chr2-85553008-G-A

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBA1

The NM_000821.7(GGCX):​c.1218C>T​(p.Arg406Arg) variant causes a synonymous change. The variant allele was found at a frequency of 0.276 in 1,613,452 control chromosomes in the GnomAD database, including 62,960 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.30 ( 6889 hom., cov: 32)
Exomes 𝑓: 0.27 ( 56071 hom. )

Consequence

GGCX
NM_000821.7 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 3.58

Publications

34 publications found
Variant links:
Genes affected
GGCX (HGNC:4247): (gamma-glutamyl carboxylase) This gene encodes an integral membrane protein of the rough endoplasmic reticulum that carboxylates glutamate residues of vitamin K-dependent proteins to gamma carboxyl glutamate, a modification that is required for their activity. The vitamin K-dependent protein substrates have a propeptide that binds the enzyme, with carbon dioxide, dioxide, and reduced vitamin K acting as co-substrates. Vitamin K-dependent proteins affect a number of physiologic processes including blood coagulation, prevention of vascular calcification, and inflammation. Allelic variants of this gene have been associated with pseudoxanthoma elasticum-like disorder with associated multiple coagulation factor deficiency. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2015]
GGCX Gene-Disease associations (from GenCC):
  • body skin hyperlaxity due to vitamin K-dependent coagulation factor deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics
  • vitamin K-dependent clotting factors, combined deficiency of, type 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics, Orphanet
  • pulmonary arterial hypertension
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen
  • pseudoxanthoma elasticum-like skin manifestations with retinitis pigmentosa
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.43).
BP6
Variant 2-85553008-G-A is Benign according to our data. Variant chr2-85553008-G-A is described in ClinVar as Benign. ClinVar VariationId is 337266.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.356 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000821.7. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GGCX
NM_000821.7
MANE Select
c.1218C>Tp.Arg406Arg
synonymous
Exon 9 of 15NP_000812.2
GGCX
NM_001142269.4
c.1047C>Tp.Arg349Arg
synonymous
Exon 8 of 14NP_001135741.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GGCX
ENST00000233838.9
TSL:1 MANE Select
c.1218C>Tp.Arg406Arg
synonymous
Exon 9 of 15ENSP00000233838.3
GGCX
ENST00000911478.1
c.1218C>Tp.Arg406Arg
synonymous
Exon 9 of 15ENSP00000581537.1
GGCX
ENST00000896458.1
c.1218C>Tp.Arg406Arg
synonymous
Exon 9 of 15ENSP00000566517.1

Frequencies

GnomAD3 genomes
AF:
0.296
AC:
44973
AN:
151912
Hom.:
6877
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.361
Gnomad AMI
AF:
0.349
Gnomad AMR
AF:
0.225
Gnomad ASJ
AF:
0.218
Gnomad EAS
AF:
0.325
Gnomad SAS
AF:
0.168
Gnomad FIN
AF:
0.320
Gnomad MID
AF:
0.234
Gnomad NFE
AF:
0.280
Gnomad OTH
AF:
0.275
GnomAD2 exomes
AF:
0.262
AC:
65780
AN:
251446
AF XY:
0.259
show subpopulations
Gnomad AFR exome
AF:
0.364
Gnomad AMR exome
AF:
0.188
Gnomad ASJ exome
AF:
0.232
Gnomad EAS exome
AF:
0.319
Gnomad FIN exome
AF:
0.309
Gnomad NFE exome
AF:
0.281
Gnomad OTH exome
AF:
0.253
GnomAD4 exome
AF:
0.274
AC:
400715
AN:
1461422
Hom.:
56071
Cov.:
35
AF XY:
0.271
AC XY:
197245
AN XY:
727034
show subpopulations
African (AFR)
AF:
0.355
AC:
11898
AN:
33472
American (AMR)
AF:
0.196
AC:
8752
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.236
AC:
6168
AN:
26136
East Asian (EAS)
AF:
0.313
AC:
12410
AN:
39696
South Asian (SAS)
AF:
0.168
AC:
14494
AN:
86254
European-Finnish (FIN)
AF:
0.301
AC:
16054
AN:
53420
Middle Eastern (MID)
AF:
0.212
AC:
1221
AN:
5768
European-Non Finnish (NFE)
AF:
0.282
AC:
313224
AN:
1111590
Other (OTH)
AF:
0.273
AC:
16494
AN:
60362
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
17353
34707
52060
69414
86767
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10462
20924
31386
41848
52310
<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:
0.296
AC:
45010
AN:
152030
Hom.:
6889
Cov.:
32
AF XY:
0.294
AC XY:
21847
AN XY:
74314
show subpopulations
African (AFR)
AF:
0.360
AC:
14941
AN:
41460
American (AMR)
AF:
0.224
AC:
3422
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.218
AC:
757
AN:
3472
East Asian (EAS)
AF:
0.325
AC:
1677
AN:
5164
South Asian (SAS)
AF:
0.168
AC:
812
AN:
4824
European-Finnish (FIN)
AF:
0.320
AC:
3380
AN:
10566
Middle Eastern (MID)
AF:
0.245
AC:
72
AN:
294
European-Non Finnish (NFE)
AF:
0.280
AC:
19042
AN:
67966
Other (OTH)
AF:
0.280
AC:
590
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1648
3296
4945
6593
8241
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
450
900
1350
1800
2250
<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:
0.288
Hom.:
11586
Bravo
AF:
0.295
Asia WGS
AF:
0.278
AC:
967
AN:
3478
EpiCase
AF:
0.274
EpiControl
AF:
0.273

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
-
1
Vitamin K-dependent clotting factors, combined deficiency of, type 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.43
CADD
Benign
9.1
DANN
Benign
0.55
PhyloP100
3.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=85/15
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs2592551; hg19: chr2-85780131; COSMIC: COSV52087501; COSMIC: COSV52087501; API