rs153478

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The ENST00000357164.4(GM2A):ā€‹c.205A>Gā€‹(p.Met69Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.695 in 1,610,570 control chromosomes in the GnomAD database, including 397,237 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M69A) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.75 ( 43324 hom., cov: 32)
Exomes š‘“: 0.69 ( 353913 hom. )

Consequence

GM2A
ENST00000357164.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.762
Variant links:
Genes affected
GM2A (HGNC:4367): (ganglioside GM2 activator) This gene encodes a small glycolipid transport protein which acts as a substrate specific co-factor for the lysosomal enzyme beta-hexosaminidase A. Beta-hexosaminidase A, together with GM2 ganglioside activator, catalyzes the degradation of the ganglioside GM2, and other molecules containing terminal N-acetyl hexosamines. Mutations in this gene result in GM2-gangliosidosis type AB or the AB variant of Tay-Sachs disease. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Nov 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a chain Ganglioside GM2 activator (size 161) in uniprot entity SAP3_HUMAN there are 5 pathogenic changes around while only 2 benign (71%) in ENST00000357164.4
BP4
Computational evidence support a benign effect (MetaRNN=7.680591E-7).
BP6
Variant 5-151259878-A-G is Benign according to our data. Variant chr5-151259878-A-G is described in ClinVar as [Benign]. Clinvar id is 167151.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-151259878-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.976 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GM2ANM_000405.5 linkuse as main transcriptc.205A>G p.Met69Val missense_variant 2/4 ENST00000357164.4 NP_000396.2
GM2ANM_001167607.3 linkuse as main transcriptc.205A>G p.Met69Val missense_variant 2/4 NP_001161079.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GM2AENST00000357164.4 linkuse as main transcriptc.205A>G p.Met69Val missense_variant 2/41 NM_000405.5 ENSP00000349687 P1
GM2AENST00000523004.1 linkuse as main transcriptc.82A>G p.Met28Val missense_variant 1/21 ENSP00000430541
GM2AENST00000523466.5 linkuse as main transcriptc.250A>G p.Met84Val missense_variant 3/43 ENSP00000429100

Frequencies

GnomAD3 genomes
AF:
0.747
AC:
113456
AN:
151980
Hom.:
43271
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.857
Gnomad AMI
AF:
0.749
Gnomad AMR
AF:
0.770
Gnomad ASJ
AF:
0.709
Gnomad EAS
AF:
0.999
Gnomad SAS
AF:
0.921
Gnomad FIN
AF:
0.654
Gnomad MID
AF:
0.804
Gnomad NFE
AF:
0.658
Gnomad OTH
AF:
0.744
GnomAD3 exomes
AF:
0.760
AC:
190631
AN:
250874
Hom.:
74298
AF XY:
0.760
AC XY:
102975
AN XY:
135582
show subpopulations
Gnomad AFR exome
AF:
0.860
Gnomad AMR exome
AF:
0.850
Gnomad ASJ exome
AF:
0.725
Gnomad EAS exome
AF:
0.999
Gnomad SAS exome
AF:
0.913
Gnomad FIN exome
AF:
0.665
Gnomad NFE exome
AF:
0.661
Gnomad OTH exome
AF:
0.731
GnomAD4 exome
AF:
0.690
AC:
1005802
AN:
1458472
Hom.:
353913
Cov.:
41
AF XY:
0.695
AC XY:
504642
AN XY:
725674
show subpopulations
Gnomad4 AFR exome
AF:
0.868
Gnomad4 AMR exome
AF:
0.846
Gnomad4 ASJ exome
AF:
0.720
Gnomad4 EAS exome
AF:
0.999
Gnomad4 SAS exome
AF:
0.911
Gnomad4 FIN exome
AF:
0.662
Gnomad4 NFE exome
AF:
0.648
Gnomad4 OTH exome
AF:
0.725
GnomAD4 genome
AF:
0.747
AC:
113568
AN:
152098
Hom.:
43324
Cov.:
32
AF XY:
0.751
AC XY:
55831
AN XY:
74348
show subpopulations
Gnomad4 AFR
AF:
0.857
Gnomad4 AMR
AF:
0.770
Gnomad4 ASJ
AF:
0.709
Gnomad4 EAS
AF:
0.999
Gnomad4 SAS
AF:
0.920
Gnomad4 FIN
AF:
0.654
Gnomad4 NFE
AF:
0.658
Gnomad4 OTH
AF:
0.747
Alfa
AF:
0.691
Hom.:
56550
Bravo
AF:
0.761
TwinsUK
AF:
0.633
AC:
2349
ALSPAC
AF:
0.644
AC:
2481
ESP6500AA
AF:
0.851
AC:
3750
ESP6500EA
AF:
0.657
AC:
5652
ExAC
AF:
0.762
AC:
92523
Asia WGS
AF:
0.949
AC:
3301
AN:
3478
EpiCase
AF:
0.660
EpiControl
AF:
0.670

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Tay-Sachs disease, variant AB Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 10, 2021- -
Benign, 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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Feb 04, 2014- -
not provided Benign:1
Benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo ClinicOct 20, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.056
BayesDel_addAF
Benign
-0.56
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
1.8
DANN
Benign
0.34
DEOGEN2
Benign
0.083
T;T
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.0026
N
LIST_S2
Benign
0.093
T;T
MetaRNN
Benign
7.7e-7
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
-0.90
.;N
MutationTaster
Benign
1.0
P
PrimateAI
Benign
0.31
T
PROVEAN
Benign
0.28
N;N
REVEL
Benign
0.23
Sift
Benign
0.29
T;T
Sift4G
Benign
0.24
T;T
Polyphen
0.0
.;B
Vest4
0.010
MPC
0.069
ClinPred
0.0095
T
GERP RS
-2.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.10
gMVP
0.58

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: rs153478; hg19: chr5-150639439; API