chr5-151828939-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BS1BS2

The NM_000171.4(GLRA1):​c.1041G>A​(p.Arg347=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0202 in 1,613,964 control chromosomes in the GnomAD database, including 412 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.015 ( 19 hom., cov: 32)
Exomes 𝑓: 0.021 ( 393 hom. )

Consequence

GLRA1
NM_000171.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.45
Variant links:
Genes affected
GLRA1 (HGNC:4326): (glycine receptor alpha 1) The protein encoded by this gene is a subunit of a pentameric inhibitory glycine receptor, which mediates postsynaptic inhibition in the central nervous system. Defects in this gene are a cause of startle disease (STHE), also known as hereditary hyperekplexia or congenital stiff-person syndrome. Multiple transcript variants encoding different isoforms have been found. [provided by RefSeq, Dec 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.24).
BP6
Variant 5-151828939-C-T is Benign according to our data. Variant chr5-151828939-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 352310.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-151828939-C-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=2.45 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0153 (2326/152338) while in subpopulation NFE AF= 0.0235 (1598/68036). AF 95% confidence interval is 0.0225. There are 19 homozygotes in gnomad4. There are 1066 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 19 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GLRA1NM_000171.4 linkuse as main transcriptc.1041G>A p.Arg347= synonymous_variant 8/9 ENST00000274576.9
GLRA1NM_001146040.2 linkuse as main transcriptc.1041G>A p.Arg347= synonymous_variant 8/9
GLRA1NM_001292000.2 linkuse as main transcriptc.792G>A p.Arg264= synonymous_variant 7/8
GLRA1XM_047417105.1 linkuse as main transcriptc.1089G>A p.Arg363= synonymous_variant 8/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GLRA1ENST00000274576.9 linkuse as main transcriptc.1041G>A p.Arg347= synonymous_variant 8/91 NM_000171.4 P4P23415-2
GLRA1ENST00000455880.2 linkuse as main transcriptc.1041G>A p.Arg347= synonymous_variant 8/91 A1P23415-1
GLRA1ENST00000462581.6 linkuse as main transcriptc.*799G>A 3_prime_UTR_variant, NMD_transcript_variant 7/81

Frequencies

GnomAD3 genomes
AF:
0.0153
AC:
2325
AN:
152220
Hom.:
19
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00442
Gnomad AMI
AF:
0.0263
Gnomad AMR
AF:
0.0145
Gnomad ASJ
AF:
0.0181
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00497
Gnomad FIN
AF:
0.0156
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0235
Gnomad OTH
AF:
0.0215
GnomAD3 exomes
AF:
0.0162
AC:
4076
AN:
251118
Hom.:
57
AF XY:
0.0166
AC XY:
2252
AN XY:
135702
show subpopulations
Gnomad AFR exome
AF:
0.00314
Gnomad AMR exome
AF:
0.0117
Gnomad ASJ exome
AF:
0.0225
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00395
Gnomad FIN exome
AF:
0.0165
Gnomad NFE exome
AF:
0.0247
Gnomad OTH exome
AF:
0.0191
GnomAD4 exome
AF:
0.0207
AC:
30220
AN:
1461626
Hom.:
393
Cov.:
31
AF XY:
0.0201
AC XY:
14619
AN XY:
727122
show subpopulations
Gnomad4 AFR exome
AF:
0.00293
Gnomad4 AMR exome
AF:
0.0121
Gnomad4 ASJ exome
AF:
0.0202
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00400
Gnomad4 FIN exome
AF:
0.0172
Gnomad4 NFE exome
AF:
0.0239
Gnomad4 OTH exome
AF:
0.0190
GnomAD4 genome
AF:
0.0153
AC:
2326
AN:
152338
Hom.:
19
Cov.:
32
AF XY:
0.0143
AC XY:
1066
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.00440
Gnomad4 AMR
AF:
0.0144
Gnomad4 ASJ
AF:
0.0181
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00498
Gnomad4 FIN
AF:
0.0156
Gnomad4 NFE
AF:
0.0235
Gnomad4 OTH
AF:
0.0213
Alfa
AF:
0.0193
Hom.:
17
Bravo
AF:
0.0154
Asia WGS
AF:
0.00260
AC:
11
AN:
3478
EpiCase
AF:
0.0249
EpiControl
AF:
0.0252

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingGeneDxOct 29, 2020- -
Hyperekplexia 1 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Hereditary hyperekplexia Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.24
CADD
Benign
8.5
DANN
Benign
0.67

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: rs75463357; hg19: chr5-151208500; COSMIC: COSV51012696; API