X-37453241-A-G

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001142395.2(PRRG1):​c.277A>G​(p.Ile93Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000174 in 1,208,841 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 9 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 3 hem., cov: 23)
Exomes 𝑓: 0.000015 ( 0 hom. 6 hem. )

Consequence

PRRG1
NM_001142395.2 missense

Scores

3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.276

Publications

0 publications found
Variant links:
Genes affected
PRRG1 (HGNC:9469): (proline rich and Gla domain 1) This gene encodes a vitamin K-dependent, gamma-carboxyglutamic acid (Gla)-containing, single-pass transmembrane protein. This protein contains a Gla domain at the N-terminus, preceded by a propeptide sequence required for post-translational gamma-carboxylation of specific glutamic acid residues by a vitamin K-dependent gamma-carboxylase. The C-terminus is proline-rich containing PPXY and PXXP motifs found in a variety of signaling and cytoskeletal proteins. This gene is highly expressed in the spinal cord. Several alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2010]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.026329756).
BS2
High Hemizygotes in GnomAd4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRRG1NM_001142395.2 linkc.277A>G p.Ile93Val missense_variant Exon 4 of 4 ENST00000378628.9 NP_001135867.1 O14668-1Q8NEK6
PRRG1NM_000950.3 linkc.277A>G p.Ile93Val missense_variant Exon 5 of 5 NP_000941.1 O14668-1Q8NEK6
PRRG1NM_001173489.2 linkc.277A>G p.Ile93Val missense_variant Exon 5 of 5 NP_001166960.1 O14668-1
PRRG1NM_001173490.2 linkc.277A>G p.Ile93Val missense_variant Exon 4 of 4 NP_001166961.1 O14668-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRRG1ENST00000378628.9 linkc.277A>G p.Ile93Val missense_variant Exon 4 of 4 1 NM_001142395.2 ENSP00000367894.4 O14668-1
ENSG00000250349ENST00000465127.1 linkc.171+27241A>G intron_variant Intron 3 of 8 5 ENSP00000417050.1 B4E171

Frequencies

GnomAD3 genomes
AF:
0.0000360
AC:
4
AN:
111148
Hom.:
0
Cov.:
23
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:
0.000838
Gnomad SAS
AF:
0.000385
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000763
AC:
14
AN:
183442
AF XY:
0.000103
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000866
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.0000155
AC:
17
AN:
1097640
Hom.:
0
Cov.:
31
AF XY:
0.0000165
AC XY:
6
AN XY:
363016
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26390
American (AMR)
AF:
0.00
AC:
0
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19380
East Asian (EAS)
AF:
0.000364
AC:
11
AN:
30200
South Asian (SAS)
AF:
0.0000554
AC:
3
AN:
54126
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40530
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4135
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
841598
Other (OTH)
AF:
0.0000651
AC:
3
AN:
46074
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
AF:
0.0000360
AC:
4
AN:
111201
Hom.:
0
Cov.:
23
AF XY:
0.0000899
AC XY:
3
AN XY:
33389
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
30576
American (AMR)
AF:
0.00
AC:
0
AN:
10421
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2646
East Asian (EAS)
AF:
0.000841
AC:
3
AN:
3567
South Asian (SAS)
AF:
0.000386
AC:
1
AN:
2588
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5963
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53028
Other (OTH)
AF:
0.00
AC:
0
AN:
1508
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000906
AC:
11

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Feb 27, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.277A>G (p.I93V) alteration is located in exon 5 (coding exon 3) of the PRRG1 gene. This alteration results from a A to G substitution at nucleotide position 277, causing the isoleucine (I) at amino acid position 93 to be replaced by a valine (V). 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
0.066
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.21
CADD
Benign
9.2
DANN
Benign
0.95
DEOGEN2
Benign
0.014
T;T;T;T;T;T
FATHMM_MKL
Benign
0.081
N
LIST_S2
Benign
0.67
.;T;.;T;T;.
M_CAP
Uncertain
0.22
D
MetaRNN
Benign
0.026
T;T;T;T;T;T
MetaSVM
Uncertain
0.26
D
MutationAssessor
Benign
-0.14
N;.;N;N;.;N
PhyloP100
0.28
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.14
N;N;N;N;N;N
REVEL
Uncertain
0.35
Sift
Benign
0.49
T;T;T;T;T;T
Sift4G
Benign
1.0
T;T;T;T;T;T
Polyphen
0.0010
B;.;B;B;.;B
Vest4
0.031
MutPred
0.58
Gain of sheet (P = 0.0149);Gain of sheet (P = 0.0149);Gain of sheet (P = 0.0149);Gain of sheet (P = 0.0149);Gain of sheet (P = 0.0149);Gain of sheet (P = 0.0149);
MVP
0.62
MPC
0.22
ClinPred
0.023
T
GERP RS
3.7
Varity_R
0.062
gMVP
0.36
Mutation Taster
=99/1
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: rs374283395; hg19: chrX-37312494; API