rs115352435

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_133443.4(GPT2):​c.1210C>G​(p.Arg404Gly) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000311 in 1,607,772 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. 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. R404L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000033 ( 0 hom. )

Consequence

GPT2
NM_133443.4 missense, splice_region

Scores

6
13
Splicing: ADA: 0.001668
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.22

Publications

1 publications found
Variant links:
Genes affected
GPT2 (HGNC:18062): (glutamic--pyruvic transaminase 2) This gene encodes a mitochondrial alanine transaminase, a pyridoxal enzyme that catalyzes the reversible transamination between alanine and 2-oxoglutarate to generate pyruvate and glutamate. Alanine transaminases play roles in gluconeogenesis and amino acid metabolism in many tissues including skeletal muscle, kidney, and liver. Activating transcription factor 4 upregulates this gene under metabolic stress conditions in hepatocyte cell lines. A loss of function mutation in this gene has been associated with developmental encephalopathy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2015]
GPT2 Gene-Disease associations (from GenCC):
  • glutamate pyruvate transaminase 2 deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE, LIMITED Submitted by: ClinGen, Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.19440031).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GPT2NM_133443.4 linkc.1210C>G p.Arg404Gly missense_variant, splice_region_variant Exon 9 of 12 ENST00000340124.9 NP_597700.1 Q8TD30-1A0A024R6R2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GPT2ENST00000340124.9 linkc.1210C>G p.Arg404Gly missense_variant, splice_region_variant Exon 9 of 12 1 NM_133443.4 ENSP00000345282.4 Q8TD30-1
GPT2ENST00000440783.2 linkc.910C>G p.Arg304Gly missense_variant, splice_region_variant Exon 9 of 12 2 ENSP00000413804.2 Q8TD30-2
GPT2ENST00000562801.5 linkn.1720C>G splice_region_variant, non_coding_transcript_exon_variant Exon 3 of 6 2

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152146
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000203
AC:
5
AN:
246148
AF XY:
0.0000375
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:
0.0000446
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000330
AC:
48
AN:
1455508
Hom.:
0
Cov.:
31
AF XY:
0.0000345
AC XY:
25
AN XY:
723690
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33304
American (AMR)
AF:
0.0000229
AC:
1
AN:
43696
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25932
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39554
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85868
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52212
Middle Eastern (MID)
AF:
0.000349
AC:
2
AN:
5724
European-Non Finnish (NFE)
AF:
0.0000397
AC:
44
AN:
1109100
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60118
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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:
0.0000131
AC:
2
AN:
152264
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74446
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41564
American (AMR)
AF:
0.00
AC:
0
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68002
Other (OTH)
AF:
0.00
AC:
0
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000284
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000119

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Jan 18, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.1210C>G (p.R404G) alteration is located in exon 9 (coding exon 8) of the GPT2 gene. This alteration results from a C to G substitution at nucleotide position 1210, causing the arginine (R) at amino acid position 404 to be replaced by a glycine (G). 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
0.091
BayesDel_addAF
Benign
-0.066
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Uncertain
0.74
D;.
Eigen
Benign
-0.79
Eigen_PC
Benign
-0.71
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.65
T;T
M_CAP
Uncertain
0.25
D
MetaRNN
Benign
0.19
T;T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Benign
1.9
L;.
PhyloP100
2.2
PrimateAI
Benign
0.34
T
PROVEAN
Uncertain
-3.0
D;D
REVEL
Benign
0.13
Sift
Benign
0.033
D;D
Sift4G
Uncertain
0.049
D;T
Polyphen
0.0010
B;.
Vest4
0.34
MVP
0.82
MPC
0.56
ClinPred
0.22
T
GERP RS
1.4
Varity_R
0.45
gMVP
0.57
Mutation Taster
=76/24
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0017
dbscSNV1_RF
Benign
0.060
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

Other links and lift over

dbSNP: rs115352435; hg19: chr16-46956326; API