rs1189328619

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_004483.5(GCSH):​c.505A>C​(p.Lys169Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000115 in 1,304,794 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 27)
Exomes 𝑓: 0.000010 ( 0 hom. )

Consequence

GCSH
NM_004483.5 missense

Scores

1
6
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.18

Publications

1 publications found
Variant links:
Genes affected
GCSH (HGNC:4208): (glycine cleavage system protein H) Degradation of glycine is brought about by the glycine cleavage system, which is composed of four mitochondrial protein components: P protein (a pyridoxal phosphate-dependent glycine decarboxylase), H protein (a lipoic acid-containing protein), T protein (a tetrahydrofolate-requiring enzyme), and L protein (a lipoamide dehydrogenase). The protein encoded by this gene is the H protein, which transfers the methylamine group of glycine from the P protein to the T protein. Defects in this gene are a cause of nonketotic hyperglycinemia (NKH). Two transcript variants, one protein-coding and the other probably not protein-coding,have been found for this gene. Also, several transcribed and non-transcribed pseudogenes of this gene exist throughout the genome.[provided by RefSeq, Jan 2010]
GCSH Gene-Disease associations (from GenCC):
  • glycine encephalopathy
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: ClinGen, Ambry Genetics
  • multiple mitochondrial dysfunctions syndrome 7
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • infantile glycine encephalopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • neonatal glycine encephalopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • atypical glycine encephalopathy
    Inheritance: Unknown Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3782271).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004483.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GCSH
NM_004483.5
MANE Select
c.505A>Cp.Lys169Gln
missense
Exon 5 of 5NP_004474.2
GCSH
NR_033249.2
n.558A>C
non_coding_transcript_exon
Exon 4 of 4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GCSH
ENST00000315467.9
TSL:1 MANE Select
c.505A>Cp.Lys169Gln
missense
Exon 5 of 5ENSP00000319531.3P23434
ENSG00000284512
ENST00000640345.1
TSL:5
c.424+1580A>C
intron
N/AENSP00000492798.1A0A1W2PS29
ENSG00000260643
ENST00000564536.2
TSL:5
c.424+1580A>C
intron
N/AENSP00000491651.1A0A1W2PPQ1

Frequencies

GnomAD3 genomes
AF:
0.0000198
AC:
3
AN:
151430
Hom.:
0
Cov.:
27
show subpopulations
Gnomad AFR
AF:
0.0000243
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
GnomAD4 exome
AF:
0.0000104
AC:
12
AN:
1153364
Hom.:
0
Cov.:
16
AF XY:
0.00000340
AC XY:
2
AN XY:
588378
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
27584
American (AMR)
AF:
0.00
AC:
0
AN:
44326
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24228
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38248
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80086
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53304
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5156
European-Non Finnish (NFE)
AF:
0.0000145
AC:
12
AN:
830352
Other (OTH)
AF:
0.00
AC:
0
AN:
50080
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.546
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.0000198
AC:
3
AN:
151430
Hom.:
0
Cov.:
27
AF XY:
0.0000135
AC XY:
1
AN XY:
73924
show subpopulations
African (AFR)
AF:
0.0000243
AC:
1
AN:
41166
American (AMR)
AF:
0.00
AC:
0
AN:
15104
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4782
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10520
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
67912
Other (OTH)
AF:
0.00
AC:
0
AN:
2078
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.542
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Glycine encephalopathy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.052
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
23
DANN
Uncertain
0.98
DEOGEN2
Benign
0.30
T
Eigen
Benign
-0.029
Eigen_PC
Benign
0.053
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.38
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
1.4
L
PhyloP100
6.2
PrimateAI
Uncertain
0.50
T
PROVEAN
Uncertain
-3.2
D
REVEL
Benign
0.17
Sift
Uncertain
0.0060
D
Sift4G
Uncertain
0.016
D
Polyphen
0.22
B
Vest4
0.41
MutPred
0.47
Loss of methylation at K169 (P = 0.0087)
MVP
0.61
MPC
0.57
ClinPred
0.91
D
GERP RS
5.4
Varity_R
0.46
gMVP
0.29
Mutation Taster
=43/57
disease causing

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: rs1189328619; hg19: chr16-81116488; COSMIC: COSV59601394; COSMIC: COSV59601394; API