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X-14609137-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PP3_ModeratePP5

The NM_002063.4(GLRA2):​c.862G>A​(p.Ala288Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000918 in 1,089,016 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (no stars).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 9.2e-7 ( 0 hom. 0 hem. )

Consequence

GLRA2
NM_002063.4 missense

Scores

7
5
3

Clinical Significance

Likely pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 9.90
Variant links:
Genes affected
GLRA2 (HGNC:4327): (glycine receptor alpha 2) The glycine receptor consists of two subunits, alpha and beta, and acts as a pentamer. The protein encoded by this gene is an alpha subunit and can bind strychnine. Several transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Jan 2010]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.846
PP5
Variant X-14609137-G-A is Pathogenic according to our data. Variant chrX-14609137-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1334407.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GLRA2NM_002063.4 linkuse as main transcriptc.862G>A p.Ala288Thr missense_variant 7/9 ENST00000218075.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GLRA2ENST00000218075.9 linkuse as main transcriptc.862G>A p.Ala288Thr missense_variant 7/91 NM_002063.4 A1P23416-1
GLRA2ENST00000355020.9 linkuse as main transcriptc.862G>A p.Ala288Thr missense_variant 7/91 P4P23416-2
GLRA2ENST00000415367.2 linkuse as main transcriptn.1113G>A non_coding_transcript_exon_variant 7/93
GLRA2ENST00000443437.6 linkuse as main transcriptc.*789G>A 3_prime_UTR_variant, NMD_transcript_variant 9/112 P23416-3

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD4 exome
AF:
9.18e-7
AC:
1
AN:
1089016
Hom.:
0
Cov.:
28
AF XY:
0.00
AC XY:
0
AN XY:
355474
show subpopulations
Gnomad4 AFR exome
AF:
0.0000382
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22
Bravo
AF:
0.00000378

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

See cases Pathogenic:1
Likely pathogenic, no assertion criteria providedresearchWangler Lab, Baylor College of MedicineJan 10, 2022Marcogliese et al., (2022) have identified 13 unrelated subjects with a variable neurodevelopmental disorder with or without autistic features. This variant (c.862C>G) results in p.Ile259Met. This change is not seen in GnomAD at this highly conserved position (PM2) and in silico models predict pathogenicity (PP3). We classify this variant to be likely pathogenic based on our cohort of affected individuals with similar phenotypes. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.88
BayesDel_addAF
Pathogenic
0.25
D
BayesDel_noAF
Uncertain
0.13
CADD
Pathogenic
28
DANN
Uncertain
1.0
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
D;D;D
M_CAP
Pathogenic
0.66
D
MetaRNN
Pathogenic
0.85
D;D;D
MetaSVM
Uncertain
0.20
D
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.86
D
PROVEAN
Benign
-2.3
N;N;D
REVEL
Pathogenic
0.68
Sift
Uncertain
0.0080
D;D;D
Sift4G
Benign
0.12
T;T;T
Polyphen
0.97, 0.92
.;D;P
Vest4
0.62
MutPred
0.55
.;Gain of glycosylation at A288 (P = 0.1202);Gain of glycosylation at A288 (P = 0.1202);
MVP
0.96
MPC
2.2
ClinPred
0.94
D
GERP RS
5.4
Varity_R
0.69
gMVP
0.94

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2090371373; hg19: chrX-14627259; COSMIC: COSV54336084; COSMIC: COSV54336084; API