6-146399403-G-C
Variant names: 
Variant summary
Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2
The NM_001278064.2(GRM1):c.2364G>C(p.Ala788Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00051 in 1,614,088 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
 Genomes: 𝑓 0.0027   (  3   hom.,  cov: 32) 
 Exomes 𝑓:  0.00028   (  2   hom.  ) 
Consequence
 GRM1
NM_001278064.2 synonymous
NM_001278064.2 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  1.24  
Publications
1 publications found 
Genes affected
 GRM1  (HGNC:4593):  (glutamate metabotropic receptor 1) This gene encodes a metabotropic glutamate receptor that functions by activating phospholipase C. L-glutamate is the major excitatory neurotransmitter in the central nervous system and activates both ionotropic and metabotropic glutamate receptors. Glutamatergic neurotransmission is involved in most aspects of normal brain function and can be perturbed in many neuropathologic conditions. The canonical alpha isoform of the encoded protein is a disulfide-linked homodimer whose activity is mediated by a G-protein-coupled phosphatidylinositol-calcium second messenger system. This gene may be associated with many disease states, including schizophrenia, bipolar disorder, depression, and breast cancer. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, May 2013] 
GRM1 Gene-Disease associations (from GenCC):
- spinocerebellar ataxia 44Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- autosomal recessive spinocerebellar ataxia 13Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -21 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.48). 
BP6
Variant 6-146399403-G-C is Benign according to our data. Variant chr6-146399403-G-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 585957.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BP7
Synonymous conserved (PhyloP=1.24 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00273 (415/152196) while in subpopulation AFR AF = 0.00975 (405/41540). AF 95% confidence interval is 0.00897. There are 3 homozygotes in GnomAd4. There are 189 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check. 
BS2
High Homozygotes in GnomAd4 at 3 AR,AD gene
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.00272  AC: 414AN: 152078Hom.:  3  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
414
AN: 
152078
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
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Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.000684  AC: 172AN: 251460 AF XY:  0.000522   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
172
AN: 
251460
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
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Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.000279  AC: 408AN: 1461892Hom.:  2  Cov.: 34 AF XY:  0.000250  AC XY: 182AN XY: 727246 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
408
AN: 
1461892
Hom.: 
Cov.: 
34
 AF XY: 
AC XY: 
182
AN XY: 
727246
show subpopulations 
African (AFR) 
 AF: 
AC: 
325
AN: 
33480
American (AMR) 
 AF: 
AC: 
18
AN: 
44724
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26136
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39700
South Asian (SAS) 
 AF: 
AC: 
2
AN: 
86258
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53420
Middle Eastern (MID) 
 AF: 
AC: 
6
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
10
AN: 
1112012
Other (OTH) 
 AF: 
AC: 
47
AN: 
60394
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.474 
Heterozygous variant carriers
 0 
 27 
 54 
 82 
 109 
 136 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 20 
 40 
 60 
 80 
 100 
 <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  0.00273  AC: 415AN: 152196Hom.:  3  Cov.: 32 AF XY:  0.00254  AC XY: 189AN XY: 74398 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
415
AN: 
152196
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
189
AN XY: 
74398
show subpopulations 
African (AFR) 
 AF: 
AC: 
405
AN: 
41540
American (AMR) 
 AF: 
AC: 
6
AN: 
15280
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3468
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5186
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4804
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10594
Middle Eastern (MID) 
 AF: 
AC: 
1
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
68014
Other (OTH) 
 AF: 
AC: 
3
AN: 
2106
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.500 
Heterozygous variant carriers
 0 
 22 
 44 
 65 
 87 
 109 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
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: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
3
AN: 
3478
ClinVar
Significance: Benign/Likely benign 
Submissions summary: Benign:3 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not specified    Benign:1 
Oct 20, 2023
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Autosomal recessive spinocerebellar ataxia 13;C4521563:Spinocerebellar ataxia 44    Benign:1 
Jan 12, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
not provided    Benign:1 
Nov 17, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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