chr6-33437672-A-G

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PP2PP3_ModeratePP5_Moderate

The NM_006772.3(SYNGAP1):​c.767A>G​(p.Asn256Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 31)

Consequence

SYNGAP1
NM_006772.3 missense

Scores

9
8
2

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 9.32
Variant links:
Genes affected
SYNGAP1 (HGNC:11497): (synaptic Ras GTPase activating protein 1) This gene encodes a Ras GTPase activating protein that is a member of the N-methyl-D-aspartate receptor complex. The N-terminal domain of the protein contains a Ras-GAP domain, a pleckstrin homology domain, and a C2 domain that may be involved in binding of calcium and phospholipids. The C-terminal domain consists of a ten histidine repeat region, serine and tyrosine phosphorylation sites, and a T/SXV motif required for postsynaptic scaffold protein interaction. The encoded protein negatively regulates Ras, Rap and alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor trafficking to the postsynaptic membrane to regulate synaptic plasticity and neuronal homeostasis. Allelic variants of this gene are associated with intellectual disability and autism spectrum disorder. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Nov 2016]
SYNGAP1-AS1 (HGNC:53831): (SYNGAP1 antisense RNA 1)

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 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), SYNGAP1. . Gene score misZ 5.6047 (greater than the threshold 3.09). Trascript score misZ 7.6762 (greater than threshold 3.09). GenCC has associacion of gene with autosomal dominant non-syndromic intellectual disability, complex neurodevelopmental disorder, intellectual disability, autosomal dominant 5, SYNGAP1-related developmental and epileptic encephalopathy, myoclonic-astatic epilepsy.
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 6-33437672-A-G is Pathogenic according to our data. Variant chr6-33437672-A-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 2584352.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SYNGAP1NM_006772.3 linkuse as main transcriptc.767A>G p.Asn256Ser missense_variant 8/19 ENST00000646630.1
SYNGAP1-AS1NR_174954.1 linkuse as main transcriptn.330-191T>C intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SYNGAP1ENST00000646630.1 linkuse as main transcriptc.767A>G p.Asn256Ser missense_variant 8/19 NM_006772.3 P1Q96PV0-1
SYNGAP1-AS1ENST00000630418.1 linkuse as main transcriptn.378-191T>C intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
31

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Intellectual disability, autosomal dominant 5 Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingInstitute of Human Genetics Munich, Klinikum Rechts Der Isar, TU MünchenNov 04, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.95
BayesDel_addAF
Uncertain
0.053
T
BayesDel_noAF
Benign
-0.16
CADD
Pathogenic
35
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.62
D;D;.;.;.;.;.;.
Eigen
Pathogenic
0.71
Eigen_PC
Pathogenic
0.67
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
.;D;D;D;D;D;D;D
M_CAP
Pathogenic
0.51
D
MetaRNN
Uncertain
0.73
D;D;D;D;D;D;D;D
MetaSVM
Pathogenic
0.85
D
MutationAssessor
Uncertain
2.3
M;M;.;.;M;M;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.73
T
PROVEAN
Uncertain
-4.3
.;.;.;D;.;D;D;.
REVEL
Pathogenic
0.71
Sift
Uncertain
0.0010
.;.;.;D;.;D;D;.
Sift4G
Pathogenic
0.0
.;D;.;D;D;D;D;.
Polyphen
1.0
D;D;.;P;D;.;.;.
Vest4
0.40, 0.59, 0.42, 0.47
MutPred
0.26
Gain of phosphorylation at N256 (P = 0.0176);Gain of phosphorylation at N256 (P = 0.0176);Gain of phosphorylation at N256 (P = 0.0176);Gain of phosphorylation at N256 (P = 0.0176);Gain of phosphorylation at N256 (P = 0.0176);Gain of phosphorylation at N256 (P = 0.0176);.;.;
MVP
0.96
MPC
2.0
ClinPred
0.99
D
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.27
gMVP
0.66

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.85
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.85
Position offset: 1

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr6-33405449; API