chr14-87947867-G-C

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 3P and 2B. PM2PP2BP4_Moderate

The NM_000153.4(GALC):​c.1350C>G​(p.Ser450Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict 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. S450G) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 31)

Consequence

GALC
NM_000153.4 missense

Scores

5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.109

Publications

0 publications found
Variant links:
Genes affected
GALC (HGNC:4115): (galactosylceramidase) This gene encodes a lysosomal protein which hydrolyzes the galactose ester bonds of galactosylceramide, galactosylsphingosine, lactosylceramide, and monogalactosyldiglyceride. Mutations in this gene have been associated with Krabbe disease, also known as globoid cell leukodystrophy. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Jul 2008]
GALC Gene-Disease associations (from GenCC):
  • Krabbe disease
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Myriad Women’s Health, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), PanelApp Australia, ClinGen, Genomics England PanelApp

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 94 curated pathogenic missense variants (we use a threshold of 10). The gene has 16 curated benign missense variants. Gene score misZ: 0.18582 (below the threshold of 3.09). Trascript score misZ: -0.28853 (below the threshold of 3.09). GenCC associations: The gene is linked to Krabbe disease.
BP4
Computational evidence support a benign effect (MetaRNN=0.108445674).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000153.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GALC
NM_000153.4
MANE Select
c.1350C>Gp.Ser450Arg
missense
Exon 13 of 17NP_000144.2
GALC
NM_001201401.2
c.1281C>Gp.Ser427Arg
missense
Exon 12 of 16NP_001188330.1
GALC
NM_001201402.2
c.1272C>Gp.Ser424Arg
missense
Exon 13 of 17NP_001188331.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GALC
ENST00000261304.7
TSL:1 MANE Select
c.1350C>Gp.Ser450Arg
missense
Exon 13 of 17ENSP00000261304.2
GALC
ENST00000393568.8
TSL:2
c.1281C>Gp.Ser427Arg
missense
Exon 12 of 16ENSP00000377198.4
GALC
ENST00000393569.6
TSL:2
c.1272C>Gp.Ser424Arg
missense
Exon 13 of 17ENSP00000377199.2

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
Cov.:
35
GnomAD4 genome
Cov.:
31

ClinVar

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

Submissions by phenotype

Galactosylceramide beta-galactosidase deficiency Uncertain:1
Dec 28, 2022
Foundation for Research in Genetics and Endocrinology, FRIGE's Institute of Human Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

A Homozygous missense variation in exon 13 of the GALC gene that results in the amino acid substitution of Arginine for Serine at codon 450 was detected. The observed variant c.1350C>G (p.Ser450Arg) has not been reported in the 1000 genomes and ExAC databases. The in silico prediction of the variant are possibly damaging by PolyPhen-2 (HumDiv) and damaging by LRT and MutationTaster2. The reference codon is conserved across species. In summary, the variant meets our criteria to be classified as a variant of uncertain significance.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Uncertain
0.024
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
6.4
DANN
Benign
0.95
DEOGEN2
Uncertain
0.64
D
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.033
N
LIST_S2
Benign
0.84
T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.11
T
MetaSVM
Uncertain
-0.28
T
MutationAssessor
Uncertain
2.1
M
PhyloP100
-0.11
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.23
Sift
Benign
0.10
T
Sift4G
Benign
0.17
T
Polyphen
0.0020
B
Vest4
0.10
MutPred
0.42
Gain of solvent accessibility (P = 4e-04)
MVP
0.79
MPC
0.20
ClinPred
0.038
T
GERP RS
-2.8
Varity_R
0.067
gMVP
0.65
Mutation Taster
=88/12
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs398076; hg19: chr14-88414211; API