chrX-37453365-C-A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001142395.2(PRRG1):​c.401C>A​(p.Pro134Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000249 in 1,206,725 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 9 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P134R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000055 ( 0 hom., 0 hem., cov: 21)
Exomes 𝑓: 0.000022 ( 0 hom. 9 hem. )

Consequence

PRRG1
NM_001142395.2 missense

Scores

1
6
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.59

Publications

2 publications found
Variant links:
Genes affected
PRRG1 (HGNC:9469): (proline rich and Gla domain 1) This gene encodes a vitamin K-dependent, gamma-carboxyglutamic acid (Gla)-containing, single-pass transmembrane protein. This protein contains a Gla domain at the N-terminus, preceded by a propeptide sequence required for post-translational gamma-carboxylation of specific glutamic acid residues by a vitamin K-dependent gamma-carboxylase. The C-terminus is proline-rich containing PPXY and PXXP motifs found in a variety of signaling and cytoskeletal proteins. This gene is highly expressed in the spinal cord. Several alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2010]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.21185464).
BS2
High Hemizygotes in GnomAdExome4 at 9 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRRG1NM_001142395.2 linkc.401C>A p.Pro134Gln missense_variant Exon 4 of 4 ENST00000378628.9 NP_001135867.1 O14668-1Q8NEK6
PRRG1NM_000950.3 linkc.401C>A p.Pro134Gln missense_variant Exon 5 of 5 NP_000941.1 O14668-1Q8NEK6
PRRG1NM_001173489.2 linkc.401C>A p.Pro134Gln missense_variant Exon 5 of 5 NP_001166960.1 O14668-1
PRRG1NM_001173490.2 linkc.401C>A p.Pro134Gln missense_variant Exon 4 of 4 NP_001166961.1 O14668-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRRG1ENST00000378628.9 linkc.401C>A p.Pro134Gln missense_variant Exon 4 of 4 1 NM_001142395.2 ENSP00000367894.4 O14668-1
ENSG00000250349ENST00000465127.1 linkc.171+27365C>A intron_variant Intron 3 of 8 5 ENSP00000417050.1 B4E171

Frequencies

GnomAD3 genomes
AF:
0.0000549
AC:
6
AN:
109248
Hom.:
0
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.000134
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000381
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000164
AC:
3
AN:
183353
AF XY:
0.0000442
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000219
AC:
24
AN:
1097477
Hom.:
0
Cov.:
31
AF XY:
0.0000248
AC XY:
9
AN XY:
362909
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26391
American (AMR)
AF:
0.00
AC:
0
AN:
35205
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19382
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30204
South Asian (SAS)
AF:
0.0000370
AC:
2
AN:
54120
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40528
Middle Eastern (MID)
AF:
0.000242
AC:
1
AN:
4136
European-Non Finnish (NFE)
AF:
0.0000250
AC:
21
AN:
841434
Other (OTH)
AF:
0.00
AC:
0
AN:
46077
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.0000549
AC:
6
AN:
109248
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
31524
show subpopulations
African (AFR)
AF:
0.000134
AC:
4
AN:
29914
American (AMR)
AF:
0.00
AC:
0
AN:
10132
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2613
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3499
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2430
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5790
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000381
AC:
2
AN:
52504
Other (OTH)
AF:
0.00
AC:
0
AN:
1450
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000227

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Mar 28, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.401C>A (p.P134Q) alteration is located in exon 5 (coding exon 3) of the PRRG1 gene. This alteration results from a C to A substitution at nucleotide position 401, causing the proline (P) at amino acid position 134 to be replaced by a glutamine (Q). 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
Benign
0.075
BayesDel_addAF
Benign
-0.083
T
BayesDel_noAF
Benign
-0.15
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.034
T;T;T;T;T
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.62
.;T;.;T;.
M_CAP
Pathogenic
0.59
D
MetaRNN
Benign
0.21
T;T;T;T;T
MetaSVM
Uncertain
0.69
D
MutationAssessor
Benign
1.4
L;.;L;L;L
PhyloP100
2.6
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-0.12
N;N;N;N;N
REVEL
Uncertain
0.41
Sift
Benign
0.19
T;D;T;T;T
Sift4G
Uncertain
0.036
D;D;D;D;D
Polyphen
0.0
B;.;B;B;B
Vest4
0.22
MutPred
0.36
Loss of glycosylation at P134 (P = 0.0057);Loss of glycosylation at P134 (P = 0.0057);Loss of glycosylation at P134 (P = 0.0057);Loss of glycosylation at P134 (P = 0.0057);Loss of glycosylation at P134 (P = 0.0057);
MVP
0.46
MPC
0.26
ClinPred
0.12
T
GERP RS
5.3
Varity_R
0.087
gMVP
0.47
Mutation Taster
=100/0
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: rs782391292; hg19: chrX-37312618; API