rs1000458033

Positions:

• chr7-30617127-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2 PP3

The NM_002047.4(GARS1):​c.1208A>G​(p.Asn403Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000274 in 1,461,806 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: 33)
  • Exomes 𝑓: 0.0000027 (0 hom.)
• Consequence: GARS1 NM_002047.4 missense
• Clinical Significance: Uncertain significance criteria provided, multiple submitters, no conflicts U:3
• Conservation: PhyloP100: 9.29

Genes affected

GARS1 (HGNC:4162): (glycyl-tRNA synthetase 1) This gene encodes glycyl-tRNA synthetase, one of the aminoacyl-tRNA synthetases that charge tRNAs with their cognate amino acids. The encoded enzyme is an (alpha)2 dimer which belongs to the class II family of tRNA synthetases. It has been shown to be a target of autoantibodies in the human autoimmune diseases, polymyositis or dermatomyositis. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2015]

GARS1 (HGNC:):

ACMG classification

Verdict is Uncertain_significance. Variant got 3 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.833

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
GARS1	NM_002047.4	c.1208A>G	p.Asn403Ser	missense_variant	10/17	ENST00000389266.8	NP_002038.2
GARS1	NM_001316772.1	c.1046A>G	p.Asn349Ser	missense_variant	10/17		NP_001303701.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
GARS1	ENST00000389266.8	c.1208A>G	p.Asn403Ser	missense_variant	10/17	1	NM_002047.4	ENSP00000373918.3
GARS1	ENST00000675651.1	c.1208A>G	p.Asn403Ser	missense_variant	10/17			ENSP00000502513.1
GARS1	ENST00000675810.1	c.1106A>G	p.Asn369Ser	missense_variant	9/16			ENSP00000502743.1
GARS1	ENST00000675693.1	c.1040A>G	p.Asn347Ser	missense_variant	11/18			ENSP00000502174.1
GARS1	ENST00000675051.1	c.1007A>G	p.Asn336Ser	missense_variant	10/17			ENSP00000502296.1
GARS1	ENST00000674815.1	c.839A>G	p.Asn280Ser	missense_variant	10/17			ENSP00000502799.1
GARS1	ENST00000674851.1	c.839A>G	p.Asn280Ser	missense_variant	11/18			ENSP00000502451.1
GARS1	ENST00000444666.6	n.1208A>G		non_coding_transcript_exon_variant	10/18	3		ENSP00000415447.2
GARS1	ENST00000674616.1	n.*922A>G		non_coding_transcript_exon_variant	11/18			ENSP00000502408.1
GARS1	ENST00000674643.1	n.*308A>G		non_coding_transcript_exon_variant	11/17			ENSP00000501636.1
GARS1	ENST00000674737.1	n.*546A>G		non_coding_transcript_exon_variant	11/18			ENSP00000502464.1
GARS1	ENST00000674807.1	n.1208A>G		non_coding_transcript_exon_variant	10/16			ENSP00000502814.1
GARS1	ENST00000675529.1	n.*1078A>G		non_coding_transcript_exon_variant	11/18			ENSP00000501655.1
GARS1	ENST00000675859.1	n.1208A>G		non_coding_transcript_exon_variant	10/15			ENSP00000502033.1
GARS1	ENST00000676088.1	n.*1150A>G		non_coding_transcript_exon_variant	12/19			ENSP00000501884.1
GARS1	ENST00000676140.1	n.*153A>G		non_coding_transcript_exon_variant	10/17			ENSP00000502571.1
GARS1	ENST00000676164.1	n.*659A>G		non_coding_transcript_exon_variant	10/17			ENSP00000501986.1
GARS1	ENST00000676210.1	n.*497A>G		non_coding_transcript_exon_variant	11/18			ENSP00000502373.1
GARS1	ENST00000676259.1	n.*640A>G		non_coding_transcript_exon_variant	10/17			ENSP00000501980.1
GARS1	ENST00000676403.1	n.1208A>G		non_coding_transcript_exon_variant	10/16			ENSP00000502681.1
GARS1	ENST00000674616.1	n.*922A>G		3_prime_UTR_variant	11/18			ENSP00000502408.1
GARS1	ENST00000674643.1	n.*308A>G		3_prime_UTR_variant	11/17			ENSP00000501636.1
GARS1	ENST00000674737.1	n.*546A>G		3_prime_UTR_variant	11/18			ENSP00000502464.1
GARS1	ENST00000675529.1	n.*1078A>G		3_prime_UTR_variant	11/18			ENSP00000501655.1
GARS1	ENST00000676088.1	n.*1150A>G		3_prime_UTR_variant	12/19			ENSP00000501884.1
GARS1	ENST00000676140.1	n.*153A>G		3_prime_UTR_variant	10/17			ENSP00000502571.1
GARS1	ENST00000676164.1	n.*659A>G		3_prime_UTR_variant	10/17			ENSP00000501986.1
GARS1	ENST00000676210.1	n.*497A>G		3_prime_UTR_variant	11/18			ENSP00000502373.1
GARS1	ENST00000676259.1	n.*640A>G		3_prime_UTR_variant	10/17			ENSP00000501980.1

