rs139526942

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_016256.4(NAGPA):​c.982C>T​(p.Arg328Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000538 in 1,603,088 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00060 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00053 ( 3 hom. )

Consequence

NAGPA
NM_016256.4 missense

Scores

5
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 0.984

Publications

9 publications found
Variant links:
Genes affected
NAGPA (HGNC:17378): (N-acetylglucosamine-1-phosphodiester alpha-N-acetylglucosaminidase) Hydrolases are transported to lysosomes after binding to mannose 6-phosphate receptors in the trans-Golgi network. This gene encodes the enzyme that catalyzes the second step in the formation of the mannose 6-phosphate recognition marker on lysosomal hydrolases. Commonly known as 'uncovering enzyme' or UCE, this enzyme removes N-acetyl-D-glucosamine (GlcNAc) residues from GlcNAc-alpha-P-mannose moieties and thereby produces the recognition marker. The encoded preproprotein is proteolytically processed by furin to generate the mature enzyme, a homotetramer of two disulfide-linked homodimers. Mutations in this gene are associated with developmental stuttering in human patients. [provided by RefSeq, Oct 2015]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.013908088).
BP6
Variant 16-5028124-G-A is Benign according to our data. Variant chr16-5028124-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 30694.
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_016256.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NAGPA
NM_016256.4
MANE Select
c.982C>Tp.Arg328Cys
missense
Exon 6 of 10NP_057340.2Q9UK23-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NAGPA
ENST00000312251.8
TSL:1 MANE Select
c.982C>Tp.Arg328Cys
missense
Exon 6 of 10ENSP00000310998.3Q9UK23-1
NAGPA
ENST00000948540.1
c.1084C>Tp.Arg362Cys
missense
Exon 7 of 11ENSP00000618599.1
NAGPA
ENST00000948538.1
c.982C>Tp.Arg328Cys
missense
Exon 6 of 10ENSP00000618597.1

Frequencies

GnomAD3 genomes
AF:
0.000604
AC:
92
AN:
152226
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.0144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000514
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.00105
AC:
237
AN:
224894
AF XY:
0.00114
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000627
Gnomad ASJ exome
AF:
0.0168
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000583
Gnomad OTH exome
AF:
0.00252
GnomAD4 exome
AF:
0.000531
AC:
771
AN:
1450744
Hom.:
3
Cov.:
36
AF XY:
0.000553
AC XY:
399
AN XY:
720924
show subpopulations
African (AFR)
AF:
0.000150
AC:
5
AN:
33228
American (AMR)
AF:
0.0000700
AC:
3
AN:
42872
Ashkenazi Jewish (ASJ)
AF:
0.0161
AC:
416
AN:
25870
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39010
South Asian (SAS)
AF:
0.0000707
AC:
6
AN:
84852
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52348
Middle Eastern (MID)
AF:
0.00313
AC:
18
AN:
5752
European-Non Finnish (NFE)
AF:
0.000212
AC:
235
AN:
1106942
Other (OTH)
AF:
0.00147
AC:
88
AN:
59870
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
57
114
171
228
285
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000604
AC:
92
AN:
152344
Hom.:
0
Cov.:
32
AF XY:
0.000658
AC XY:
49
AN XY:
74500
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41576
American (AMR)
AF:
0.000196
AC:
3
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.0144
AC:
50
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000514
AC:
35
AN:
68034
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
7
13
20
26
33
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:
0.000942
Hom.:
5
Bravo
AF:
0.000654
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00117
AC:
10
ExAC
AF:
0.000744
AC:
90

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
not provided (2)
-
1
-
Stuttering, familial persistent, 2 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.24
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.24
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.68
D
Eigen
Uncertain
0.31
Eigen_PC
Benign
0.20
FATHMM_MKL
Benign
0.20
N
LIST_S2
Uncertain
0.93
D
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.014
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.7
L
PhyloP100
0.98
PrimateAI
Benign
0.32
T
PROVEAN
Uncertain
-3.6
D
REVEL
Benign
0.18
Sift
Benign
0.16
T
Sift4G
Benign
0.17
T
Polyphen
1.0
D
Vest4
0.53
MVP
0.51
MPC
0.077
ClinPred
0.095
T
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.092
gMVP
0.60
Mutation Taster
=91/9
polymorphism

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: rs139526942; hg19: chr16-5078125; API