rs370652040
Variant summary
Our verdict is Likely pathogenic. The variant received 8 ACMG points: 8P and 0B. PP5_Very_Strong
The NM_004130.4(GYG1):c.143+3G>C variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000341 in 1,613,998 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_004130.4 splice_region, intron
Scores
Clinical Significance
Conservation
Publications
- polyglucosan body myopathy type 2Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, PanelApp Australia, ClinGen
- glycogen storage disease XVInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Orphanet, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 8 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| GYG1 | NM_004130.4 | c.143+3G>C | splice_region_variant, intron_variant | Intron 2 of 7 | ENST00000345003.9 | NP_004121.2 | ||
| GYG1 | NM_001184720.2 | c.143+3G>C | splice_region_variant, intron_variant | Intron 2 of 6 | NP_001171649.1 | |||
| GYG1 | NM_001184721.2 | c.143+3G>C | splice_region_variant, intron_variant | Intron 2 of 5 | NP_001171650.1 | |||
| GYG1 | XM_017006275.2 | c.-34-2022G>C | intron_variant | Intron 1 of 5 | XP_016861764.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| GYG1 | ENST00000345003.9 | c.143+3G>C | splice_region_variant, intron_variant | Intron 2 of 7 | 1 | NM_004130.4 | ENSP00000340736.4 |
Frequencies
GnomAD3 genomes AF: 0.000191 AC: 29AN: 152184Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000199 AC: 50AN: 251254 AF XY: 0.000243 show subpopulations
GnomAD4 exome AF: 0.000357 AC: 522AN: 1461696Hom.: 0 Cov.: 32 AF XY: 0.000345 AC XY: 251AN XY: 727162 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000190 AC: 29AN: 152302Hom.: 0 Cov.: 32 AF XY: 0.000161 AC XY: 12AN XY: 74484 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Pathogenic:3
Published functional studies demonstrate that c.143+3 G>C results in abnormal splicing, leading to skipping of exon 2 (PMID: 25272951); This variant is associated with the following publications: (PMID: 27663060, 25272951, 27066558, 26652229, 26203156, 28256728, 29264399, 34426522, 31589614, 32905144) -
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GYG1: PP1:Strong, PM2, PM3, PS3:Moderate -
Polyglucosan body myopathy type 2 Pathogenic:2
The heterozygous c.143+3G>C variant in GYG1 was identified by our study, in the compound heterozygous state with a pathogenic variant (ClinVar Variation ID: 162665), in one individual with polyglucosan body myopathy. This individual also carried a pathogenic variant (ClinVar Variation ID: 162665), however the phase of these variants are unknown at this time. The c.143+3G>C variant has been previously reported in 16 unrelated individuals with polyglucosan body myopathy 2 (PMID: 25272951, PMID: 26652229, PMID: 29264399, PMID: 29205400, PMID: 27066558, PMID: 26203156) and segregated with disease in 3 affected relatives in one family (PMID: 29264399), but has been identified in 0.04% (50/128982) of European (non-Finnish) chromosomes by the by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP ID: rs370652040). Although this variant has been seen in the general population in a heterozygous state, its frequency is not high enough to rule out a pathogenic role. Of these 16 previously reported unrelated individuals, 11 were homozygotes (PMID: 25272951, PMID: 26652229, PMID: 29264399, PMID: 29205400, PMID: 27066558, PMID: 26203156), and one was a reported compound heterozygote who carried a pathogenic variant in unknown phase (PMID: 29264399), and the patient identified by our study was also a reported compound heterozygote who carried a pathogenic variant in unknown phase (ClinVar Variation ID: 162665), which increases the likelihood that the c.143+3G>C variant is pathogenic. This variant has also been reported in ClinVar (Variation ID: 162661) and has been interpreted as pathogenic by the NIH Undiagnosed Disease Network, Invitae, CeGaT Center for Human Genetics Tuebingen, GeneDx, OMIM, and PerkinElmer Genomics. RT-PCR analysis of RNA from patient skeletal muscle tissue shows skipping of exon 2 and frameshift beginning at position 3 and leading to a premature termination codon 4 amino acids downstream (PMID: 25272951). This variant is located in the 5' splice region. Computational tools do suggest an impact to splicing. However, this information is not predictive enough to determine pathogenicity. In summary, this variant meets criteria to be classified as pathogenic for autosomal recessive polyglucosan body myopathy 2. ACMG/AMP Criteria applied: PS3_Moderate, PM3_Strong, PP1 (Richards 2015). -
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Glycogen storage disease XV;C4015452:Polyglucosan body myopathy type 2 Pathogenic:1
This sequence change falls in intron 2 of the GYG1 gene. It does not directly change the encoded amino acid sequence of the GYG1 protein. RNA analysis indicates that this variant induces altered splicing and may result in an absent or altered protein product. This variant is present in population databases (rs370652040, gnomAD 0.04%). This variant has been observed in individuals with polyglucosan body myopathy (PMID: 25272951, 26652229, 29264399). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 162661). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Studies have shown that this variant results in skipping of exon 2, and produces a non-functional protein and/or introduces a premature termination codon (PMID: 25272951). For these reasons, this variant has been classified as Pathogenic. -
Glycogen storage disease XV Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at