rs35403985

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_021957.4(GYS2):​c.1464A>G​(p.Leu488Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00477 in 1,588,494 control chromosomes in the GnomAD database, including 287 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.024 ( 143 hom., cov: 32)
Exomes 𝑓: 0.0028 ( 144 hom. )

Consequence

GYS2
NM_021957.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.364

Publications

2 publications found
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]
GYS2 Gene-Disease associations (from GenCC):
  • glycogen storage disorder due to hepatic glycogen synthase deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, PanelApp Australia, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.63).
BP6
Variant 12-21546429-T-C is Benign according to our data. Variant chr12-21546429-T-C is described in ClinVar as Benign. ClinVar VariationId is 137525.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.364 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0781 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GYS2NM_021957.4 linkc.1464A>G p.Leu488Leu synonymous_variant Exon 12 of 16 ENST00000261195.3 NP_068776.2
GYS2XM_024448960.2 linkc.1464A>G p.Leu488Leu synonymous_variant Exon 12 of 17 XP_024304728.1
GYS2XM_006719063.4 linkc.1233A>G p.Leu411Leu synonymous_variant Exon 11 of 15 XP_006719126.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GYS2ENST00000261195.3 linkc.1464A>G p.Leu488Leu synonymous_variant Exon 12 of 16 1 NM_021957.4 ENSP00000261195.2
ENSG00000285854ENST00000647960.1 linkn.*1466A>G non_coding_transcript_exon_variant Exon 19 of 23 ENSP00000497202.1
ENSG00000285854ENST00000647960.1 linkn.*1466A>G 3_prime_UTR_variant Exon 19 of 23 ENSP00000497202.1

Frequencies

GnomAD3 genomes
AF:
0.0235
AC:
3569
AN:
151700
Hom.:
143
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0805
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00833
Gnomad ASJ
AF:
0.0182
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000625
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.000338
Gnomad OTH
AF:
0.0144
GnomAD2 exomes
AF:
0.00675
AC:
1684
AN:
249620
AF XY:
0.00510
show subpopulations
Gnomad AFR exome
AF:
0.0854
Gnomad AMR exome
AF:
0.00304
Gnomad ASJ exome
AF:
0.0148
Gnomad EAS exome
AF:
0.0000545
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000354
Gnomad OTH exome
AF:
0.00394
GnomAD4 exome
AF:
0.00279
AC:
4013
AN:
1436678
Hom.:
144
Cov.:
26
AF XY:
0.00249
AC XY:
1780
AN XY:
716128
show subpopulations
African (AFR)
AF:
0.0864
AC:
2849
AN:
32978
American (AMR)
AF:
0.00368
AC:
164
AN:
44520
Ashkenazi Jewish (ASJ)
AF:
0.0155
AC:
401
AN:
25902
East Asian (EAS)
AF:
0.0000253
AC:
1
AN:
39522
South Asian (SAS)
AF:
0.000199
AC:
17
AN:
85490
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53296
Middle Eastern (MID)
AF:
0.00631
AC:
36
AN:
5702
European-Non Finnish (NFE)
AF:
0.000165
AC:
180
AN:
1089736
Other (OTH)
AF:
0.00613
AC:
365
AN:
59532
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
169
338
508
677
846
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
84
168
252
336
420
<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:
0.0235
AC:
3572
AN:
151816
Hom.:
143
Cov.:
32
AF XY:
0.0227
AC XY:
1687
AN XY:
74204
show subpopulations
African (AFR)
AF:
0.0804
AC:
3325
AN:
41356
American (AMR)
AF:
0.00832
AC:
127
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.0182
AC:
63
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.000417
AC:
2
AN:
4796
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10512
Middle Eastern (MID)
AF:
0.00685
AC:
2
AN:
292
European-Non Finnish (NFE)
AF:
0.000339
AC:
23
AN:
67942
Other (OTH)
AF:
0.0142
AC:
30
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
164
329
493
658
822
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
36
72
108
144
180
<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:
0.0145
Hom.:
43
Bravo
AF:
0.0266
Asia WGS
AF:
0.00318
AC:
11
AN:
3478
EpiCase
AF:
0.000546
EpiControl
AF:
0.000475

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Glycogen storage disorder due to hepatic glycogen synthase deficiency Benign:3
Jan 17, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 08, 2022
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
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. -

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 24, 2012
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
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Apr 12, 2017
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.63
CADD
Benign
2.0
DANN
Benign
0.62
PhyloP100
-0.36
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs35403985; hg19: chr12-21699363; API