chr9-123035443-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_005294.3(GPR21):​c.877G>A​(p.Ala293Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,860 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

GPR21
NM_005294.3 missense

Scores

7
7
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.60
Variant links:
Genes affected
GPR21 (HGNC:4476): (G protein-coupled receptor 21) This gene encodes a member of the G-protein-coupled receptor 1 family. G-protein coupled receptors are membrane proteins which activate signaling cascades as a response to extracellular stress. The encoded protein activates a Gq signal transduction pathway which mobilizes calcium. [provided by RefSeq, Nov 2012]
RABGAP1 (HGNC:17155): (RAB GTPase activating protein 1) Enables GTPase activator activity and small GTPase binding activity. Involved in regulation of GTPase activity. Located in cytosol. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.916

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GPR21NM_005294.3 linkuse as main transcriptc.877G>A p.Ala293Thr missense_variant 2/2 ENST00000616002.3
RABGAP1NM_012197.4 linkuse as main transcriptc.1794+14984G>A intron_variant ENST00000373647.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GPR21ENST00000616002.3 linkuse as main transcriptc.877G>A p.Ala293Thr missense_variant 2/21 NM_005294.3 P1
RABGAP1ENST00000373647.9 linkuse as main transcriptc.1794+14984G>A intron_variant 1 NM_012197.4 P1Q9Y3P9-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461860
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.0000113

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 GeneticsJun 16, 2024The c.877G>A (p.A293T) alteration is located in exon 1 (coding exon 1) of the GPR21 gene. This alteration results from a G to A substitution at nucleotide position 877, causing the alanine (A) at amino acid position 293 to be replaced by a threonine (T). 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
Pathogenic
0.96
BayesDel_addAF
Pathogenic
0.18
D
BayesDel_noAF
Uncertain
0.030
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.20
.;T
Eigen
Pathogenic
0.95
Eigen_PC
Pathogenic
0.94
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.95
.;D
M_CAP
Benign
0.023
T
MetaRNN
Pathogenic
0.92
D;D
MetaSVM
Benign
-0.51
T
MutationAssessor
Benign
1.7
.;L
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.70
T
PROVEAN
Uncertain
-2.5
.;D
REVEL
Uncertain
0.48
Sift
Uncertain
0.011
.;D
Sift4G
Uncertain
0.023
D;D
Polyphen
1.0
.;D
Vest4
0.94
MutPred
0.77
Loss of catalytic residue at A293 (P = 0.1702);Loss of catalytic residue at A293 (P = 0.1702);
MVP
0.43
MPC
0.72
ClinPred
0.88
D
GERP RS
5.9
Varity_R
0.27
gMVP
0.46

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: rs2032583368; hg19: chr9-125797722; API