chr2-219501527-C-T

Variant summary

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

The NM_013335.4(GMPPA):​c.190C>T​(p.Pro64Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00287 in 1,613,098 control chromosomes in the GnomAD database, including 11 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0022 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0029 ( 11 hom. )

Consequence

GMPPA
NM_013335.4 missense

Scores

2
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.887
Variant links:
Genes affected
GMPPA (HGNC:22923): (GDP-mannose pyrophosphorylase A) This gene is thought to encode a GDP-mannose pyrophosphorylase. This enzyme catalyzes the reaction which converts mannose-1-phosphate and GTP to GDP-mannose which is involved in the production of N-linked oligosaccharides. [provided by RefSeq, Jul 2008]
ASIC4-AS1 (HGNC:40960): (ASIC4 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0066054463).
BP6
Variant 2-219501527-C-T is Benign according to our data. Variant chr2-219501527-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 388353.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-219501527-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0022 (335/152280) while in subpopulation NFE AF= 0.0031 (211/68022). AF 95% confidence interval is 0.00276. There are 0 homozygotes in gnomad4. There are 147 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 11 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GMPPANM_013335.4 linkuse as main transcriptc.190C>T p.Pro64Ser missense_variant 4/13 ENST00000313597.10
ASIC4-AS1XR_923921.2 linkuse as main transcriptn.391+15169G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GMPPAENST00000313597.10 linkuse as main transcriptc.190C>T p.Pro64Ser missense_variant 4/131 NM_013335.4 P1Q96IJ6-1
ASIC4-AS1ENST00000429882.1 linkuse as main transcriptn.182+15169G>A intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.00220
AC:
335
AN:
152162
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000627
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00801
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00310
Gnomad OTH
AF:
0.00192
GnomAD3 exomes
AF:
0.00229
AC:
577
AN:
251478
Hom.:
2
AF XY:
0.00235
AC XY:
319
AN XY:
135914
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.000954
Gnomad ASJ exome
AF:
0.000298
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00873
Gnomad NFE exome
AF:
0.00293
Gnomad OTH exome
AF:
0.00163
GnomAD4 exome
AF:
0.00294
AC:
4301
AN:
1460818
Hom.:
11
Cov.:
29
AF XY:
0.00285
AC XY:
2074
AN XY:
726838
show subpopulations
Gnomad4 AFR exome
AF:
0.000508
Gnomad4 AMR exome
AF:
0.000738
Gnomad4 ASJ exome
AF:
0.000306
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00792
Gnomad4 NFE exome
AF:
0.00331
Gnomad4 OTH exome
AF:
0.00234
GnomAD4 genome
AF:
0.00220
AC:
335
AN:
152280
Hom.:
0
Cov.:
32
AF XY:
0.00197
AC XY:
147
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.000626
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00801
Gnomad4 NFE
AF:
0.00310
Gnomad4 OTH
AF:
0.00190
Alfa
AF:
0.00219
Hom.:
1
Bravo
AF:
0.00147
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00285
AC:
11
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00302
AC:
26
ExAC
AF:
0.00238
AC:
289
EpiCase
AF:
0.00273
EpiControl
AF:
0.00231

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Alacrima, achalasia, and intellectual disability syndrome Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 13, 2024- -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMar 16, 2022- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingInstitute for Genomic Medicine (IGM) Clinical Laboratory, Nationwide Children's HospitalApr 19, 2017BS1,BP4; This alteration has an allele frequency that is greater than expected for the associated disease, and is predicted to be tolerated by multiple functional prediction tools. -
GMPPA-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 29, 2024This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxMay 01, 2018This variant is associated with the following publications: (PMID: 28820871) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.074
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
10
DANN
Benign
0.93
DEOGEN2
Benign
0.40
T;.;T;T;.;T;T;.
Eigen
Benign
-0.52
Eigen_PC
Benign
-0.41
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Uncertain
0.89
.;D;.;.;D;D;D;D
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.0066
T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
-0.41
N;N;N;N;.;.;N;.
MutationTaster
Benign
0.99
N;N;N;N;N
PrimateAI
Benign
0.28
T
PROVEAN
Benign
0.090
N;N;N;N;N;N;N;.
REVEL
Benign
0.16
Sift
Benign
0.42
T;T;T;T;T;T;T;.
Sift4G
Benign
0.72
T;T;T;T;T;T;T;T
Polyphen
0.0
B;B;B;B;.;.;B;.
Vest4
0.27
MVP
0.72
MPC
0.39
ClinPred
0.0085
T
GERP RS
-2.4
Varity_R
0.040
gMVP
0.45

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs34873891; hg19: chr2-220366249; COSMIC: COSV58007129; COSMIC: COSV58007129; API