7-134661922-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM1PM2PP3

The NM_001724.5(BPGM):ā€‹c.415G>Cā€‹(p.Asp139His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,018 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

BPGM
NM_001724.5 missense

Scores

11
6
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.09
Variant links:
Genes affected
BPGM (HGNC:1093): (bisphosphoglycerate mutase) 2,3-diphosphoglycerate (2,3-DPG) is a small molecule found at high concentrations in red blood cells where it binds to and decreases the oxygen affinity of hemoglobin. This gene encodes a multifunctional enzyme that catalyzes 2,3-DPG synthesis via its synthetase activity, and 2,3-DPG degradation via its phosphatase activity. The enzyme also has phosphoglycerate phosphomutase activity. Deficiency of this enzyme increases the affinity of cells for oxygen. Mutations in this gene result in hemolytic anemia. Multiple alternatively spliced variants, encoding the same protein, have been identified. [provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM1
In a chain Bisphosphoglycerate mutase (size 257) in uniprot entity PMGE_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_001724.5
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.804

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BPGMNM_001724.5 linkc.415G>C p.Asp139His missense_variant Exon 2 of 3 ENST00000344924.8 NP_001715.1 P07738A0A024R782

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BPGMENST00000344924.8 linkc.415G>C p.Asp139His missense_variant Exon 2 of 3 1 NM_001724.5 ENSP00000342032.3 P07738
BPGMENST00000393132.2 linkc.415G>C p.Asp139His missense_variant Exon 3 of 4 5 ENSP00000376840.2 P07738
BPGMENST00000418040.5 linkc.415G>C p.Asp139His missense_variant Exon 3 of 4 5 ENSP00000399838.1 P07738
BPGMENST00000443095.1 linkc.*181G>C downstream_gene_variant 4 ENSP00000403050.1 C9JH23

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461018
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726628
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Aug 29, 2024
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.415G>C (p.D139H) alteration is located in exon 3 (coding exon 1) of the BPGM gene. This alteration results from a G to C substitution at nucleotide position 415, causing the aspartic acid (D) at amino acid position 139 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.84
BayesDel_addAF
Pathogenic
0.30
D
BayesDel_noAF
Pathogenic
0.20
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.38
T;T;T
Eigen
Pathogenic
0.84
Eigen_PC
Pathogenic
0.81
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
.;.;D
M_CAP
Uncertain
0.23
D
MetaRNN
Pathogenic
0.80
D;D;D
MetaSVM
Uncertain
0.51
D
MutationAssessor
Pathogenic
3.2
M;M;M
PrimateAI
Uncertain
0.58
T
PROVEAN
Pathogenic
-5.8
D;D;D
REVEL
Pathogenic
0.69
Sift
Pathogenic
0.0
D;D;D
Sift4G
Uncertain
0.014
D;D;D
Polyphen
0.96
D;D;D
Vest4
0.75
MutPred
0.31
Loss of ubiquitination at K143 (P = 0.0709);Loss of ubiquitination at K143 (P = 0.0709);Loss of ubiquitination at K143 (P = 0.0709);
MVP
0.93
MPC
1.1
ClinPred
1.0
D
GERP RS
6.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.85
gMVP
0.90

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr7-134346674; API