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rs121908297

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PP3_Moderate

The NM_000157.4(GBA1):c.586A>C(p.Lys196Gln) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000132 in 151,118 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. 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. K196N) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 29)
Exomes 𝑓: 0.0025 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

GBA1
NM_000157.4 missense, splice_region

Scores

9
7
2
Splicing: ADA: 0.04005
2

Clinical Significance

Conflicting classifications of pathogenicity no assertion criteria provided P:1U:3

Conservation

PhyloP100: 5.05
Variant links:
Genes affected
GBA1 (HGNC:4177): (glucosylceramidase beta 1) This gene encodes a lysosomal membrane protein that cleaves the beta-glucosidic linkage of glycosylceramide, an intermediate in glycolipid metabolism. Mutations in this gene cause Gaucher disease, a lysosomal storage disease characterized by an accumulation of glucocerebrosides. A related pseudogene is approximately 12 kb downstream of this gene on chromosome 1. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2010]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.929

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GBA1NM_000157.4 linkuse as main transcriptc.586A>C p.Lys196Gln missense_variant, splice_region_variant 5/11 ENST00000368373.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GBA1ENST00000368373.8 linkuse as main transcriptc.586A>C p.Lys196Gln missense_variant, splice_region_variant 5/111 NM_000157.4 P1P04062-1

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151118
Hom.:
0
Cov.:
29
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:
0.0000953
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00246
AC:
3536
AN:
1435960
Hom.:
0
Cov.:
32
AF XY:
0.00220
AC XY:
1575
AN XY:
715284
show subpopulations
Gnomad4 AFR exome
AF:
0.00231
Gnomad4 AMR exome
AF:
0.0000448
Gnomad4 ASJ exome
AF:
0.00104
Gnomad4 EAS exome
AF:
0.000456
Gnomad4 SAS exome
AF:
0.000841
Gnomad4 FIN exome
AF:
0.0000562
Gnomad4 NFE exome
AF:
0.00296
Gnomad4 OTH exome
AF:
0.00187
GnomAD4 genome
AF:
0.0000132
AC:
2
AN:
151118
Hom.:
0
Cov.:
29
AF XY:
0.0000136
AC XY:
1
AN XY:
73770
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000953
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:3
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

not provided Uncertain:3
Uncertain significance, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Uncertain significance, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Uncertain significance, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Gaucher disease type I Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJul 01, 1991- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.81
BayesDel_addAF
Pathogenic
0.37
D
BayesDel_noAF
Pathogenic
0.29
Cadd
Uncertain
24
Dann
Uncertain
0.99
DEOGEN2
Pathogenic
0.94
D;D;.;.
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Uncertain
0.95
D
M_CAP
Pathogenic
0.69
D
MetaRNN
Pathogenic
0.93
D;D;D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Uncertain
2.8
M;M;.;.
MutationTaster
Benign
1.0
A;A;A;A;A
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-3.9
D;D;D;D
REVEL
Pathogenic
0.89
Sift
Pathogenic
0.0
D;D;D;D
Sift4G
Uncertain
0.0070
D;D;D;D
Polyphen
0.99
D;D;.;.
Vest4
0.64
MutPred
0.72
Loss of ubiquitination at K196 (P = 0.0326);Loss of ubiquitination at K196 (P = 0.0326);.;.;
MVP
0.95
MPC
1.3
ClinPred
0.99
D
GERP RS
3.5
Varity_R
0.97
gMVP
0.92

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.040
dbscSNV1_RF
Benign
0.24
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs121908297; hg19: chr1-155208310; API