rs150911354

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PM5PP3_Moderate

The NM_005609.4(PYGM):ā€‹c.2312G>Cā€‹(p.Arg771Pro) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,686 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R771Q) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

PYGM
NM_005609.4 missense, splice_region

Scores

9
4
6
Splicing: ADA: 1.000
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 7.84
Variant links:
Genes affected
PYGM (HGNC:9726): (glycogen phosphorylase, muscle associated) This gene encodes a muscle enzyme involved in glycogenolysis. Highly similar enzymes encoded by different genes are found in liver and brain. Mutations in this gene are associated with McArdle disease (myophosphorylase deficiency), a glycogen storage disease of muscle. Alternative splicing results in multiple transcript variants.[provided by RefSeq, Sep 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr11-64747224-C-T is described in Lovd as [Likely_pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.908

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PYGMNM_005609.4 linkuse as main transcriptc.2312G>C p.Arg771Pro missense_variant, splice_region_variant 18/20 ENST00000164139.4 NP_005600.1 P11217-1
PYGMNM_001164716.1 linkuse as main transcriptc.2048G>C p.Arg683Pro missense_variant, splice_region_variant 16/18 NP_001158188.1 P11217-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PYGMENST00000164139.4 linkuse as main transcriptc.2312G>C p.Arg771Pro missense_variant, splice_region_variant 18/201 NM_005609.4 ENSP00000164139.3 P11217-1
PYGMENST00000377432.7 linkuse as main transcriptc.2048G>C p.Arg683Pro missense_variant, splice_region_variant 16/182 ENSP00000366650.3 P11217-2
PYGMENST00000483742.1 linkuse as main transcriptn.1665G>C splice_region_variant, non_coding_transcript_exon_variant 1/32

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461686
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
727154
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000756

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.71
BayesDel_addAF
Pathogenic
0.44
D
BayesDel_noAF
Pathogenic
0.39
CADD
Pathogenic
38
DANN
Benign
0.97
DEOGEN2
Uncertain
0.65
.;D
Eigen
Benign
0.19
Eigen_PC
Uncertain
0.31
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D
M_CAP
Uncertain
0.16
D
MetaRNN
Pathogenic
0.91
D;D
MetaSVM
Uncertain
0.29
D
MutationAssessor
Benign
1.5
.;L
PrimateAI
Pathogenic
0.83
D
PROVEAN
Pathogenic
-6.0
D;D
REVEL
Pathogenic
0.78
Sift
Benign
0.40
T;T
Sift4G
Benign
0.75
T;T
Polyphen
0.080
.;B
Vest4
0.91
MVP
0.92
MPC
1.0
ClinPred
0.98
D
GERP RS
4.6
Varity_R
0.94
gMVP
0.91

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.98
SpliceAI score (max)
0.81
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.81
Position offset: -29
DS_DL_spliceai
0.35
Position offset: 0

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: rs150911354; hg19: chr11-64514696; API