rs17121464

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000642.3(AGL):​c.1160G>A​(p.Arg387Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0189 in 1,613,966 control chromosomes in the GnomAD database, including 2,309 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 Benign (★★). Synonymous variant affecting the same amino acid position (i.e. R387R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.021 ( 219 hom., cov: 33)
Exomes 𝑓: 0.019 ( 2090 hom. )

Consequence

AGL
NM_000642.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 1.70

Publications

18 publications found
Variant links:
Genes affected
AGL (HGNC:321): (amylo-alpha-1, 6-glucosidase, 4-alpha-glucanotransferase) This gene encodes the glycogen debrancher enzyme which is involved in glycogen degradation. This enzyme has two independent catalytic activities which occur at different sites on the protein: a 4-alpha-glucotransferase activity and a amylo-1,6-glucosidase activity. Mutations in this gene are associated with glycogen storage disease although a wide range of enzymatic and clinical variability occurs which may be due to tissue-specific alternative splicing. Alternatively spliced transcripts encoding different isoforms have been described. [provided by RefSeq, Jul 2008]
AGL Gene-Disease associations (from GenCC):
  • glycogen storage disease III
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Ambry Genetics, Laboratory for Molecular Medicine, Myriad Women’s Health, Orphanet, G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae), Genomics England PanelApp

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=0.0013240874).
BP6
Variant 1-99875231-G-A is Benign according to our data. Variant chr1-99875231-G-A is described in ClinVar as Benign. ClinVar VariationId is 199034.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.175 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AGLNM_000642.3 linkc.1160G>A p.Arg387Gln missense_variant Exon 9 of 34 ENST00000361915.8 NP_000633.2 P35573-1A0A0S2A4E4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AGLENST00000361915.8 linkc.1160G>A p.Arg387Gln missense_variant Exon 9 of 34 1 NM_000642.3 ENSP00000355106.3 P35573-1

Frequencies

GnomAD3 genomes
AF:
0.0208
AC:
3162
AN:
152160
Hom.:
217
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00357
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0712
Gnomad ASJ
AF:
0.00404
Gnomad EAS
AF:
0.184
Gnomad SAS
AF:
0.123
Gnomad FIN
AF:
0.0116
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00250
Gnomad OTH
AF:
0.0306
GnomAD2 exomes
AF:
0.0524
AC:
13144
AN:
250642
AF XY:
0.0502
show subpopulations
Gnomad AFR exome
AF:
0.00340
Gnomad AMR exome
AF:
0.165
Gnomad ASJ exome
AF:
0.00427
Gnomad EAS exome
AF:
0.177
Gnomad FIN exome
AF:
0.0100
Gnomad NFE exome
AF:
0.00190
Gnomad OTH exome
AF:
0.0366
GnomAD4 exome
AF:
0.0187
AC:
27344
AN:
1461688
Hom.:
2090
Cov.:
32
AF XY:
0.0207
AC XY:
15056
AN XY:
727164
show subpopulations
African (AFR)
AF:
0.00272
AC:
91
AN:
33476
American (AMR)
AF:
0.154
AC:
6867
AN:
44704
Ashkenazi Jewish (ASJ)
AF:
0.00486
AC:
127
AN:
26130
East Asian (EAS)
AF:
0.185
AC:
7354
AN:
39676
South Asian (SAS)
AF:
0.110
AC:
9480
AN:
86222
European-Finnish (FIN)
AF:
0.0106
AC:
566
AN:
53418
Middle Eastern (MID)
AF:
0.00919
AC:
53
AN:
5768
European-Non Finnish (NFE)
AF:
0.00126
AC:
1397
AN:
1111904
Other (OTH)
AF:
0.0233
AC:
1409
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
1538
3077
4615
6154
7692
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
360
720
1080
1440
1800
<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:
0.0209
AC:
3176
AN:
152278
Hom.:
219
Cov.:
33
AF XY:
0.0245
AC XY:
1823
AN XY:
74450
show subpopulations
African (AFR)
AF:
0.00356
AC:
148
AN:
41570
American (AMR)
AF:
0.0717
AC:
1097
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00404
AC:
14
AN:
3468
East Asian (EAS)
AF:
0.184
AC:
955
AN:
5184
South Asian (SAS)
AF:
0.124
AC:
598
AN:
4830
European-Finnish (FIN)
AF:
0.0116
AC:
123
AN:
10584
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.00250
AC:
170
AN:
68022
Other (OTH)
AF:
0.0326
AC:
69
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
131
261
392
522
653
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
50
100
150
200
250
<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:
0.0138
Hom.:
439
Bravo
AF:
0.0266
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.00318
AC:
14
ESP6500EA
AF:
0.00198
AC:
17
ExAC
AF:
0.0474
AC:
5752
Asia WGS
AF:
0.143
AC:
500
AN:
3478
EpiCase
AF:
0.00104
EpiControl
AF:
0.00178

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Glycogen storage disease type III Benign:4
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 15, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 13, 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. -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 10, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2016
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. -

not provided Benign:2
Oct 26, 2015
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

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

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
8.9
DANN
Benign
0.37
DEOGEN2
Benign
0.033
T;T;T;T;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.086
N
LIST_S2
Benign
0.52
T;.;.;.;T
MetaRNN
Benign
0.0013
T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.81
L;L;L;L;.
PhyloP100
1.7
PrimateAI
Benign
0.23
T
PROVEAN
Benign
-0.29
N;N;N;N;N
REVEL
Benign
0.20
Sift
Benign
0.85
T;T;T;T;T
Sift4G
Benign
0.59
T;T;T;T;T
Polyphen
0.0
B;B;B;B;B
Vest4
0.051
MPC
0.045
ClinPred
0.0015
T
GERP RS
-2.4
Varity_R
0.021
gMVP
0.20
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.19
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: rs17121464; hg19: chr1-100340787; COSMIC: COSV54048998; API