6-89387383-G-C

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PS1_ModeratePM2PM5PP3_StrongPP5_Moderate

The NM_021244.5(RRAGD):​c.356C>G​(p.Pro119Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin UniProt. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P119L) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)

Consequence

RRAGD
NM_021244.5 missense

Scores

15
2
2

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 9.60
Variant links:
Genes affected
RRAGD (HGNC:19903): (Ras related GTP binding D) RRAGD is a monomeric guanine nucleotide-binding protein, or G protein. By binding GTP or GDP, small G proteins act as molecular switches in numerous cell processes and signaling pathways.[supplied by OMIM, Apr 2004]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PS1
Transcript NM_021244.5 (RRAGD) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chrnull-null-null-null is described in UniProt as null.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.976
PP5
Variant 6-89387383-G-C is Pathogenic according to our data. Variant chr6-89387383-G-C is described in ClinVar as [Pathogenic]. Clinvar id is 1335637.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RRAGDNM_021244.5 linkc.356C>G p.Pro119Arg missense_variant 2/7 ENST00000369415.9 NP_067067.1 Q9NQL2-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RRAGDENST00000369415.9 linkc.356C>G p.Pro119Arg missense_variant 2/71 NM_021244.5 ENSP00000358423.4 Q9NQL2-1
RRAGDENST00000359203.3 linkc.-9-7016C>G intron_variant 2 ENSP00000352131.2 Q9NQL2-2
RRAGDENST00000492783.1 linkn.380C>G non_coding_transcript_exon_variant 2/55

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

HYPOMAGNESEMIA 7, RENAL, WITH DILATED CARDIOMYOPATHY Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 08, 2022- -
not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.47
D
BayesDel_noAF
Pathogenic
0.43
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.70
D
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
0.98
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.99
D
M_CAP
Pathogenic
0.29
D
MetaRNN
Pathogenic
0.98
D
MetaSVM
Pathogenic
0.85
D
MutationAssessor
Pathogenic
3.4
M
PrimateAI
Pathogenic
0.90
D
PROVEAN
Pathogenic
-8.5
D
REVEL
Pathogenic
0.92
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.082
T
Polyphen
1.0
D
Vest4
0.94
MutPred
0.90
Gain of helix (P = 0.062);
MVP
0.94
MPC
1.9
ClinPred
1.0
D
GERP RS
5.5
Varity_R
0.95
gMVP
0.96

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr6-90097102; API