chr10-26217983-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_001134366.2(GAD2):ā€‹c.278A>Cā€‹(p.His93Pro) variant causes a missense change. The variant allele was found at a frequency of 0.00000137 in 1,457,574 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

GAD2
NM_001134366.2 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.08
Variant links:
Genes affected
GAD2 (HGNC:4093): (glutamate decarboxylase 2) This gene encodes one of several forms of glutamic acid decarboxylase, identified as a major autoantigen in insulin-dependent diabetes. The enzyme encoded is responsible for catalyzing the production of gamma-aminobutyric acid from L-glutamic acid. A pathogenic role for this enzyme has been identified in the human pancreas since it has been identified as an autoantibody and an autoreactive T cell target in insulin-dependent diabetes. This gene may also play a role in the stiff man syndrome. Alternative splicing results in multiple transcript variants that encode the same protein. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.746

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GAD2NM_001134366.2 linkuse as main transcriptc.278A>C p.His93Pro missense_variant 3/16 ENST00000376261.8
GAD2NM_000818.3 linkuse as main transcriptc.278A>C p.His93Pro missense_variant 3/17

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GAD2ENST00000376261.8 linkuse as main transcriptc.278A>C p.His93Pro missense_variant 3/161 NM_001134366.2 P1
GAD2ENST00000259271.7 linkuse as main transcriptc.278A>C p.His93Pro missense_variant 3/171 P1
GAD2ENST00000428517.2 linkuse as main transcriptc.278A>C p.His93Pro missense_variant 3/41
GAD2ENST00000648567.1 linkuse as main transcriptc.-65A>C 5_prime_UTR_variant 3/17

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000411
AC:
1
AN:
243450
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
132576
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000556
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:
0.00000137
AC:
2
AN:
1457574
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
724852
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000505
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 15, 2023The c.278A>C (p.H93P) alteration is located in exon 3 (coding exon 3) of the GAD2 gene. This alteration results from a A to C substitution at nucleotide position 278, causing the histidine (H) at amino acid position 93 to be replaced by a proline (P). 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
0.31
BayesDel_addAF
Benign
-0.025
T
BayesDel_noAF
Benign
-0.10
CADD
Benign
21
DANN
Benign
0.66
DEOGEN2
Benign
0.40
T;T
Eigen
Uncertain
0.19
Eigen_PC
Uncertain
0.25
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.59
.;T
M_CAP
Benign
0.056
D
MetaRNN
Pathogenic
0.75
D;D
MetaSVM
Benign
-0.59
T
MutationAssessor
Benign
0.90
L;L
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-1.5
N;N
REVEL
Uncertain
0.31
Sift
Benign
0.14
T;T
Sift4G
Benign
0.17
T;T
Polyphen
0.0
B;B
Vest4
0.68
MutPred
0.55
Gain of loop (P = 0.0045);Gain of loop (P = 0.0045);
MVP
0.58
MPC
0.63
ClinPred
0.27
T
GERP RS
5.8
Varity_R
0.77
gMVP
0.81

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs1357321101; hg19: chr10-26506912; API