rs140294222

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 4P and 9B. PS1_ModeratePM2BP4_StrongBP6BS1

The NM_138387.4(G6PC3):​c.566G>A​(p.Arg189Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000407 in 1,614,112 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin UniProt.

Frequency

Genomes: 𝑓 0.00080 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00037 ( 1 hom. )

Consequence

G6PC3
NM_138387.4 missense

Scores

2
17

Clinical Significance

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

Conservation

PhyloP100: 1.12
Variant links:
Genes affected
G6PC3 (HGNC:24861): (glucose-6-phosphatase catalytic subunit 3) This gene encodes the catalytic subunit of glucose-6-phosphatase (G6Pase). G6Pase is located in the endoplasmic reticulum (ER) and catalyzes the hydrolysis of glucose-6-phosphate to glucose and phosphate in the last step of the gluconeogenic and glycogenolytic pathways. Mutations in this gene result in autosomal recessive severe congenital neutropenia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2016]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

PS1
Transcript NM_138387.4 (G6PC3) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.008648664).
BP6
Variant 17-44075340-G-A is Benign according to our data. Variant chr17-44075340-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 262367.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Likely_benign=2}. Variant chr17-44075340-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000801 (122/152224) while in subpopulation AMR AF= 0.0017 (26/15304). AF 95% confidence interval is 0.0013. There are 0 homozygotes in gnomad4. There are 68 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
G6PC3NM_138387.4 linkuse as main transcriptc.566G>A p.Arg189Gln missense_variant 5/6 ENST00000269097.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
G6PC3ENST00000269097.9 linkuse as main transcriptc.566G>A p.Arg189Gln missense_variant 5/61 NM_138387.4 P1

Frequencies

GnomAD3 genomes
AF:
0.000802
AC:
122
AN:
152106
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00162
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00170
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.00431
GnomAD3 exomes
AF:
0.000553
AC:
139
AN:
251410
Hom.:
0
AF XY:
0.000434
AC XY:
59
AN XY:
135876
show subpopulations
Gnomad AFR exome
AF:
0.00209
Gnomad AMR exome
AF:
0.00139
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000405
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.000366
AC:
535
AN:
1461888
Hom.:
1
Cov.:
33
AF XY:
0.000337
AC XY:
245
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00134
Gnomad4 AMR exome
AF:
0.00139
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000304
Gnomad4 OTH exome
AF:
0.00104
GnomAD4 genome
AF:
0.000801
AC:
122
AN:
152224
Hom.:
0
Cov.:
32
AF XY:
0.000914
AC XY:
68
AN XY:
74426
show subpopulations
Gnomad4 AFR
AF:
0.00161
Gnomad4 AMR
AF:
0.00170
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000250
Gnomad4 OTH
AF:
0.00427
Alfa
AF:
0.000561
Hom.:
1
Bravo
AF:
0.00110
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000568
AC:
69
EpiCase
AF:
0.000327
EpiControl
AF:
0.000296

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Autosomal recessive severe congenital neutropenia due to G6PC3 deficiency Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingBaylor GeneticsSep 06, 2019This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
17
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.61
D;D
Eigen
Benign
-0.72
Eigen_PC
Benign
-0.54
FATHMM_MKL
Benign
0.49
N
LIST_S2
Benign
0.73
T;T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.0086
T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
1.9
L;.
MutationTaster
Benign
0.64
N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.53
N;.
REVEL
Benign
0.085
Sift
Benign
0.49
T;.
Sift4G
Benign
0.49
T;T
Polyphen
0.019
B;.
Vest4
0.71
MVP
0.44
MPC
0.35
ClinPred
0.0072
T
GERP RS
3.3
Varity_R
0.097
gMVP
0.18

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

LitVar

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

Other links and lift over

dbSNP: rs140294222; hg19: chr17-42152708; API