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GeneBe

7-77311861-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_017439.4(GSAP):c.2453A>G(p.Asp818Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000228 in 1,550,884 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/25 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00024 ( 0 hom. )

Consequence

GSAP
NM_017439.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.939
Variant links:
Genes affected
GSAP (HGNC:28042): (gamma-secretase activating protein) Accumulation of neurotoxic amyloid-beta is a major hallmark of Alzheimer disease (AD; MIM 104300). Formation of amyloid-beta is catalyzed by gamma-secretase (see PSEN1; MIM 104311), a protease with numerous substrates. PION, or GSAP, selectively increases amyloid-beta production through a mechanism involving its interaction with both gamma-secretase and its substrate, the amyloid-beta precursor protein (APP; MIM 104760) C-terminal fragment (APP-CTF) (He et al., 2010 [PubMed 20811458]).[supplied by OMIM, Nov 2010]
CCDC146 (HGNC:29296): (coiled-coil domain containing 146) Located in centriole. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GSAPNM_017439.4 linkuse as main transcriptc.2453A>G p.Asp818Gly missense_variant 30/31 ENST00000257626.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GSAPENST00000257626.12 linkuse as main transcriptc.2453A>G p.Asp818Gly missense_variant 30/311 NM_017439.4 P1A4D1B5-1

Frequencies

GnomAD3 genomes
AF:
0.000131
AC:
20
AN:
152186
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000145
AC:
36
AN:
248764
Hom.:
0
AF XY:
0.000133
AC XY:
18
AN XY:
134966
show subpopulations
Gnomad AFR exome
AF:
0.000129
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000140
Gnomad NFE exome
AF:
0.000257
Gnomad OTH exome
AF:
0.000331
GnomAD4 exome
AF:
0.000239
AC:
334
AN:
1398698
Hom.:
0
Cov.:
25
AF XY:
0.000223
AC XY:
156
AN XY:
699626
show subpopulations
Gnomad4 AFR exome
AF:
0.0000932
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:
0.000206
Gnomad4 NFE exome
AF:
0.000285
Gnomad4 OTH exome
AF:
0.000326
GnomAD4 genome
AF:
0.000131
AC:
20
AN:
152186
Hom.:
0
Cov.:
32
AF XY:
0.000161
AC XY:
12
AN XY:
74344
show subpopulations
Gnomad4 AFR
AF:
0.000169
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000176
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000173
Hom.:
0
Bravo
AF:
0.0000831
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.000190
AC:
23
EpiCase
AF:
0.00
EpiControl
AF:
0.000296

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 08, 2023The c.2453A>G (p.D818G) alteration is located in exon 30 (coding exon 30) of the GSAP gene. This alteration results from a A to G substitution at nucleotide position 2453, causing the aspartic acid (D) at amino acid position 818 to be replaced by a glycine (G). 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
Benign
0.092
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.59
Cadd
Benign
19
Dann
Benign
0.93
DEOGEN2
Benign
0.0035
T;T
Eigen
Benign
-0.71
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.32
N
LIST_S2
Benign
0.61
T;T
M_CAP
Benign
0.0037
T
MetaRNN
Benign
0.038
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.0
L;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.78
N;N
REVEL
Benign
0.022
Sift
Benign
0.35
T;T
Sift4G
Benign
0.47
T;T
Polyphen
0.0020
B;.
Vest4
0.21
MVP
0.12
MPC
0.17
ClinPred
0.026
T
GERP RS
1.2
Varity_R
0.058
gMVP
0.39

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.34
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.24
Position offset: 1
DS_DL_spliceai
0.34
Position offset: -20

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: rs201644766; hg19: chr7-76941178; API