rs16924038

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_021957.4(GYS2):​c.577G>A​(p.Ala193Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000755 in 1,613,666 control chromosomes in the GnomAD database, including 15 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0043 ( 7 hom., cov: 32)
Exomes 𝑓: 0.00039 ( 8 hom. )

Consequence

GYS2
NM_021957.4 missense

Scores

1
17

Clinical Significance

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

Conservation

PhyloP100: 1.66
Variant links:
Genes affected
GYS2 (HGNC:4707): (glycogen synthase 2) The protein encoded by this gene, liver glycogen synthase, catalyzes the rate-limiting step in the synthesis of glycogen - the transfer of a glucose molecule from UDP-glucose to a terminal branch of the glycogen molecule. Mutations in this gene cause glycogen storage disease type 0 (GSD-0) - a rare type of early childhood fasting hypoglycemia with decreased liver glycogen content. [provided by RefSeq, Dec 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009910017).
BP6
Variant 12-21574245-C-T is Benign according to our data. Variant chr12-21574245-C-T is described in ClinVar as [Benign]. Clinvar id is 261471.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 = 0.00428 (651/152154) while in subpopulation AFR AF= 0.0148 (613/41534). AF 95% confidence interval is 0.0138. There are 7 homozygotes in gnomad4. There are 306 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GYS2NM_021957.4 linkc.577G>A p.Ala193Thr missense_variant Exon 4 of 16 ENST00000261195.3 NP_068776.2 P54840
GYS2XM_024448960.2 linkc.577G>A p.Ala193Thr missense_variant Exon 4 of 17 XP_024304728.1
GYS2XM_006719063.4 linkc.346G>A p.Ala116Thr missense_variant Exon 3 of 15 XP_006719126.1
GYS2XM_017019245.3 linkc.577G>A p.Ala193Thr missense_variant Exon 4 of 9 XP_016874734.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GYS2ENST00000261195.3 linkc.577G>A p.Ala193Thr missense_variant Exon 4 of 16 1 NM_021957.4 ENSP00000261195.2 P54840
ENSG00000285854ENST00000647960.1 linkn.*579G>A non_coding_transcript_exon_variant Exon 11 of 23 ENSP00000497202.1 A0A3B3IS95
ENSG00000285854ENST00000647960.1 linkn.*579G>A 3_prime_UTR_variant Exon 11 of 23 ENSP00000497202.1 A0A3B3IS95
ENSG00000285854ENST00000648372.1 linkn.504G>A non_coding_transcript_exon_variant Exon 4 of 11

Frequencies

GnomAD3 genomes
AF:
0.00428
AC:
651
AN:
152036
Hom.:
7
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0148
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00197
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.000916
AC:
230
AN:
251222
Hom.:
0
AF XY:
0.000678
AC XY:
92
AN XY:
135772
show subpopulations
Gnomad AFR exome
AF:
0.0134
Gnomad AMR exome
AF:
0.000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000881
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000389
AC:
568
AN:
1461512
Hom.:
8
Cov.:
31
AF XY:
0.000322
AC XY:
234
AN XY:
727088
show subpopulations
Gnomad4 AFR exome
AF:
0.0148
Gnomad4 AMR exome
AF:
0.000514
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:
0.00000180
Gnomad4 OTH exome
AF:
0.000696
GnomAD4 genome
AF:
0.00428
AC:
651
AN:
152154
Hom.:
7
Cov.:
32
AF XY:
0.00411
AC XY:
306
AN XY:
74372
show subpopulations
Gnomad4 AFR
AF:
0.0148
Gnomad4 AMR
AF:
0.00196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.000892
Hom.:
0
Bravo
AF:
0.00489
ESP6500AA
AF:
0.0134
AC:
59
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00120
AC:
146
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Benign:2
May 18, 2015
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Glycogen storage disorder due to hepatic glycogen synthase deficiency Benign:2
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This 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 provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Oct 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

GYS2: BP4, BS1, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.074
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
16
DANN
Benign
0.97
DEOGEN2
Benign
0.20
T
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.061
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.78
T
MetaRNN
Benign
0.0099
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.46
N
PrimateAI
Benign
0.41
T
PROVEAN
Benign
0.74
N
REVEL
Uncertain
0.30
Sift
Benign
0.48
T
Sift4G
Benign
0.59
T
Polyphen
0.0070
B
Vest4
0.078
MVP
0.76
MPC
0.17
ClinPred
0.010
T
GERP RS
4.4
Varity_R
0.045
gMVP
0.35

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: rs16924038; hg19: chr12-21727179; API