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD3 exomes AF: 0.00000401 AC: 1 AN: 249556 Hom.: 0 AF XY: 0.00000739 AC XY: 1 AN XY: 135398

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 SAS exome AF: 0.00

Gnomad FIN exome AF: 0.00

Gnomad NFE exome AF: 0.00000883

Gnomad OTH exome AF: 0.00

GnomAD4 exome AF: 0.00000274 AC: 4 AN: 1461806 Hom.: 0 Cov.: 32 AF XY: 0.00000275 AC XY: 2 AN XY: 727202

Gnomad4 AFR exome AF: 0.00

Gnomad4 AMR exome AF: 0.00

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: 0.00000360

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome Cov.: 33

ClinVar

Significance: Uncertain significance

Submissions summary: Uncertain:3

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

not specified Uncertain:1

Uncertain significance, criteria provided, single submitter

clinical testing

Ambry Genetics

Jan 04, 2023

The c.1208A>G (p.N403S) alteration is located in exon 10 (coding exon 10) of the GARS gene. This alteration results from a A to G substitution at nucleotide position 1208, causing the asparagine (N) at amino acid position 403 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Charcot-Marie-Tooth disease type 2 Uncertain:1

Uncertain significance, criteria provided, single submitter

clinical testing

Labcorp Genetics (formerly Invitae), Labcorp

Oct 01, 2020

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may create or strengthen a splice site, but this prediction has not been confirmed by published transcriptional studies. Algorithms developed to predict the effect of missense changes on protein structure and function do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C45"). This variant has not been reported in the literature in individuals with GARS-related disease. This variant is not present in population databases (ExAC no frequency). This sequence change replaces asparagine with serine at codon 403 of the GARS protein (p.Asn403Ser). The asparagine residue is highly conserved and there is a small physicochemical difference between asparagine and serine. -

not provided Uncertain:1

Uncertain significance, criteria provided, single submitter

clinical testing

GeneDx

May 30, 2019

Not observed at a significant frequency in large population cohorts (Lek et al., 2016); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.18
BayesDel_addAF	Benign	-0.048	T
BayesDel_noAF	Benign	-0.31
CADD	Pathogenic	26
DANN	Uncertain	1.0
DEOGEN2	Uncertain	0.64	D
Eigen	Uncertain	0.62
Eigen_PC	Uncertain	0.65
FATHMM_MKL	Pathogenic	0.98	D
LIST_S2	Uncertain	0.97	D
M_CAP	Benign	0.047	D
MetaRNN	Pathogenic	0.83	D
MetaSVM	Benign	-0.43	T
PrimateAI	Uncertain	0.63	T
PROVEAN	Uncertain	-4.0	D
REVEL	Uncertain	0.52
Sift	Benign	0.053	T
Sift4G	Uncertain	0.036	D
Polyphen		0.97	D
Vest4		0.74
MutPred		0.52		Gain of helix (P = 0.062);
MVP		0.69
MPC		0.40
ClinPred		0.96	D
GERP RS		5.2
RBP_binding_hub_radar		0.0
RBP_regulation_power_radar		1.7
Varity_R		0.55
gMVP		0.80

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

Other links and lift over

dbSNP: rs1000458033; hg19: chr7-30656743;