chr3-49721956-C-T
Variant names: 
Variant summary
Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2
The NM_021971.4(GMPPB):c.951+9G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000917 in 1,611,042 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
 Genomes: 𝑓 0.00055   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.00096   (  2   hom.  ) 
Consequence
 GMPPB
NM_021971.4 intron
NM_021971.4 intron
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  -2.19  
Publications
0 publications found 
Genes affected
 GMPPB  (HGNC:22932):  (GDP-mannose pyrophosphorylase B) This gene is thought to encode a GDP-mannose pyrophosphorylase. The encoded protein catalyzes the conversion of mannose-1-phosphate and GTP to GDP-mannose, a reaction involved in the production of N-linked oligosaccharides. Alternatively spliced transcript variants encoding distinct isoforms have been described. [provided by RefSeq, Jan 2009] 
GMPPB Gene-Disease associations (from GenCC):
- muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A14Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
 - myopathy caused by variation in GMPPBInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
 - autosomal recessive limb-girdle muscular dystrophy type 2TInheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet, PanelApp Australia
 - congenital myasthenic syndromeInheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp
 - congenital muscular dystrophy with cerebellar involvementInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - congenital muscular dystrophy with intellectual disabilityInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - congenital myasthenic syndromes with glycosylation defectInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - muscle-eye-brain diseaseInheritance: 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 -16 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.83). 
BP6
Variant 3-49721956-C-T is Benign according to our data. Variant chr3-49721956-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 389060.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.000546  AC: 83AN: 152068Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
83
AN: 
152068
Hom.: 
Cov.: 
33
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.000486  AC: 122AN: 250898 AF XY:  0.000530   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
122
AN: 
250898
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.000956  AC: 1395AN: 1458854Hom.:  2  Cov.: 46 AF XY:  0.000956  AC XY: 694AN XY: 725884 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
1395
AN: 
1458854
Hom.: 
Cov.: 
46
 AF XY: 
AC XY: 
694
AN XY: 
725884
show subpopulations 
African (AFR) 
 AF: 
AC: 
8
AN: 
33444
American (AMR) 
 AF: 
AC: 
4
AN: 
44722
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26116
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39680
South Asian (SAS) 
 AF: 
AC: 
21
AN: 
86196
European-Finnish (FIN) 
 AF: 
AC: 
1
AN: 
52854
Middle Eastern (MID) 
 AF: 
AC: 
8
AN: 
5760
European-Non Finnish (NFE) 
 AF: 
AC: 
1306
AN: 
1109796
Other (OTH) 
 AF: 
AC: 
47
AN: 
60286
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.483 
Heterozygous variant carriers
 0 
 71 
 143 
 214 
 286 
 357 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 50 
 100 
 150 
 200 
 250 
 <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:  0.000545  AC: 83AN: 152188Hom.:  0  Cov.: 33 AF XY:  0.000632  AC XY: 47AN XY: 74396 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
83
AN: 
152188
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
47
AN XY: 
74396
show subpopulations 
African (AFR) 
 AF: 
AC: 
8
AN: 
41532
American (AMR) 
 AF: 
AC: 
0
AN: 
15302
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5154
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4824
European-Finnish (FIN) 
 AF: 
AC: 
1
AN: 
10608
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
73
AN: 
67980
Other (OTH) 
 AF: 
AC: 
1
AN: 
2112
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.505 
Heterozygous variant carriers
 0 
 6 
 12 
 17 
 23 
 29 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Variant carriers
 0 
 4 
 8 
 12 
 16 
 20 
 <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: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
3
AN: 
3478
EpiCase 
 AF: 
EpiControl 
 AF: 
ClinVar
Significance: Likely benign 
Submissions summary: Benign:3 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not provided    Benign:2 
Nov 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
GMPPB: BP4, BP7 -
May 01, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A14;C3809221:Muscular dystrophy-dystroglycanopathy (congenital with intellectual disability), type B14;C4518000:Autosomal recessive limb-girdle muscular dystrophy type 2T    Benign:1 
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
 You must be logged in to view publications. This limit was set because tens of millions (!) of queries from AI bots are generated daily.