chr9-4118287-C-G

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001042413.2(GLIS3):​c.1191G>C​(p.Gln397His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00292 in 1,583,390 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Q397R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0017 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0030 ( 9 hom. )

Consequence

GLIS3
NM_001042413.2 missense

Scores

5
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3

Conservation

PhyloP100: 1.33

Publications

3 publications found
Variant links:
Genes affected
GLIS3 (HGNC:28510): (GLIS family zinc finger 3) This gene is a member of the GLI-similar zinc finger protein family and encodes a nuclear protein with five C2H2-type zinc finger domains. This protein functions as both a repressor and activator of transcription and is specifically involved in the development of pancreatic beta cells, the thyroid, eye, liver and kidney. Mutations in this gene have been associated with neonatal diabetes and congenital hypothyroidism (NDH). Alternatively spliced variants that encode different protein isoforms have been described but the full-length nature of only two have been determined. [provided by RefSeq, Jul 2008]
GLIS3 Gene-Disease associations (from GenCC):
  • neonatal diabetes mellitus with congenital hypothyroidism
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • Tourette syndrome
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009463966).
BP6
Variant 9-4118287-C-G is Benign according to our data. Variant chr9-4118287-C-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 393416.
BS2
High Homozygotes in GnomAdExome4 at 9 AR,Unknown gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GLIS3NM_001042413.2 linkc.1191G>C p.Gln397His missense_variant Exon 4 of 11 ENST00000381971.8 NP_001035878.1 Q8NEA6-2Q1PHJ8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GLIS3ENST00000381971.8 linkc.1191G>C p.Gln397His missense_variant Exon 4 of 11 5 NM_001042413.2 ENSP00000371398.3 Q8NEA6-2

Frequencies

GnomAD3 genomes
AF:
0.00173
AC:
264
AN:
152210
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000434
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000523
Gnomad ASJ
AF:
0.00374
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00414
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00260
Gnomad OTH
AF:
0.00191
GnomAD2 exomes
AF:
0.00222
AC:
411
AN:
185294
AF XY:
0.00214
show subpopulations
Gnomad AFR exome
AF:
0.000512
Gnomad AMR exome
AF:
0.000679
Gnomad ASJ exome
AF:
0.00551
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00332
Gnomad NFE exome
AF:
0.00358
Gnomad OTH exome
AF:
0.00186
GnomAD4 exome
AF:
0.00304
AC:
4352
AN:
1431066
Hom.:
9
Cov.:
36
AF XY:
0.00296
AC XY:
2103
AN XY:
709550
show subpopulations
African (AFR)
AF:
0.000334
AC:
11
AN:
32980
American (AMR)
AF:
0.000685
AC:
28
AN:
40870
Ashkenazi Jewish (ASJ)
AF:
0.00557
AC:
142
AN:
25502
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38342
South Asian (SAS)
AF:
0.000157
AC:
13
AN:
82954
European-Finnish (FIN)
AF:
0.00308
AC:
146
AN:
47478
Middle Eastern (MID)
AF:
0.000178
AC:
1
AN:
5606
European-Non Finnish (NFE)
AF:
0.00353
AC:
3878
AN:
1098178
Other (OTH)
AF:
0.00225
AC:
133
AN:
59156
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
301
602
903
1204
1505
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
146
292
438
584
730
<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:
0.00173
AC:
264
AN:
152324
Hom.:
0
Cov.:
32
AF XY:
0.00179
AC XY:
133
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.000433
AC:
18
AN:
41588
American (AMR)
AF:
0.000523
AC:
8
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00374
AC:
13
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00414
AC:
44
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00260
AC:
177
AN:
68008
Other (OTH)
AF:
0.00189
AC:
4
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
15
29
44
58
73
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:
0.00235
Hom.:
1
Bravo
AF:
0.00147
TwinsUK
AF:
0.00485
AC:
18
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000990
AC:
7
ExAC
AF:
0.00192
AC:
221

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Feb 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Monogenic diabetes Uncertain:1
Jul 07, 2016
Personalized Diabetes Medicine Program, University of Maryland School of Medicine
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

ACMG Criteria: PP3, BP4 -

GLIS3-related disorder Benign:1
Jan 17, 2022
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Neonatal diabetes mellitus with congenital hypothyroidism Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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 likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.12
T;.
Eigen
Benign
0.12
Eigen_PC
Benign
0.19
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Benign
0.72
T;T
M_CAP
Benign
0.0077
T
MetaRNN
Benign
0.0095
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.5
M;.
PhyloP100
1.3
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.6
N;N
REVEL
Benign
0.058
Sift
Uncertain
0.0020
D;D
Sift4G
Benign
0.17
T;T
Polyphen
0.49
P;P
Vest4
0.57
MutPred
0.28
Loss of solvent accessibility (P = 0.1922);.;
MVP
0.76
MPC
0.21
ClinPred
0.024
T
GERP RS
4.7
Varity_R
0.30
gMVP
0.49
Mutation Taster
=97/3
polymorphism

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

Other links and lift over

dbSNP: rs138497710; hg19: chr9-4118287; API