rs369832937

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001029891.3(PGAM4):​c.286A>G​(p.Thr96Ala) variant causes a missense change. The variant allele was found at a frequency of 0.0000653 in 1,208,912 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 14 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00038 ( 0 hom., 9 hem., cov: 22)
Exomes 𝑓: 0.000034 ( 0 hom. 5 hem. )

Consequence

PGAM4
NM_001029891.3 missense

Scores

9
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.98

Publications

0 publications found
Variant links:
Genes affected
PGAM4 (HGNC:21731): (phosphoglycerate mutase family member 4) This intronless gene appears to have arisen from a retrotransposition event, yet it is thought to be an expressed, protein-coding gene. The encoded protein is a member of the phosphoglycerate mutase family, a set of enzymes that catalyze the transfer of a phosphate group from 3-phosphoglycerate to 2-phosphoglycerate. [provided by RefSeq, May 2010]
ATP7A (HGNC:869): (ATPase copper transporting alpha) This gene encodes a transmembrane protein that functions in copper transport across membranes. This protein is localized to the trans Golgi network, where it is predicted to supply copper to copper-dependent enzymes in the secretory pathway. It relocalizes to the plasma membrane under conditions of elevated extracellular copper, and functions in the efflux of copper from cells. Mutations in this gene are associated with Menkes disease, X-linked distal spinal muscular atrophy, and occipital horn syndrome. Alternatively-spliced transcript variants have been observed. [provided by RefSeq, Aug 2013]
PGK1 (HGNC:8896): (phosphoglycerate kinase 1) The protein encoded by this gene is a glycolytic enzyme that catalyzes the conversion of 1,3-diphosphoglycerate to 3-phosphoglycerate. The encoded protein may also act as a cofactor for polymerase alpha. Additionally, this protein is secreted by tumor cells where it participates in angiogenesis by functioning to reduce disulfide bonds in the serine protease, plasmin, which consequently leads to the release of the tumor blood vessel inhibitor angiostatin. The encoded protein has been identified as a moonlighting protein based on its ability to perform mechanistically distinct functions. Deficiency of the enzyme is associated with a wide range of clinical phenotypes hemolytic anemia and neurological impairment. Pseudogenes of this gene have been defined on chromosomes 19, 21 and the X chromosome. [provided by RefSeq, Jan 2014]
PGK1 Gene-Disease associations (from GenCC):
  • glycogen storage disease due to phosphoglycerate kinase 1 deficiency
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P, Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.21233943).
BS2
High Hemizygotes in GnomAd4 at 9 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PGAM4NM_001029891.3 linkc.286A>G p.Thr96Ala missense_variant Exon 1 of 1 ENST00000458128.3 NP_001025062.1 Q8N0Y7
ATP7ANM_000052.7 linkc.-21-2268T>C intron_variant Intron 1 of 22 ENST00000341514.11 NP_000043.4 Q04656-1B4DRW0Q762B6
ATP7ANM_001282224.2 linkc.-21-2268T>C intron_variant Intron 1 of 21 NP_001269153.1 Q04656-5B4DRW0Q762B6
ATP7ANR_104109.2 linkn.144-2268T>C intron_variant Intron 1 of 9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PGAM4ENST00000458128.3 linkc.286A>G p.Thr96Ala missense_variant Exon 1 of 1 6 NM_001029891.3 ENSP00000412189.1 Q8N0Y7
ATP7AENST00000341514.11 linkc.-21-2268T>C intron_variant Intron 1 of 22 1 NM_000052.7 ENSP00000345728.6 Q04656-1

Frequencies

GnomAD3 genomes
AF:
0.000376
AC:
42
AN:
111790
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00130
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000944
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:
0.00
Gnomad OTH
AF:
0.000667
GnomAD2 exomes
AF:
0.0000611
AC:
11
AN:
180112
AF XY:
0.0000451
show subpopulations
Gnomad AFR exome
AF:
0.000915
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000337
AC:
37
AN:
1097068
Hom.:
0
Cov.:
32
AF XY:
0.0000138
AC XY:
5
AN XY:
362810
show subpopulations
African (AFR)
AF:
0.00133
AC:
35
AN:
26371
American (AMR)
AF:
0.00
AC:
0
AN:
35198
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19384
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30205
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54115
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40143
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3705
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
841922
Other (OTH)
AF:
0.0000435
AC:
2
AN:
46025
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.000376
AC:
42
AN:
111844
Hom.:
0
Cov.:
22
AF XY:
0.000264
AC XY:
9
AN XY:
34036
show subpopulations
African (AFR)
AF:
0.00130
AC:
40
AN:
30853
American (AMR)
AF:
0.0000943
AC:
1
AN:
10602
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2649
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3530
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2647
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6105
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
217
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53038
Other (OTH)
AF:
0.000659
AC:
1
AN:
1518
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.513
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.000569
Hom.:
2
Bravo
AF:
0.000434
ESP6500AA
AF:
0.00132
AC:
5
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000825
AC:
10

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Aug 17, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.286A>G (p.T96A) alteration is located in exon 1 (coding exon 1) of the PGAM4 gene. This alteration results from a A to G substitution at nucleotide position 286, causing the threonine (T) at amino acid position 96 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.34
T
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Uncertain
0.93
D
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.21
T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Uncertain
2.8
M
PhyloP100
4.0
PrimateAI
Uncertain
0.70
T
PROVEAN
Uncertain
-3.1
D
REVEL
Uncertain
0.38
Sift
Benign
0.063
T
Sift4G
Uncertain
0.044
D
Polyphen
0.99
D
Vest4
0.29
MVP
0.60
MPC
1.3
ClinPred
0.24
T
GERP RS
0.12
PromoterAI
-0.016
Neutral
Varity_R
0.62
gMVP
0.72
Mutation Taster
=94/6
polymorphism

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: rs369832937; hg19: chrX-77224850; API