rs1237461749

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM4PP3

The NM_000843.4(GRM6):​c.118_132delACGCTGGGCGGCCTG​(p.Thr40_Leu44del) variant causes a conservative inframe deletion change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000228 in 1,274,676 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. T40T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

GRM6
NM_000843.4 conservative_inframe_deletion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter P:1U:1

Conservation

PhyloP100: 8.58

Publications

0 publications found
Variant links:
Genes affected
GRM6 (HGNC:4598): (glutamate metabotropic receptor 6) L-glutamate is the major excitatory neurotransmitter in the central nervous system and activates both ionotropic and metabotropic glutamate receptors. Glutamatergic neurotransmission is involved in most aspects of normal brain function and can be perturbed in many neuropathologic conditions. The metabotropic glutamate receptors are a family of G protein-coupled receptors, that have been divided into 3 groups on the basis of sequence homology, putative signal transduction mechanisms, and pharmacologic properties. Group I includes GRM1 and GRM5 and these receptors have been shown to activate phospholipase C. Group II includes GRM2 and GRM3 while Group III includes GRM4, GRM6, GRM7 and GRM8. Group II and III receptors are linked to the inhibition of the cyclic AMP cascade but differ in their agonist selectivities. Mutations in this gene result in congenital stationary night blindness type 1B. [provided by RefSeq, May 2018]
GRM6 Gene-Disease associations (from GenCC):
  • congenital stationary night blindness 1B
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
  • GRM6-related retinopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • congenital stationary night blindness
    Inheritance: AD 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 3 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_000843.4.
PP3
No computational evidence supports a deleterious effect, but strongly conserved according to phyloP

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GRM6NM_000843.4 linkc.118_132delACGCTGGGCGGCCTG p.Thr40_Leu44del conservative_inframe_deletion Exon 2 of 11 ENST00000517717.3 NP_000834.2 O15303

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GRM6ENST00000517717.3 linkc.118_132delACGCTGGGCGGCCTG p.Thr40_Leu44del conservative_inframe_deletion Exon 2 of 11 5 NM_000843.4 ENSP00000430767.1 O15303
GRM6ENST00000231188.9 linkc.118_132delACGCTGGGCGGCCTG p.Thr40_Leu44del conservative_inframe_deletion Exon 1 of 10 2 ENSP00000231188.5 O15303
GRM6ENST00000650031.1 linkc.118_132delACGCTGGGCGGCCTG p.Thr40_Leu44del conservative_inframe_deletion Exon 3 of 12 ENSP00000497110.1 O15303

Frequencies

GnomAD3 genomes
AF:
0.00000670
AC:
1
AN:
149298
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:
0.0000149
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
22050
AF XY:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000249
AC:
28
AN:
1125378
Hom.:
0
AF XY:
0.0000274
AC XY:
15
AN XY:
546668
show subpopulations
African (AFR)
AF:
0.0000441
AC:
1
AN:
22660
American (AMR)
AF:
0.00
AC:
0
AN:
11714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
14962
East Asian (EAS)
AF:
0.00
AC:
0
AN:
23636
South Asian (SAS)
AF:
0.0000514
AC:
2
AN:
38914
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
23800
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2990
European-Non Finnish (NFE)
AF:
0.0000255
AC:
24
AN:
942674
Other (OTH)
AF:
0.0000227
AC:
1
AN:
44028
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.423
Heterozygous variant carriers
0
2
4
5
7
9
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:
0.00000670
AC:
1
AN:
149298
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
72808
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41118
American (AMR)
AF:
0.00
AC:
0
AN:
14984
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3422
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5156
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9508
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.0000149
AC:
1
AN:
67012
Other (OTH)
AF:
0.00
AC:
0
AN:
2052
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Congenital stationary night blindness Pathogenic:1
Jan 01, 2015
NIHR Bioresource Rare Diseases, University of Cambridge
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:research

- -

not provided Uncertain:1
Sep 01, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant, c.118_132del, results in the deletion of 5 amino acid(s) of the GRM6 protein (p.Thr40_Leu44del), but otherwise preserves the integrity of the reading frame. This variant is not present in population databases (gnomAD no frequency). This variant has been observed in individual(s) with congenital stationary night blindness (PMID: 28041643). ClinVar contains an entry for this variant (Variation ID: 437969). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
8.6
Mutation Taster
=1/199
disease causing (long InDel)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1237461749; hg19: chr5-178421813; API