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X-151954786-C-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_004961.4(GABRE):​c.1436G>T​(p.Arg479Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000744 in 1,209,405 control chromosomes in the GnomAD database, including 1 homozygotes. There are 26 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R479H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00038 ( 0 hom., 14 hem., cov: 23)
Exomes 𝑓: 0.000043 ( 1 hom. 12 hem. )

Consequence

GABRE
NM_004961.4 missense

Scores

2
9
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.26
Variant links:
Genes affected
GABRE (HGNC:4085): (gamma-aminobutyric acid type A receptor subunit epsilon) The product of this gene belongs to the ligand-gated ionic channel (TC 1.A.9) family. It encodes the gamma-aminobutyric acid (GABA) A receptor which is a multisubunit chloride channel that mediates the fastest inhibitory synaptic transmission in the central nervous system. This gene encodes an epsilon subunit. It is mapped to chromosome Xq28 in a cluster comprised of genes encoding alpha 3, beta 4 and theta subunits of the same receptor. Alternatively spliced transcript variants have been identified, but only one is thought to encode a protein. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17388704).
BS2
High Hemizygotes in GnomAd4 at 14 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GABRENM_004961.4 linkuse as main transcriptc.1436G>T p.Arg479Leu missense_variant 9/9 ENST00000370328.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GABREENST00000370328.4 linkuse as main transcriptc.1436G>T p.Arg479Leu missense_variant 9/91 NM_004961.4 P1P78334-1
GABREENST00000486255.1 linkuse as main transcriptn.4515G>T non_coding_transcript_exon_variant 3/31
GABREENST00000483564.5 linkuse as main transcriptn.1086G>T non_coding_transcript_exon_variant 4/43

Frequencies

GnomAD3 genomes
AF:
0.000383
AC:
43
AN:
112142
Hom.:
0
Cov.:
23
AF XY:
0.000408
AC XY:
14
AN XY:
34304
show subpopulations
Gnomad AFR
AF:
0.00133
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000188
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
GnomAD3 exomes
AF:
0.000115
AC:
21
AN:
182938
Hom.:
1
AF XY:
0.0000890
AC XY:
6
AN XY:
67438
show subpopulations
Gnomad AFR exome
AF:
0.00152
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
0.0000428
AC:
47
AN:
1097210
Hom.:
1
Cov.:
31
AF XY:
0.0000331
AC XY:
12
AN XY:
362598
show subpopulations
Gnomad4 AFR exome
AF:
0.00159
Gnomad4 AMR exome
AF:
0.0000284
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:
0.0000868
GnomAD4 genome
AF:
0.000383
AC:
43
AN:
112195
Hom.:
0
Cov.:
23
AF XY:
0.000407
AC XY:
14
AN XY:
34367
show subpopulations
Gnomad4 AFR
AF:
0.00132
Gnomad4 AMR
AF:
0.000188
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000370
Hom.:
1
Bravo
AF:
0.000416
ESP6500AA
AF:
0.00183
AC:
7
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000157
AC:
19

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 07, 2023The c.1436G>T (p.R479L) alteration is located in exon 9 (coding exon 9) of the GABRE gene. This alteration results from a G to T substitution at nucleotide position 1436, causing the arginine (R) at amino acid position 479 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
Uncertain
0.36
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Uncertain
0.030
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.39
T
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.83
T
M_CAP
Uncertain
0.23
D
MetaRNN
Benign
0.17
T
MetaSVM
Uncertain
0.37
D
MutationAssessor
Pathogenic
3.2
M
MutationTaster
Benign
0.83
D;D
PrimateAI
Benign
0.39
T
PROVEAN
Uncertain
-3.8
D
REVEL
Pathogenic
0.66
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.038
D
Polyphen
1.0
D
Vest4
0.47
MVP
0.95
MPC
0.41
ClinPred
0.29
T
GERP RS
4.8
Varity_R
0.44
gMVP
0.64

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: rs150104349; hg19: chrX-151123258; API