rs149825190

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000154.2(GALK1):​c.746C>T​(p.Ala249Val) variant causes a missense change. The variant allele was found at a frequency of 0.000574 in 1,613,720 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. A249A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00064 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00057 ( 2 hom. )

Consequence

GALK1
NM_000154.2 missense

Scores

2
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3

Conservation

PhyloP100: 3.68
Variant links:
Genes affected
GALK1 (HGNC:4118): (galactokinase 1) Galactokinase is a major enzyme for the metabolism of galactose and its deficiency causes congenital cataracts during infancy and presenile cataracts in the adult population. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014584869).
BP6
Variant 17-75762751-G-A is Benign according to our data. Variant chr17-75762751-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 325232.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=2}.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000644 (98/152158) while in subpopulation AMR AF= 0.00242 (37/15274). AF 95% confidence interval is 0.00181. There are 0 homozygotes in gnomad4. There are 48 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GALK1NM_000154.2 linkuse as main transcriptc.746C>T p.Ala249Val missense_variant 5/8 ENST00000588479.6 NP_000145.1 P51570V9HWE7
GALK1NM_001381985.1 linkuse as main transcriptc.746C>T p.Ala249Val missense_variant 5/9 NP_001368914.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GALK1ENST00000588479.6 linkuse as main transcriptc.746C>T p.Ala249Val missense_variant 5/81 NM_000154.2 ENSP00000465930.1 P51570

Frequencies

GnomAD3 genomes
AF:
0.000644
AC:
98
AN:
152158
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00242
Gnomad ASJ
AF:
0.00576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000470
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.000737
AC:
185
AN:
251030
Hom.:
0
AF XY:
0.000663
AC XY:
90
AN XY:
135814
show subpopulations
Gnomad AFR exome
AF:
0.0000617
Gnomad AMR exome
AF:
0.00171
Gnomad ASJ exome
AF:
0.00467
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.000573
Gnomad OTH exome
AF:
0.00163
GnomAD4 exome
AF:
0.000567
AC:
828
AN:
1461562
Hom.:
2
Cov.:
32
AF XY:
0.000519
AC XY:
377
AN XY:
727096
show subpopulations
Gnomad4 AFR exome
AF:
0.000119
Gnomad4 AMR exome
AF:
0.00210
Gnomad4 ASJ exome
AF:
0.00455
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.000151
Gnomad4 NFE exome
AF:
0.000492
Gnomad4 OTH exome
AF:
0.000844
GnomAD4 genome
AF:
0.000644
AC:
98
AN:
152158
Hom.:
0
Cov.:
32
AF XY:
0.000646
AC XY:
48
AN XY:
74330
show subpopulations
Gnomad4 AFR
AF:
0.000121
Gnomad4 AMR
AF:
0.00242
Gnomad4 ASJ
AF:
0.00576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000470
Gnomad4 OTH
AF:
0.00144
Alfa
AF:
0.000642
Hom.:
0
Bravo
AF:
0.000669
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00116
AC:
10
ExAC
AF:
0.000560
AC:
68
EpiCase
AF:
0.000382
EpiControl
AF:
0.000711

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Deficiency of galactokinase Uncertain:2Benign:2
Likely benign, no assertion criteria providedclinical testingNatera, Inc.Nov 11, 2019- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityApr 03, 2019- -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
GALK1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 28, 2022This 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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
22
DANN
Benign
0.74
DEOGEN2
Benign
0.25
T;.;T
Eigen
Benign
-0.16
Eigen_PC
Benign
-0.073
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.96
.;D;D
M_CAP
Benign
0.050
D
MetaRNN
Benign
0.015
T;T;T
MetaSVM
Benign
-0.50
T
MutationAssessor
Benign
0.99
L;.;L
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.82
N;.;.
REVEL
Benign
0.21
Sift
Benign
1.0
T;.;.
Sift4G
Benign
0.51
T;T;T
Polyphen
0.50
P;.;P
Vest4
0.27
MVP
0.86
MPC
0.16
ClinPred
0.036
T
GERP RS
4.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.15
gMVP
0.22

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: rs149825190; hg19: chr17-73758832; COSMIC: COSV99045309; COSMIC: COSV99045309; API