9-137156676-G-C

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong

The NM_007327.4(GRIN1):​c.679G>C​(p.Asp227His) variant causes a missense change. The variant allele was found at a frequency of 0.000000691 in 1,448,130 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D227N) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

GRIN1
NM_007327.4 missense

Scores

6
11
2

Clinical Significance

Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 6.22

Publications

2 publications found
Variant links:
Genes affected
GRIN1 (HGNC:4584): (glutamate ionotropic receptor NMDA type subunit 1) The protein encoded by this gene is a critical subunit of N-methyl-D-aspartate receptors, members of the glutamate receptor channel superfamily which are heteromeric protein complexes with multiple subunits arranged to form a ligand-gated ion channel. These subunits play a key role in the plasticity of synapses, which is believed to underlie memory and learning. Cell-specific factors are thought to control expression of different isoforms, possibly contributing to the functional diversity of the subunits. Alternatively spliced transcript variants have been described. [provided by RefSeq, Jul 2008]
GRIN1 Gene-Disease associations (from GenCC):
  • neurodevelopmental disorder with or without hyperkinetic movements and seizures, autosomal dominant
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • complex neurodevelopmental disorder
    Inheritance: AR, AD Classification: DEFINITIVE Submitted by: ClinGen
  • neurodevelopmental disorder with or without hyperkinetic movements and seizures, autosomal recessive
    Inheritance: AR Classification: DEFINITIVE, MODERATE Submitted by: G2P, Ambry Genetics
  • developmental and epileptic encephalopathy 101
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • autosomal dominant non-syndromic intellectual disability
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 10 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 9-137156676-G-C is Pathogenic according to our data. Variant chr9-137156676-G-C is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 224815.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GRIN1NM_007327.4 linkc.679G>C p.Asp227His missense_variant Exon 5 of 20 ENST00000371561.8 NP_015566.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GRIN1ENST00000371561.8 linkc.679G>C p.Asp227His missense_variant Exon 5 of 20 1 NM_007327.4 ENSP00000360616.3

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
AF:
6.91e-7
AC:
1
AN:
1448130
Hom.:
0
Cov.:
34
AF XY:
0.00000139
AC XY:
1
AN XY:
719300
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33250
American (AMR)
AF:
0.00
AC:
0
AN:
43508
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25854
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39110
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84130
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50212
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5368
European-Non Finnish (NFE)
AF:
9.03e-7
AC:
1
AN:
1106914
Other (OTH)
AF:
0.00
AC:
0
AN:
59784
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
34

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Neurodevelopmental disorder with or without hyperkinetic movements and seizures, autosomal dominant Pathogenic:1
Sep 09, 2015
Lupski Lab, Baylor-Hopkins CMG, Baylor College of Medicine
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

This study shows that diverse genetic causes underlie CVI. -

NEURODEVELOPMENTAL DISORDER WITH HYPERKINETIC MOVEMENTS WITH OR WITHOUT SEIZURES, AUTOSOMAL RECESSIVE Pathogenic:1
Mar 28, 2022
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Neurodevelopmental disorder with or without hyperkinetic movements and seizures, autosomal dominant;C4693325:Neurodevelopmental disorder with or without hyperkinetic movements and seizures, autosomal recessive Pathogenic:1
Apr 05, 2016
Génétique des Maladies du Développement, Hospices Civils de Lyon
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Uncertain
-0.030
CADD
Pathogenic
33
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.82
D;.;.;T;.;.;.
Eigen
Uncertain
0.58
Eigen_PC
Uncertain
0.53
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Uncertain
0.95
D;D;D;D;D;D;D
M_CAP
Pathogenic
0.79
D
MetaRNN
Uncertain
0.64
D;D;D;D;D;D;D
MetaSVM
Uncertain
0.51
D
MutationAssessor
Benign
1.6
L;L;.;.;.;L;.
PhyloP100
6.2
PrimateAI
Pathogenic
0.88
D
PROVEAN
Pathogenic
-4.8
D;D;D;D;D;D;D
REVEL
Pathogenic
0.75
Sift
Uncertain
0.0010
D;D;D;D;D;D;D
Sift4G
Uncertain
0.0050
D;D;D;D;D;D;D
Polyphen
1.0
D;D;.;.;.;D;.
Vest4
0.45
MutPred
0.58
Loss of phosphorylation at T230 (P = 0.1275);Loss of phosphorylation at T230 (P = 0.1275);.;.;.;Loss of phosphorylation at T230 (P = 0.1275);.;
MVP
0.83
MPC
2.6
ClinPred
0.99
D
GERP RS
3.3
Varity_R
0.81
gMVP
0.97
Mutation Taster
=8/92
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs869312865; hg19: chr9-140051128; API