7-44189037-G-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000162.5(GCK):​c.-84C>G variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0703 in 1,552,338 control chromosomes in the GnomAD database, including 4,065 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.066 ( 355 hom., cov: 32)
Exomes 𝑓: 0.071 ( 3710 hom. )

Consequence

GCK
NM_000162.5 5_prime_UTR

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.563
Variant links:
Genes affected
GCK (HGNC:4195): (glucokinase) This gene encodes a member of the hexokinase family of proteins. Hexokinases phosphorylate glucose to produce glucose-6-phosphate, the first step in most glucose metabolism pathways. In contrast to other forms of hexokinase, this enzyme is not inhibited by its product glucose-6-phosphate but remains active while glucose is abundant. The use of multiple promoters and alternative splicing of this gene result in distinct protein isoforms that exhibit tissue-specific expression in the pancreas and liver. In the pancreas, this enzyme plays a role in glucose-stimulated insulin secretion, while in the liver, this enzyme is important in glucose uptake and conversion to glycogen. Mutations in this gene that alter enzyme activity have been associated with multiple types of diabetes and hyperinsulinemic hypoglycemia. [provided by RefSeq, Aug 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.89).
BP6
Variant 7-44189037-G-C is Benign according to our data. Variant chr7-44189037-G-C is described in ClinVar as [Benign]. Clinvar id is 908803.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-44189037-G-C is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0794 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GCKNM_000162.5 linkuse as main transcriptc.-84C>G 5_prime_UTR_variant 1/10 ENST00000403799.8 NP_000153.1
GCKNM_001354800.1 linkuse as main transcriptc.-84C>G 5_prime_UTR_variant 1/11 NP_001341729.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GCKENST00000403799.8 linkuse as main transcriptc.-84C>G 5_prime_UTR_variant 1/101 NM_000162.5 ENSP00000384247 P1P35557-1

Frequencies

GnomAD3 genomes
AF:
0.0657
AC:
9998
AN:
152116
Hom.:
353
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0561
Gnomad AMI
AF:
0.130
Gnomad AMR
AF:
0.0509
Gnomad ASJ
AF:
0.0641
Gnomad EAS
AF:
0.0862
Gnomad SAS
AF:
0.0691
Gnomad FIN
AF:
0.0693
Gnomad MID
AF:
0.0506
Gnomad NFE
AF:
0.0717
Gnomad OTH
AF:
0.0712
GnomAD4 exome
AF:
0.0708
AC:
99143
AN:
1400104
Hom.:
3710
Cov.:
23
AF XY:
0.0713
AC XY:
49740
AN XY:
697262
show subpopulations
Gnomad4 AFR exome
AF:
0.0546
Gnomad4 AMR exome
AF:
0.0405
Gnomad4 ASJ exome
AF:
0.0582
Gnomad4 EAS exome
AF:
0.0764
Gnomad4 SAS exome
AF:
0.0753
Gnomad4 FIN exome
AF:
0.0774
Gnomad4 NFE exome
AF:
0.0721
Gnomad4 OTH exome
AF:
0.0671
GnomAD4 genome
AF:
0.0657
AC:
10006
AN:
152234
Hom.:
355
Cov.:
32
AF XY:
0.0653
AC XY:
4858
AN XY:
74428
show subpopulations
Gnomad4 AFR
AF:
0.0561
Gnomad4 AMR
AF:
0.0509
Gnomad4 ASJ
AF:
0.0641
Gnomad4 EAS
AF:
0.0860
Gnomad4 SAS
AF:
0.0692
Gnomad4 FIN
AF:
0.0693
Gnomad4 NFE
AF:
0.0717
Gnomad4 OTH
AF:
0.0714
Alfa
AF:
0.0206
Hom.:
18
Bravo
AF:
0.0640

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Maturity-onset diabetes of the young type 2 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Transient Neonatal Diabetes, Recessive Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Maturity onset diabetes mellitus in young Benign:1
Benign, criteria provided, single submitterresearchClinical Genomics, Uppaluri K&H Personalized Medicine Clinic-Potent mutations in GCK gene is associated with poor secretion of insulin. Its associated with milder forms of diabetes, which can be controlled by diet . However, there is no sufficient evidence to ascertain the significance of rs13306391 in MODY, yet. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJun 26, 2018- -
Permanent neonatal diabetes mellitus Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Hyperinsulinism due to glucokinase deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.89
CADD
Benign
4.8
DANN
Benign
0.64

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: rs13306391; hg19: chr7-44228636; COSMIC: COSV67886206; COSMIC: COSV67886206; API