NM_001134366.2:c.148G>C

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001134366.2(GAD2):​c.148G>C​(p.Gly50Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0000174 in 1,605,526 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000092 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

GAD2
NM_001134366.2 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.98

Publications

0 publications found
Variant links:
Genes affected
GAD2 (HGNC:4093): (glutamate decarboxylase 2) This gene encodes one of several forms of glutamic acid decarboxylase, identified as a major autoantigen in insulin-dependent diabetes. The enzyme encoded is responsible for catalyzing the production of gamma-aminobutyric acid from L-glutamic acid. A pathogenic role for this enzyme has been identified in the human pancreas since it has been identified as an autoantibody and an autoreactive T cell target in insulin-dependent diabetes. This gene may also play a role in the stiff man syndrome. Alternative splicing results in multiple transcript variants that encode the same protein. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.2538721).
BS2
High AC in GnomAd4 at 14 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GAD2NM_001134366.2 linkc.148G>C p.Gly50Arg missense_variant Exon 3 of 16 ENST00000376261.8 NP_001127838.1 Q05329Q5VZ30
GAD2NM_000818.3 linkc.148G>C p.Gly50Arg missense_variant Exon 3 of 17 NP_000809.1 Q05329Q5VZ30

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GAD2ENST00000376261.8 linkc.148G>C p.Gly50Arg missense_variant Exon 3 of 16 1 NM_001134366.2 ENSP00000365437.3 Q05329
GAD2ENST00000259271.7 linkc.148G>C p.Gly50Arg missense_variant Exon 3 of 17 1 ENSP00000259271.3 Q05329
GAD2ENST00000428517.2 linkn.148G>C non_coding_transcript_exon_variant Exon 3 of 4 1 ENSP00000390434.2 Q5VZ31
GAD2ENST00000648567.1 linkc.-195G>C 5_prime_UTR_variant Exon 3 of 17 ENSP00000498009.1 A0A3B3IU09

Frequencies

GnomAD3 genomes
AF:
0.0000920
AC:
14
AN:
152222
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000338
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000877
AC:
2
AN:
227928
AF XY:
0.00000797
show subpopulations
Gnomad AFR exome
AF:
0.0000749
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000963
AC:
14
AN:
1453304
Hom.:
0
Cov.:
32
AF XY:
0.00000831
AC XY:
6
AN XY:
722334
show subpopulations
African (AFR)
AF:
0.000271
AC:
9
AN:
33268
American (AMR)
AF:
0.00
AC:
0
AN:
43724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25774
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39538
South Asian (SAS)
AF:
0.0000234
AC:
2
AN:
85546
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51762
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5706
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1108052
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59934
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000920
AC:
14
AN:
152222
Hom.:
0
Cov.:
32
AF XY:
0.000134
AC XY:
10
AN XY:
74368
show subpopulations
African (AFR)
AF:
0.000338
AC:
14
AN:
41466
American (AMR)
AF:
0.00
AC:
0
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5168
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68042
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.00
Hom.:
0
Bravo
AF:
0.0000869
ESP6500AA
AF:
0.000234
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000252
AC:
3

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
May 13, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.148G>C (p.G50R) alteration is located in exon 3 (coding exon 3) of the GAD2 gene. This alteration results from a G to C substitution at nucleotide position 148, causing the glycine (G) at amino acid position 50 to be replaced by an arginine (R). 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
0.32
BayesDel_addAF
Uncertain
0.068
T
BayesDel_noAF
Uncertain
0.12
CADD
Benign
21
DANN
Benign
0.88
DEOGEN2
Benign
0.26
T;T
Eigen
Benign
-0.0036
Eigen_PC
Benign
0.087
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.77
.;T
M_CAP
Uncertain
0.17
D
MetaRNN
Benign
0.25
T;T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
0.81
L;L
PhyloP100
5.0
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
0.33
N;N
REVEL
Uncertain
0.33
Sift
Benign
0.49
T;T
Sift4G
Benign
0.096
T;T
Polyphen
0.0020
B;B
Vest4
0.53
MutPred
0.73
Gain of MoRF binding (P = 0.053);Gain of MoRF binding (P = 0.053);
MVP
0.87
MPC
1.1
ClinPred
0.23
T
GERP RS
5.8
Varity_R
0.25
gMVP
0.51
Mutation Taster
=64/36
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs374182148; hg19: chr10-26506782; API