rs148021273

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004484.4(GPC3):​c.359G>A​(p.Arg120His) variant causes a missense change. The variant allele was found at a frequency of 0.000146 in 1,163,014 control chromosomes in the GnomAD database, including 1 homozygotes. There are 40 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R120C) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00054 ( 0 hom., 10 hem., cov: 21)
Exomes 𝑓: 0.00011 ( 1 hom. 30 hem. )

Consequence

GPC3
NM_004484.4 missense

Scores

1
10
6

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 4.61

Publications

7 publications found
Variant links:
Genes affected
GPC3 (HGNC:4451): (glypican 3) Cell surface heparan sulfate proteoglycans are composed of a membrane-associated protein core substituted with a variable number of heparan sulfate chains. Members of the glypican-related integral membrane proteoglycan family (GRIPS) contain a core protein anchored to the cytoplasmic membrane via a glycosyl phosphatidylinositol linkage. These proteins may play a role in the control of cell division and growth regulation. The protein encoded by this gene can bind to and inhibit the dipeptidyl peptidase activity of CD26, and it can induce apoptosis in certain cell types. Deletion mutations in this gene are associated with Simpson-Golabi-Behmel syndrome, also known as Simpson dysmorphia syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
GPC3 Gene-Disease associations (from GenCC):
  • Simpson-Golabi-Behmel syndrome
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • Simpson-Golabi-Behmel syndrome type 1
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.027450472).
BP6
Variant X-133754155-C-T is Benign according to our data. Variant chrX-133754155-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 415271.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000536 (54/100769) while in subpopulation AFR AF = 0.00126 (34/27035). AF 95% confidence interval is 0.000925. There are 0 homozygotes in GnomAd4. There are 10 alleles in the male GnomAd4 subpopulation. Median coverage is 21. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 10 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GPC3NM_004484.4 linkc.359G>A p.Arg120His missense_variant Exon 3 of 8 ENST00000370818.8 NP_004475.1 P51654-1Q53H15I6QTG3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GPC3ENST00000370818.8 linkc.359G>A p.Arg120His missense_variant Exon 3 of 8 1 NM_004484.4 ENSP00000359854.3 P51654-1

Frequencies

GnomAD3 genomes
AF:
0.000536
AC:
54
AN:
100737
Hom.:
0
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.00126
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00125
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00121
Gnomad SAS
AF:
0.000460
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000398
Gnomad OTH
AF:
0.00153
GnomAD2 exomes
AF:
0.000313
AC:
54
AN:
172561
AF XY:
0.000281
show subpopulations
Gnomad AFR exome
AF:
0.00180
Gnomad AMR exome
AF:
0.0000766
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00159
Gnomad FIN exome
AF:
0.000260
Gnomad NFE exome
AF:
0.0000130
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000109
AC:
116
AN:
1062245
Hom.:
1
Cov.:
30
AF XY:
0.0000895
AC XY:
30
AN XY:
335055
show subpopulations
African (AFR)
AF:
0.00177
AC:
45
AN:
25368
American (AMR)
AF:
0.000207
AC:
7
AN:
33868
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18786
East Asian (EAS)
AF:
0.000878
AC:
26
AN:
29629
South Asian (SAS)
AF:
0.0000999
AC:
5
AN:
50073
European-Finnish (FIN)
AF:
0.000226
AC:
9
AN:
39767
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3832
European-Non Finnish (NFE)
AF:
0.0000123
AC:
10
AN:
816189
Other (OTH)
AF:
0.000313
AC:
14
AN:
44733
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
5
11
16
22
27
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.000536
AC:
54
AN:
100769
Hom.:
0
Cov.:
21
AF XY:
0.000386
AC XY:
10
AN XY:
25913
show subpopulations
African (AFR)
AF:
0.00126
AC:
34
AN:
27035
American (AMR)
AF:
0.00125
AC:
11
AN:
8820
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2536
East Asian (EAS)
AF:
0.00121
AC:
4
AN:
3301
South Asian (SAS)
AF:
0.000463
AC:
1
AN:
2162
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
4456
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
193
European-Non Finnish (NFE)
AF:
0.0000398
AC:
2
AN:
50281
Other (OTH)
AF:
0.00151
AC:
2
AN:
1326
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
3
6
8
11
14
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.0000659
Hom.:
2
Bravo
AF:
0.000759
ESP6500AA
AF:
0.00183
AC:
7
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000297
AC:
36

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jun 18, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 28497333) -

Simpson-Golabi-Behmel syndrome type 1 Benign:1
Feb 01, 2025
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

GPC3-related disorder Benign:1
Aug 06, 2020
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Hereditary cancer-predisposing syndrome Benign:1
Jun 24, 2021
Sema4, Sema4
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Wilms tumor 1 Benign:1
Jan 28, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.37
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.36
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.55
D;.;.
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.93
D;D;D
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.027
T;T;T
MetaSVM
Benign
-0.49
T
MutationAssessor
Uncertain
2.0
M;M;.
PhyloP100
4.6
PrimateAI
Uncertain
0.66
T
PROVEAN
Uncertain
-3.7
D;D;.
REVEL
Uncertain
0.30
Sift
Uncertain
0.0050
D;D;.
Sift4G
Uncertain
0.0030
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.47
MVP
0.59
MPC
0.30
ClinPred
0.041
T
GERP RS
5.3
PromoterAI
-0.015
Neutral
Varity_R
0.68
gMVP
0.66
Mutation Taster
=52/48
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: rs148021273; hg19: chrX-132888182; API