X-30665578-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 1P and 5B. PP2BP4_StrongBS2_Supporting

The NM_001205019.2(GK):​c.146G>A​(p.Arg49Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000464 in 1,078,118 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000041 ( 0 hom. 2 hem. )

Consequence

GK
NM_001205019.2 missense

Scores

16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.22
Variant links:
Genes affected
GK (HGNC:4289): (glycerol kinase) The protein encoded by this gene belongs to the FGGY kinase family. This protein is a key enzyme in the regulation of glycerol uptake and metabolism. It catalyzes the phosphorylation of glycerol by ATP, yielding ADP and glycerol-3-phosphate. Mutations in this gene are associated with glycerol kinase deficiency (GKD). Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), GK. . Gene score misZ 3.1858 (greater than the threshold 3.09). GenCC has associacion of gene with inborn glycerol kinase deficiency.
BP4
Computational evidence support a benign effect (MetaRNN=0.060578078).
BS2
High Hemizygotes in GnomAdExome4 at 2 XL geneVariant has number of hemizygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GKNM_001205019.2 linkuse as main transcriptc.146G>A p.Arg49Lys missense_variant 2/21 ENST00000427190.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GKENST00000427190.6 linkuse as main transcriptc.146G>A p.Arg49Lys missense_variant 2/215 NM_001205019.2 P1P32189-3

Frequencies

GnomAD3 genomes
AF:
0.00000890
AC:
1
AN:
112400
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34566
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000187
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000414
AC:
4
AN:
965718
Hom.:
0
Cov.:
19
AF XY:
0.00000731
AC XY:
2
AN XY:
273604
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.00000554
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000890
AC:
1
AN:
112400
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34566
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000187
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 29, 2023The c.146G>A (p.R49K) alteration is located in exon 2 (coding exon 2) of the GK gene. This alteration results from a G to A substitution at nucleotide position 146, causing the arginine (R) at amino acid position 49 to be replaced by a lysine (K). 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
0.073
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.87
CADD
Benign
7.0
DANN
Benign
0.66
FATHMM_MKL
Benign
0.51
D
LIST_S2
Benign
0.78
T;T;T;T;T
M_CAP
Benign
0.0040
T
MetaRNN
Benign
0.061
T;T;T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
-0.96
N;N;N;N;.
MutationTaster
Benign
1.0
D;N;N;N;N
PrimateAI
Benign
0.40
T
PROVEAN
Benign
0.56
N;N;.;N;N
REVEL
Benign
0.048
Sift
Benign
1.0
T;T;.;T;T
Sift4G
Benign
1.0
T;T;T;T;T
Polyphen
0.0
.;B;.;B;.
Vest4
0.097
MutPred
0.44
Gain of methylation at R49 (P = 0.0082);Gain of methylation at R49 (P = 0.0082);Gain of methylation at R49 (P = 0.0082);Gain of methylation at R49 (P = 0.0082);Gain of methylation at R49 (P = 0.0082);
MVP
0.39
MPC
1.1
ClinPred
0.055
T
GERP RS
0.66
Varity_R
0.10
gMVP
0.40

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: rs969090124; hg19: chrX-30683695; API