NM_000170.3:c.2113G>C
Variant names: 
Variant summary
Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM1PM2
The NM_000170.3(GLDC):c.2113G>C(p.Val705Leu) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V705M) has been classified as Benign.
Frequency
 Genomes: not found (cov: 32) 
Consequence
 GLDC
NM_000170.3 missense
NM_000170.3 missense
Scores
 1
 12
 6
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  5.81  
Publications
12 publications found 
Genes affected
 GLDC  (HGNC:4313):  (glycine decarboxylase) Degradation of glycine is brought about by the glycine cleavage system, which is composed of four mitochondrial protein components: P protein (a pyridoxal phosphate-dependent glycine decarboxylase), H protein (a lipoic acid-containing protein), T protein (a tetrahydrofolate-requiring enzyme), and L protein (a lipoamide dehydrogenase). The protein encoded by this gene is the P protein, which binds to glycine and enables the methylamine group from glycine to be transferred to the T protein. Defects in this gene are a cause of nonketotic hyperglycinemia (NKH).[provided by RefSeq, Jan 2010] 
GLDC Gene-Disease associations (from GenCC):
- glycine encephalopathyInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Myriad Women’s Health, Labcorp Genetics (formerly Invitae), ClinGen
 - glycine encephalopathy 1Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
 - infantile glycine encephalopathyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - neonatal glycine encephalopathyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - atypical glycine encephalopathyInheritance: Unknown Classification: SUPPORTIVE Submitted by: Orphanet
 
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ACMG classification
Classification was made for transcript
Our verdict: Uncertain_significance. The variant received 4 ACMG points.
PM1
In a hotspot region, there are  3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 8 uncertain in NM_000170.3
PM2
Very rare variant in population databases, with high coverage; 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 32 
GnomAD3 genomes 
Cov.: 
32
GnomAD4 exome Cov.: 30 
GnomAD4 exome 
Cov.: 
30
GnomAD4 genome  Cov.: 32 
GnomAD4 genome 
Cov.: 
32
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Uncertain 
 BayesDel_addAF 
 Uncertain 
D 
 BayesDel_noAF 
 Uncertain 
 DANN 
 Uncertain 
 DEOGEN2 
 Uncertain 
D;.;. 
 Eigen 
 Benign 
 Eigen_PC 
 Benign 
 FATHMM_MKL 
 Pathogenic 
D 
 LIST_S2 
 Uncertain 
D;D;D 
 M_CAP 
 Benign 
D 
 MetaRNN 
 Uncertain 
D;D;D 
 MetaSVM 
 Uncertain 
D 
 MutationAssessor 
 Benign 
L;.;. 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Benign 
N;.;. 
 REVEL 
 Uncertain 
 Sift 
 Uncertain 
D;.;. 
 Sift4G 
 Uncertain 
D;.;. 
 Polyphen 
B;.;. 
 Vest4 
 MutPred 
Loss of catalytic residue at V705 (P = 0.3137);.;.;
 MVP 
 MPC 
 ClinPred 
D 
 GERP RS 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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