NM_000231.3:c.581T>C

Variant summary

Our verdict is Pathogenic. The variant received 14 ACMG points: 14P and 0B. PM2PP3_StrongPP5_Very_Strong

The NM_000231.3(SGCG):​c.581T>C​(p.Leu194Ser) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000242 in 1,529,698 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

SGCG
NM_000231.3 missense, splice_region

Scores

12
6

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:14

Conservation

PhyloP100: 6.86

Publications

3 publications found
Variant links:
Genes affected
SGCG (HGNC:10809): (sarcoglycan gamma) This gene encodes gamma-sarcoglycan, one of several sarcolemmal transmembrane glycoproteins that interact with dystrophin. The dystrophin-glycoprotein complex (DGC) spans the sarcolemma and is comprised of dystrophin, syntrophin, alpha- and beta-dystroglycans and sarcoglycans. The DGC provides a structural link between the subsarcolemmal cytoskeleton and the extracellular matrix of muscle cells. Defects in the encoded protein can lead to early onset autosomal recessive muscular dystrophy, in particular limb-girdle muscular dystrophy, type 2C (LGMD2C). [provided by RefSeq, Oct 2008]
SACS (HGNC:10519): (sacsin molecular chaperone) This gene encodes the sacsin protein, which includes a UbL domain at the N-terminus, a DnaJ domain, and a HEPN domain at the C-terminus. The gene is highly expressed in the central nervous system, also found in skin, skeletal muscles and at low levels in the pancreas. This gene includes a very large exon spanning more than 12.8 kb. Mutations in this gene result in autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS), a neurodegenerative disorder characterized by early-onset cerebellar ataxia with spasticity and peripheral neuropathy. The authors of a publication on the effects of siRNA-mediated sacsin knockdown concluded that sacsin protects against mutant ataxin-1 and suggest that "the large multi-domain sacsin protein is able to recruit Hsp70 chaperone action and has the potential to regulate the effects of other ataxia proteins" (Parfitt et al., PubMed: 19208651). A pseudogene associated with this gene is located on chromosome 11. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2013]
SACS Gene-Disease associations (from GenCC):
  • Charlevoix-Saguenay spastic ataxia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine, PanelApp Australia, G2P, Myriad Women’s Health, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.968
PP5
Variant 13-23320639-T-C is Pathogenic according to our data. Variant chr13-23320639-T-C is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 281085.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000231.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SGCG
NM_000231.3
MANE Select
c.581T>Cp.Leu194Ser
missense splice_region
Exon 7 of 8NP_000222.2Q13326
SGCG
NM_001378244.1
c.635T>Cp.Leu212Ser
missense splice_region
Exon 7 of 8NP_001365173.1
SGCG
NM_001378245.1
c.581T>Cp.Leu194Ser
missense splice_region
Exon 8 of 9NP_001365174.1Q13326

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SGCG
ENST00000218867.4
TSL:1 MANE Select
c.581T>Cp.Leu194Ser
missense splice_region
Exon 7 of 8ENSP00000218867.3Q13326
SGCG
ENST00000942469.1
c.761T>Cp.Leu254Ser
missense splice_region
Exon 8 of 9ENSP00000612528.1
SGCG
ENST00000876364.1
c.581T>Cp.Leu194Ser
missense splice_region
Exon 8 of 9ENSP00000546423.1

Frequencies

GnomAD3 genomes
AF:
0.0000133
AC:
2
AN:
149822
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000296
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000198
AC:
4
AN:
201962
AF XY:
0.0000370
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000470
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000254
AC:
35
AN:
1379876
Hom.:
0
Cov.:
32
AF XY:
0.0000277
AC XY:
19
AN XY:
685260
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31922
American (AMR)
AF:
0.00
AC:
0
AN:
38974
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24616
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38332
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81858
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50276
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5466
European-Non Finnish (NFE)
AF:
0.0000295
AC:
31
AN:
1051412
Other (OTH)
AF:
0.0000702
AC:
4
AN:
57020
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.416
Heterozygous variant carriers
0
2
3
5
6
8
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
AF:
0.0000133
AC:
2
AN:
149822
Hom.:
0
Cov.:
31
AF XY:
0.0000137
AC XY:
1
AN XY:
73008
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40454
American (AMR)
AF:
0.00
AC:
0
AN:
14968
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3458
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5098
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4694
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10234
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
302
European-Non Finnish (NFE)
AF:
0.0000296
AC:
2
AN:
67648
Other (OTH)
AF:
0.00
AC:
0
AN:
2056
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
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

Genome 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
Alfa
AF:
0.000127
Hom.:
0
ExAC
AF:
0.0000332
AC:
4

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
7
-
-
Autosomal recessive limb-girdle muscular dystrophy type 2C (7)
5
-
-
not provided (5)
1
-
-
Autosomal recessive limb-girdle muscular dystrophy (1)
1
-
-
SGCG-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.91
BayesDel_addAF
Pathogenic
0.47
D
BayesDel_noAF
Pathogenic
0.54
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.97
D
Eigen
Uncertain
0.63
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.96
D
M_CAP
Pathogenic
0.37
D
MetaRNN
Pathogenic
0.97
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
3.1
M
PhyloP100
6.9
PrimateAI
Uncertain
0.68
T
PROVEAN
Pathogenic
-5.2
D
REVEL
Pathogenic
0.77
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.99
MVP
1.0
MPC
0.48
ClinPred
0.98
D
GERP RS
5.6
Varity_R
0.84
gMVP
0.92
Mutation Taster
=38/62
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs547818652; hg19: chr13-23894778; API