chr1-2030125-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000815.5(GABRD):​c.1202C>T​(p.Thr401Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00127 in 1,580,476 control chromosomes in the GnomAD database, including 19 homozygotes. 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 Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T401R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0064 ( 9 hom., cov: 33)
Exomes 𝑓: 0.00072 ( 10 hom. )

Consequence

GABRD
NM_000815.5 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.146
Variant links:
Genes affected
GABRD (HGNC:4084): (gamma-aminobutyric acid type A receptor subunit delta) Gamma-aminobutyric acid (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. The GABA-A receptor is generally pentameric and there are five types of subunits: alpha, beta, gamma, delta, and rho. This gene encodes the delta subunit. Mutations in this gene have been associated with susceptibility to generalized epilepsy with febrile seizures, type 5. Alternatively spliced transcript variants have been described for this gene, but their biological validity has not been determined. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0044290423).
BP6
Variant 1-2030125-C-T is Benign according to our data. Variant chr1-2030125-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 460007.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-2030125-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00644 (981/152280) while in subpopulation AFR AF= 0.0219 (910/41568). AF 95% confidence interval is 0.0207. There are 9 homozygotes in gnomad4. There are 434 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 9 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GABRDNM_000815.5 linkuse as main transcriptc.1202C>T p.Thr401Met missense_variant 9/9 ENST00000378585.7 NP_000806.2 O14764A8K496
GABRDXM_017000936.2 linkuse as main transcriptc.1907C>T p.Thr636Met missense_variant 8/8 XP_016856425.1
GABRDXM_011541194.4 linkuse as main transcriptc.1241C>T p.Thr414Met missense_variant 9/9 XP_011539496.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GABRDENST00000378585.7 linkuse as main transcriptc.1202C>T p.Thr401Met missense_variant 9/91 NM_000815.5 ENSP00000367848.4 O14764

Frequencies

GnomAD3 genomes
AF:
0.00642
AC:
977
AN:
152162
Hom.:
9
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0219
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00249
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00154
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.00525
GnomAD3 exomes
AF:
0.00165
AC:
368
AN:
222654
Hom.:
4
AF XY:
0.00115
AC XY:
139
AN XY:
120988
show subpopulations
Gnomad AFR exome
AF:
0.0199
Gnomad AMR exome
AF:
0.00116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000680
Gnomad SAS exome
AF:
0.0000389
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000119
Gnomad OTH exome
AF:
0.00112
GnomAD4 exome
AF:
0.000720
AC:
1029
AN:
1428196
Hom.:
10
Cov.:
32
AF XY:
0.000629
AC XY:
445
AN XY:
706966
show subpopulations
Gnomad4 AFR exome
AF:
0.0198
Gnomad4 AMR exome
AF:
0.00159
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00239
Gnomad4 SAS exome
AF:
0.0000365
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000960
Gnomad4 OTH exome
AF:
0.00192
GnomAD4 genome
AF:
0.00644
AC:
981
AN:
152280
Hom.:
9
Cov.:
33
AF XY:
0.00583
AC XY:
434
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.0219
Gnomad4 AMR
AF:
0.00248
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00155
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000191
Gnomad4 OTH
AF:
0.00520
Alfa
AF:
0.00282
Hom.:
1
Bravo
AF:
0.00664
ESP6500AA
AF:
0.0193
AC:
85
ESP6500EA
AF:
0.000117
AC:
1
ExAC
AF:
0.00203
AC:
246
Asia WGS
AF:
0.00346
AC:
12
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Epilepsy, idiopathic generalized, susceptibility to, 10 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsAug 26, 2021- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Idiopathic generalized epilepsy Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.073
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
8.4
DANN
Benign
0.92
DEOGEN2
Benign
0.28
T;.;.;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.63
T;T;T;T
MetaRNN
Benign
0.0044
T;T;T;T
MetaSVM
Benign
-0.71
T
MutationAssessor
Benign
1.7
L;.;.;.
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-0.53
N;.;.;.
REVEL
Benign
0.26
Sift
Benign
0.16
T;.;.;.
Sift4G
Benign
0.15
T;.;.;.
Polyphen
0.81
P;.;.;.
Vest4
0.11
MVP
0.68
MPC
0.80
ClinPred
0.0036
T
GERP RS
-1.9
Varity_R
0.018
gMVP
0.49

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs116604393; hg19: chr1-1961564; COSMIC: COSV66080414; COSMIC: COSV66080414; API