chr20-38499516-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM2PP2BP4_Moderate

The NM_020336.4(RALGAPB):ā€‹c.623C>Gā€‹(p.Thr208Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000205 in 1,461,702 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000021 ( 0 hom. )

Consequence

RALGAPB
NM_020336.4 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.06
Variant links:
Genes affected
RALGAPB (HGNC:29221): (Ral GTPase activating protein non-catalytic subunit beta) Enables protein heterodimerization activity. Predicted to be involved in activation of GTPase activity. Predicted to act upstream of or within Ral protein signal transduction; regulation of exocyst localization; and regulation of protein localization. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RALGAPB. . Gene score misZ 3.1771 (greater than the threshold 3.09). Trascript score misZ 4.2843 (greater than threshold 3.09). GenCC has associacion of gene with complex neurodevelopmental disorder.
BP4
Computational evidence support a benign effect (MetaRNN=0.20503443).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RALGAPBNM_020336.4 linkuse as main transcriptc.623C>G p.Thr208Ser missense_variant 5/30 ENST00000262879.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RALGAPBENST00000262879.11 linkuse as main transcriptc.623C>G p.Thr208Ser missense_variant 5/301 NM_020336.4 P4Q86X10-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251184
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135774
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461702
Hom.:
0
Cov.:
30
AF XY:
0.00000275
AC XY:
2
AN XY:
727170
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

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 GeneticsAug 04, 2021The c.623C>G (p.T208S) alteration is located in exon 5 (coding exon 4) of the RALGAPB gene. This alteration results from a C to G substitution at nucleotide position 623, causing the threonine (T) at amino acid position 208 to be replaced by a serine (S). 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
0.073
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
23
DANN
Benign
0.96
DEOGEN2
Benign
0.031
.;T;T;T
Eigen
Benign
-0.14
Eigen_PC
Benign
0.085
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.75
T;.;T;T
M_CAP
Benign
0.0027
T
MetaRNN
Benign
0.21
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.070
N;N;N;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.070
N;N;N;N
REVEL
Benign
0.063
Sift
Benign
0.71
T;T;T;T
Sift4G
Benign
0.48
T;T;T;T
Polyphen
0.0
.;B;B;.
Vest4
0.18
MutPred
0.62
Loss of catalytic residue at F211 (P = 0.15);Loss of catalytic residue at F211 (P = 0.15);Loss of catalytic residue at F211 (P = 0.15);.;
MVP
0.068
MPC
0.38
ClinPred
0.37
T
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.10
gMVP
0.12

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

LitVar

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

Other links and lift over

dbSNP: rs1465219572; hg19: chr20-37128159; API