NM_021176.3:c.469T>C

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_021176.3(G6PC2):​c.469T>C​(p.Phe157Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000207 in 1,446,510 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

G6PC2
NM_021176.3 missense

Scores

2
9
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.58

Publications

0 publications found
Variant links:
Genes affected
G6PC2 (HGNC:28906): (glucose-6-phosphatase catalytic subunit 2) This gene encodes an enzyme belonging to the glucose-6-phosphatase catalytic subunit family. These enzymes are part of a multicomponent integral membrane system that catalyzes the hydrolysis of glucose-6-phosphate, the terminal step in gluconeogenic and glycogenolytic pathways, allowing the release of glucose into the bloodstream. The family member encoded by this gene is found in pancreatic islets and does not exhibit phosphohydrolase activity, but it is a major target of cell-mediated autoimmunity in diabetes. Several alternatively spliced transcript variants of this gene have been described, but their biological validity has not been determined. [provided by RefSeq, Jul 2008]
SPC25 (HGNC:24031): (SPC25 component of NDC80 kinetochore complex) This gene encodes a protein that may be involved in kinetochore-microtubule interaction and spindle checkpoint activity. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

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

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
G6PC2NM_021176.3 linkc.469T>C p.Phe157Leu missense_variant Exon 4 of 5 ENST00000375363.8 NP_066999.1 Q9NQR9-1
G6PC2XM_011511565.4 linkc.121T>C p.Phe41Leu missense_variant Exon 3 of 4 XP_011509867.1
G6PC2NM_001081686.2 linkc.441-876T>C intron_variant Intron 3 of 3 NP_001075155.1 Q9NQR9-3
G6PC2XM_011511564.4 linkc.329-876T>C intron_variant Intron 2 of 2 XP_011509866.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
G6PC2ENST00000375363.8 linkc.469T>C p.Phe157Leu missense_variant Exon 4 of 5 1 NM_021176.3 ENSP00000364512.3 Q9NQR9-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000159
AC:
4
AN:
251432
AF XY:
0.00000736
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000217
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000207
AC:
3
AN:
1446510
Hom.:
0
Cov.:
28
AF XY:
0.00000139
AC XY:
1
AN XY:
720694
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33208
American (AMR)
AF:
0.00
AC:
0
AN:
44696
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26044
East Asian (EAS)
AF:
0.0000757
AC:
3
AN:
39604
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85994
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53398
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5720
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1098064
Other (OTH)
AF:
0.00
AC:
0
AN:
59782
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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

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.:
32
ExAC
AF:
0.0000247
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 21, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.469T>C (p.F157L) alteration is located in exon 4 (coding exon 4) of the G6PC2 gene. This alteration results from a T to C substitution at nucleotide position 469, causing the phenylalanine (F) at amino acid position 157 to be replaced by a leucine (L). 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
Pathogenic
0.93
BayesDel_addAF
Benign
-0.047
T
BayesDel_noAF
Uncertain
-0.010
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.69
D
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.58
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.85
D
M_CAP
Benign
0.018
T
MetaRNN
Uncertain
0.67
D
MetaSVM
Benign
-0.55
T
MutationAssessor
Benign
1.4
L
PhyloP100
7.6
PrimateAI
Uncertain
0.70
T
PROVEAN
Uncertain
-2.5
D
REVEL
Uncertain
0.49
Sift
Benign
0.036
D
Sift4G
Benign
0.19
T
Polyphen
0.86
P
Vest4
0.73
MutPred
0.58
Loss of sheet (P = 0.0315);
MVP
0.74
MPC
0.048
ClinPred
0.43
T
GERP RS
5.9
Varity_R
0.26
gMVP
0.61
Mutation Taster
=67/33
polymorphism

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: rs756521075; hg19: chr2-169763202; API