to be replaced by a lysine (K). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Hereditary hyperekplexia Benign:1
May 09, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.36
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
18
DANN
Benign
0.97
Eigen
Benign
-0.10
Eigen_PC
Benign
0.096
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.86
D;D
M_CAP
Benign
0.072
D
MetaRNN
Benign
0.34
T;T
MetaSVM
Benign
-0.54
T
MutationAssessor
Uncertain
2.1
.;M
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-1.2
N;N
REVEL
Uncertain
0.36
Sift
Benign
0.72
T;T
Sift4G
Benign
0.93
T;T
Polyphen
0.071
B;B
Vest4
0.57
MutPred
0.44
.;Gain of ubiquitination at N395 (P = 0.0037);
MVP
0.84
MPC
0.079
ClinPred
0.11
T
GERP RS
5.0
Varity_R
0.24
gMVP
0.67

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: rs768970494; hg19: chr5-151202423; API