rs34406052

Variant summary

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

The NM_138387.4(G6PC3):​c.647C>T​(p.Thr216Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00268 in 1,614,152 control chromosomes in the GnomAD database, including 75 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 (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt. Synonymous variant affecting the same amino acid position (i.e. T216T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.013 ( 40 hom., cov: 32)
Exomes 𝑓: 0.0016 ( 35 hom. )

Consequence

G6PC3
NM_138387.4 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -0.347
Variant links:
Genes affected
G6PC3 (HGNC:24861): (glucose-6-phosphatase catalytic subunit 3) This gene encodes the catalytic subunit of glucose-6-phosphatase (G6Pase). G6Pase is located in the endoplasmic reticulum (ER) and catalyzes the hydrolysis of glucose-6-phosphate to glucose and phosphate in the last step of the gluconeogenic and glycogenolytic pathways. Mutations in this gene result in autosomal recessive severe congenital neutropenia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0045161545).
BP6
Variant 17-44075421-C-T is Benign according to our data. Variant chr17-44075421-C-T is described in ClinVar as [Benign]. Clinvar id is 323467.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-44075421-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0131 (1996/152276) while in subpopulation AFR AF= 0.045 (1871/41556). AF 95% confidence interval is 0.0433. There are 40 homozygotes in gnomad4. There are 972 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 40 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
G6PC3NM_138387.4 linkuse as main transcriptc.647C>T p.Thr216Ile missense_variant 5/6 ENST00000269097.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
G6PC3ENST00000269097.9 linkuse as main transcriptc.647C>T p.Thr216Ile missense_variant 5/61 NM_138387.4 P1

Frequencies

GnomAD3 genomes
AF:
0.0131
AC:
1989
AN:
152158
Hom.:
40
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0450
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00465
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000500
Gnomad OTH
AF:
0.00909
GnomAD3 exomes
AF:
0.00320
AC:
805
AN:
251492
Hom.:
16
AF XY:
0.00232
AC XY:
316
AN XY:
135920
show subpopulations
Gnomad AFR exome
AF:
0.0413
Gnomad AMR exome
AF:
0.00217
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000294
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000343
Gnomad OTH exome
AF:
0.00179
GnomAD4 exome
AF:
0.00159
AC:
2329
AN:
1461876
Hom.:
35
Cov.:
33
AF XY:
0.00143
AC XY:
1040
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.0484
Gnomad4 AMR exome
AF:
0.00268
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000267
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000338
Gnomad4 OTH exome
AF:
0.00278
GnomAD4 genome
AF:
0.0131
AC:
1996
AN:
152276
Hom.:
40
Cov.:
32
AF XY:
0.0131
AC XY:
972
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.0450
Gnomad4 AMR
AF:
0.00464
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000500
Gnomad4 OTH
AF:
0.00900
Alfa
AF:
0.00286
Hom.:
12
Bravo
AF:
0.0154
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.0427
AC:
188
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00376
AC:
456
Asia WGS
AF:
0.00289
AC:
11
AN:
3478
EpiCase
AF:
0.000327
EpiControl
AF:
0.000593

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal recessive severe congenital neutropenia due to G6PC3 deficiency Benign:2
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. -
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
not specified Benign:1
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
not provided Benign:1
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
11
DANN
Benign
0.80
DEOGEN2
Benign
0.20
T;T
Eigen
Benign
-0.78
Eigen_PC
Benign
-0.66
FATHMM_MKL
Benign
0.21
N
LIST_S2
Benign
0.56
T;T
MetaRNN
Benign
0.0045
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.71
N;.
MutationTaster
Benign
0.87
N
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
1.1
N;.
REVEL
Benign
0.11
Sift
Benign
0.69
T;.
Sift4G
Benign
0.16
T;T
Polyphen
0.0
B;.
Vest4
0.23
MVP
0.36
MPC
0.32
ClinPred
0.012
T
GERP RS
-1.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.026
gMVP
0.43

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: rs34406052; hg19: chr17-42152789; COSMIC: COSV99061684; COSMIC: COSV99061684; API