5-161688978-G-C

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The ENST00000274545.10(GABRA6):ā€‹c.255G>Cā€‹(p.Gln85His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00152 in 1,613,872 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00091 ( 0 hom., cov: 32)
Exomes š‘“: 0.0016 ( 3 hom. )

Consequence

GABRA6
ENST00000274545.10 missense

Scores

2
3
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.50
Variant links:
Genes affected
GABRA6 (HGNC:4080): (gamma-aminobutyric acid type A receptor subunit alpha6) GABA is the major inhibitory neurotransmitter in the mammalian brain where it acts at GABA-A receptors, which are ligand-gated chloride channels. Chloride conductance of these channels can be modulated by agents such as benzodiazepines that bind to the GABA-A receptor. At least 16 distinct subunits of GABA-A receptors have been identified. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_addAF=-0.0258183).
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GABRA6NM_000811.3 linkuse as main transcriptc.255G>C p.Gln85His missense_variant 4/9 ENST00000274545.10 NP_000802.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GABRA6ENST00000274545.10 linkuse as main transcriptc.255G>C p.Gln85His missense_variant 4/91 NM_000811.3 ENSP00000274545 P1
ENST00000521984.1 linkuse as main transcriptn.149+282C>G intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.000907
AC:
138
AN:
152072
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000411
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000524
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000829
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00159
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000911
AC:
229
AN:
251310
Hom.:
1
AF XY:
0.000972
AC XY:
132
AN XY:
135846
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.000434
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000751
Gnomad FIN exome
AF:
0.000416
Gnomad NFE exome
AF:
0.00151
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00158
AC:
2315
AN:
1461682
Hom.:
3
Cov.:
32
AF XY:
0.00156
AC XY:
1134
AN XY:
727156
show subpopulations
Gnomad4 AFR exome
AF:
0.000299
Gnomad4 AMR exome
AF:
0.000358
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000846
Gnomad4 FIN exome
AF:
0.000468
Gnomad4 NFE exome
AF:
0.00190
Gnomad4 OTH exome
AF:
0.00119
GnomAD4 genome
AF:
0.000913
AC:
139
AN:
152190
Hom.:
0
Cov.:
32
AF XY:
0.000820
AC XY:
61
AN XY:
74404
show subpopulations
Gnomad4 AFR
AF:
0.000409
Gnomad4 AMR
AF:
0.000523
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000830
Gnomad4 FIN
AF:
0.0000943
Gnomad4 NFE
AF:
0.00160
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00144
Hom.:
0
Bravo
AF:
0.000827
TwinsUK
AF:
0.00270
AC:
10
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00186
AC:
16
ExAC
AF:
0.000873
AC:
106
EpiCase
AF:
0.00142
EpiControl
AF:
0.00124

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Childhood absence epilepsy Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 28, 2021This sequence change replaces glutamine with histidine at codon 85 of the GABRA6 protein (p.Gln85His). The glutamine residue is highly conserved and there is a small physicochemical difference between glutamine and histidine. This variant is present in population databases (rs115069685, ExAC 0.1%). This variant has not been reported in the literature in individuals affected with GABRA6-related conditions. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Benign
-0.026
T
BayesDel_noAF
Pathogenic
0.27
CADD
Uncertain
25
DANN
Benign
0.94
Eigen
Uncertain
0.27
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Uncertain
0.94
D
M_CAP
Benign
0.074
D
MutationTaster
Benign
1.0
D;D
ClinPred
0.067
T
GERP RS
2.7

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs115069685; hg19: chr5-161115984; API