X-152255832-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PS1_ModeratePM1PM2PP5

The NM_000808.4(GABRA3):​c.497C>T​(p.Thr166Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000546 in 1,098,011 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. Variant has been reported in ClinVar as Pathogenic (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin UniProt.

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.0000055 ( 0 hom. 1 hem. )

Consequence

GABRA3
NM_000808.4 missense

Scores

9
8

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 2.48
Variant links:
Genes affected
GABRA3 (HGNC:4077): (gamma-aminobutyric acid type A receptor subunit alpha3) GABA is the major inhibitory neurotransmitter in the mammalian brain where it acts at GABA-A receptors, which are ligand-gated chloride channels. Chloride conductance of these channels can be modulated by agents such as benzodiazepines that bind to the GABA-A receptor. At least 16 distinct subunits of GABA-A receptors have been identified. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PS1
Transcript NM_000808.4 (GABRA3) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PM1
In a topological_domain Extracellular (size 247) in uniprot entity GBRA3_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_000808.4
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant X-152255832-G-A is Pathogenic according to our data. Variant chrX-152255832-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 1799557.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GABRA3NM_000808.4 linkuse as main transcriptc.497C>T p.Thr166Met missense_variant 5/10 ENST00000370314.9
GABRA3XM_006724811.4 linkuse as main transcriptc.497C>T p.Thr166Met missense_variant 5/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GABRA3ENST00000370314.9 linkuse as main transcriptc.497C>T p.Thr166Met missense_variant 5/101 NM_000808.4 P1
GABRA3ENST00000535043.1 linkuse as main transcriptc.497C>T p.Thr166Met missense_variant 5/101 P1
GABRA3ENST00000417858.1 linkuse as main transcriptn.167C>T non_coding_transcript_exon_variant 1/23

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.00000546
AC:
1
AN:
183003
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67623
show subpopulations
Gnomad AFR exome
AF:
0.0000760
Gnomad AMR exome
AF:
0.00
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:
0.00000546
AC:
6
AN:
1098011
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
1
AN XY:
363425
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000475
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22

ClinVar

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

Submissions by phenotype

Epilepsy, X-linked 2, with or without impaired intellectual development and dysmorphic features Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMNov 22, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.26
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.71
D;D
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.92
.;D
M_CAP
Benign
0.081
D
MetaRNN
Uncertain
0.47
T;T
MetaSVM
Uncertain
0.0011
D
MutationAssessor
Benign
0.54
N;N
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-2.6
D;D
REVEL
Uncertain
0.43
Sift
Benign
0.27
T;T
Sift4G
Benign
0.10
T;T
Polyphen
1.0
D;D
Vest4
0.21
MutPred
0.41
Gain of sheet (P = 0.1208);Gain of sheet (P = 0.1208);
MVP
0.98
MPC
1.5
ClinPred
0.27
T
GERP RS
5.4
Varity_R
0.36
gMVP
0.93

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: rs1193521522; hg19: chrX-151424304; COSMIC: COSV64802204; API