chr1-6474032-C-T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting

The NM_020631.6(PLEKHG5):​c.572G>A​(p.Arg191Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000541 in 1,607,214 control chromosomes in the GnomAD database, with no homozygous occurrence. 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. R191W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000056 ( 0 hom. )

Consequence

PLEKHG5
NM_020631.6 missense

Scores

2
6
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.64

Publications

0 publications found
Variant links:
Genes affected
PLEKHG5 (HGNC:29105): (pleckstrin homology and RhoGEF domain containing G5) This gene encodes a protein that activates the nuclear factor kappa B (NFKB1) signaling pathway. Mutations in this gene are associated with autosomal recessive distal spinal muscular atrophy. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2012]
PLEKHG5 Gene-Disease associations (from GenCC):
  • neuromuscular disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Charcot-Marie-Tooth disease recessive intermediate C
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
  • neuronopathy, distal hereditary motor, autosomal recessive 4
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.05368349).
BS1
Variant frequency is greater than expected in population sas. GnomAdExome4 allele frequency = 0.0000557 (81/1455002) while in subpopulation SAS AF = 0.000715 (61/85258). AF 95% confidence interval is 0.000571. There are 0 homozygotes in GnomAdExome4. There are 47 alleles in the male GnomAdExome4 subpopulation. Median coverage is 38. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020631.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHG5
NM_020631.6
MANE Select
c.572G>Ap.Arg191Gln
missense
Exon 7 of 21NP_065682.2
PLEKHG5
NM_001265593.2
c.779G>Ap.Arg260Gln
missense
Exon 7 of 21NP_001252522.1A0A804EMX3
PLEKHG5
NM_001042663.3
c.683G>Ap.Arg228Gln
missense
Exon 8 of 22NP_001036128.2O94827-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHG5
ENST00000377728.8
TSL:2 MANE Select
c.572G>Ap.Arg191Gln
missense
Exon 7 of 21ENSP00000366957.3O94827-5
PLEKHG5
ENST00000377732.5
TSL:1
c.683G>Ap.Arg228Gln
missense
Exon 7 of 21ENSP00000366961.1O94827-3
PLEKHG5
ENST00000400915.8
TSL:1
c.683G>Ap.Arg228Gln
missense
Exon 8 of 22ENSP00000383706.4O94827-3

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152094
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000830
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000110
AC:
26
AN:
235560
AF XY:
0.000124
show subpopulations
Gnomad AFR exome
AF:
0.0000722
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000104
Gnomad EAS 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:
0.0000557
AC:
81
AN:
1455002
Hom.:
0
Cov.:
38
AF XY:
0.0000650
AC XY:
47
AN XY:
723372
show subpopulations
African (AFR)
AF:
0.0000601
AC:
2
AN:
33272
American (AMR)
AF:
0.00
AC:
0
AN:
44280
Ashkenazi Jewish (ASJ)
AF:
0.0000385
AC:
1
AN:
25978
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39396
South Asian (SAS)
AF:
0.000715
AC:
61
AN:
85258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52122
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5122
European-Non Finnish (NFE)
AF:
0.0000126
AC:
14
AN:
1109572
Other (OTH)
AF:
0.0000500
AC:
3
AN:
60002
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
5
10
15
20
25
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.0000394
AC:
6
AN:
152212
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74432
show subpopulations
African (AFR)
AF:
0.0000482
AC:
2
AN:
41534
American (AMR)
AF:
0.00
AC:
0
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.000830
AC:
4
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67966
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.000149
AC:
18

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)
-
1
-
Neuronopathy, distal hereditary motor, autosomal recessive 4;C3809309:Charcot-Marie-Tooth disease recessive intermediate C (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.073
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.26
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.22
T
Eigen
Uncertain
0.25
Eigen_PC
Benign
0.22
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Uncertain
0.87
D
M_CAP
Pathogenic
0.29
D
MetaRNN
Benign
0.054
T
MetaSVM
Benign
-0.38
T
MutationAssessor
Benign
1.8
L
PhyloP100
1.6
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-2.0
N
REVEL
Benign
0.23
Sift
Uncertain
0.010
D
Sift4G
Uncertain
0.011
D
Polyphen
0.99
D
Vest4
0.20
MutPred
0.25
Loss of MoRF binding (P = 0.0251)
MVP
0.62
MPC
0.30
ClinPred
0.11
T
GERP RS
4.1
Varity_R
0.16
gMVP
0.51
Mutation Taster
=81/19
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: rs541234129; hg19: chr1-6534092; API