6-42185686-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_002098.6(GUCA1B):​c.469G>A​(p.Gly157Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000202 in 1,568,876 control chromosomes in the GnomAD database, including 4 homozygotes. 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: 𝑓 0.000079 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00022 ( 4 hom. )

Consequence

GUCA1B
NM_002098.6 missense

Scores

9
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:3B:2

Conservation

PhyloP100: 2.24
Variant links:
Genes affected
GUCA1B (HGNC:4679): (guanylate cyclase activator 1B) The protein encoded by this gene is a calcium-binding protein that activates photoreceptor guanylate cyclases. This gene may have arisen due to a gene duplication event since there is a highly similar gene clustered with it on chromosome 6. Mutations in this gene can cause a form of retinitis pigmentosa. [provided by RefSeq, Nov 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.22866249).
BS2
High AC in GnomAd4 at 12 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GUCA1BNM_002098.6 linkuse as main transcriptc.469G>A p.Gly157Arg missense_variant 3/4 ENST00000230361.4 NP_002089.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GUCA1BENST00000230361.4 linkuse as main transcriptc.469G>A p.Gly157Arg missense_variant 3/41 NM_002098.6 ENSP00000230361 P1

Frequencies

GnomAD3 genomes
AF:
0.0000788
AC:
12
AN:
152224
Hom.:
0
Cov.:
33
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:
0.00231
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000104
AC:
26
AN:
251156
Hom.:
0
AF XY:
0.000103
AC XY:
14
AN XY:
135762
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00136
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000215
AC:
305
AN:
1416534
Hom.:
4
Cov.:
27
AF XY:
0.000205
AC XY:
145
AN XY:
707440
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00764
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.34e-7
Gnomad4 OTH exome
AF:
0.0000340
GnomAD4 genome
AF:
0.0000788
AC:
12
AN:
152342
Hom.:
0
Cov.:
33
AF XY:
0.0000671
AC XY:
5
AN XY:
74494
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00231
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000948
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.000115
AC:
14
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Retinitis pigmentosa 48 Pathogenic:1Uncertain:1
Pathogenic, no assertion criteria providedliterature onlyOMIMMar 01, 2005- -
Uncertain significance, criteria provided, single submitterreference populationSoonchunhyang University Bucheon Hospital, Soonchunhyang University Medical CenterMar 18, 2016- -
not provided Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 25, 2023This sequence change replaces glycine, which is neutral and non-polar, with arginine, which is basic and polar, at codon 157 of the GUCA1B protein (p.Gly157Arg). This variant is present in population databases (rs121909124, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with clinical features of retinitis pigmentosa (PMID: 15452722). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 7369). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Not Available"; PolyPhen-2: "Benign"; Align-GVGD: "Not Available". The arginine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. Experimental studies have shown that this missense change affects GUCA1B function (PMID: 33812995). 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. -
Likely benign, no assertion criteria providedliterature onlyDepartment of Ophthalmology and Visual Sciences Kyoto University-- -
Retinitis pigmentosa Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJul 18, 2017The GUCA1B c.469G>A (p.Gly157Arg) variant is a missense variant that has been reported in two publications. In a study that tested the GUCA1B gene in 63 Japanese patients with autosomal dominant retinitis pigmentosa (adRP), Sato et al. (2005) identified the p.Gly157Arg variant in three unrelated individuals. Family members of two of the individuals were also evaluated. In one family, the variant was also seen in three affected siblings and was absent in an unaffected sibling. In the second family, the variant was also detected in an unaffected parent. The authors suggest this condition may have incomplete penetrance and variable expressivity. Arai et al. (2015) evaluated 349 Japanese patients with inherited retinal dystrophies and identified the p.Gly157Arg variant in four unrelated individuals with adRP. The p.Gly157Arg variant was absent from 100 controls of Japanese descent (Sato et al. 2005), but it is reported at a relatively high frequency of 0.0015 in the East Asian population of the Exome Aggregation Consortium. Based on the evidence, the p.Gly157Arg variant is classified as a variant of unknown significance but suspicious for pathogeniciy for autosomal dominant retinitis pigmentosa. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. -
Retinal dystrophy Benign:1
Benign, criteria provided, single submitterresearchDept Of Ophthalmology, Nagoya UniversityOct 01, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Uncertain
-0.060
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T
Eigen
Uncertain
0.28
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Benign
0.74
D
LIST_S2
Uncertain
0.93
D
M_CAP
Benign
0.042
D
MetaRNN
Benign
0.23
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
0.99
L
MutationTaster
Benign
1.0
A
PrimateAI
Uncertain
0.64
T
PROVEAN
Benign
-2.3
N
REVEL
Uncertain
0.53
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.043
D
Polyphen
0.93
P
Vest4
0.75
MutPred
0.56
Gain of loop (P = 0.1069);
MVP
0.83
MPC
0.31
ClinPred
0.21
T
GERP RS
3.1
Varity_R
0.52
gMVP
0.76

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: rs121909124; hg19: chr6-42153424; API