5-161690237-A-G

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_000811.3(GABRA6):​c.710A>G​(p.Gln237Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00284 in 1,613,782 control chromosomes in the GnomAD database, including 15 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0023 ( 5 hom., cov: 32)
Exomes 𝑓: 0.0029 ( 10 hom. )

Consequence

GABRA6
NM_000811.3 missense

Scores

1
3
14

Clinical Significance

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

Conservation

PhyloP100: 7.41

Publications

8 publications found
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 was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.022625834).
BP6
Variant 5-161690237-A-G is Benign according to our data. Variant chr5-161690237-A-G is described in ClinVar as Likely_benign. ClinVar VariationId is 477869.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000811.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GABRA6
NM_000811.3
MANE Select
c.710A>Gp.Gln237Arg
missense
Exon 7 of 9NP_000802.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GABRA6
ENST00000274545.10
TSL:1 MANE Select
c.710A>Gp.Gln237Arg
missense
Exon 7 of 9ENSP00000274545.5
GABRA6
ENST00000523217.5
TSL:5
c.680A>Gp.Gln227Arg
missense
Exon 7 of 9ENSP00000430527.1
GABRA6
ENST00000520000.5
TSL:4
c.527A>Gp.Gln176Arg
missense
Exon 5 of 5ENSP00000429943.1

Frequencies

GnomAD3 genomes
AF:
0.00227
AC:
345
AN:
152192
Hom.:
5
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000531
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00105
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00227
Gnomad FIN
AF:
0.00386
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00366
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00309
AC:
776
AN:
251374
AF XY:
0.00324
show subpopulations
Gnomad AFR exome
AF:
0.000615
Gnomad AMR exome
AF:
0.00136
Gnomad ASJ exome
AF:
0.00208
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00513
Gnomad NFE exome
AF:
0.00384
Gnomad OTH exome
AF:
0.00359
GnomAD4 exome
AF:
0.00291
AC:
4246
AN:
1461472
Hom.:
10
Cov.:
31
AF XY:
0.00306
AC XY:
2226
AN XY:
727046
show subpopulations
African (AFR)
AF:
0.000448
AC:
15
AN:
33472
American (AMR)
AF:
0.00130
AC:
58
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00207
AC:
54
AN:
26122
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39634
South Asian (SAS)
AF:
0.00356
AC:
307
AN:
86248
European-Finnish (FIN)
AF:
0.00530
AC:
283
AN:
53388
Middle Eastern (MID)
AF:
0.00399
AC:
23
AN:
5762
European-Non Finnish (NFE)
AF:
0.00303
AC:
3365
AN:
1111740
Other (OTH)
AF:
0.00234
AC:
141
AN:
60382
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
219
438
656
875
1094
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
126
252
378
504
630
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00227
AC:
345
AN:
152310
Hom.:
5
Cov.:
32
AF XY:
0.00215
AC XY:
160
AN XY:
74474
show subpopulations
African (AFR)
AF:
0.000529
AC:
22
AN:
41576
American (AMR)
AF:
0.00105
AC:
16
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00173
AC:
6
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00228
AC:
11
AN:
4832
European-Finnish (FIN)
AF:
0.00386
AC:
41
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00366
AC:
249
AN:
68014
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
15
30
46
61
76
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00302
Hom.:
3
Bravo
AF:
0.00197
TwinsUK
AF:
0.00351
AC:
13
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00407
AC:
35
ExAC
AF:
0.00330
AC:
400
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00311
EpiControl
AF:
0.00326

ClinVar

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

Submissions by phenotype

Childhood absence epilepsy Benign:1
Sep 28, 2020
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:1
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

GABRA6-related disorder Benign:1
Jun 17, 2019
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This 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 v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.097
T
Eigen
Benign
-0.072
Eigen_PC
Benign
0.16
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.57
T
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.023
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
0.16
N
PhyloP100
7.4
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-0.090
N
REVEL
Uncertain
0.34
Sift
Benign
0.17
T
Sift4G
Benign
0.23
T
Polyphen
0.041
B
Vest4
0.44
MVP
0.78
MPC
0.43
ClinPred
0.024
T
GERP RS
5.3
Varity_R
0.26
gMVP
0.74
Mutation Taster
=74/26
polymorphism

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

Other links and lift over

dbSNP: rs76773579; hg19: chr5-161117243; COSMIC: COSV105098644; COSMIC: COSV105098644; API