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

Genomes: 𝑓 0.00019 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00036 ( 0 hom. )

Consequence

GYG1
NM_004130.4 splice_region, intron

Scores

2
Splicing: ADA: 0.9460
1
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:7

Conservation

PhyloP100: 2.94

Publications

10 publications found
Variant links:
Genes affected
GYG1 (HGNC:4699): (glycogenin 1) This gene encodes a member of the glycogenin family. Glycogenin is a glycosyltransferase that catalyzes the formation of a short glucose polymer from uridine diphosphate glucose in an autoglucosylation reaction. This reaction is followed by elongation and branching of the polymer, catalyzed by glycogen synthase and branching enzyme, to form glycogen. This gene is expressed in muscle and other tissues. Mutations in this gene result in glycogen storage disease XV. This gene has pseudogenes on chromosomes 1, 8 and 13 respectively. Alternatively spliced transcript variants encoding different isoforms have been identified.[provided by RefSeq, Sep 2010]
GYG1 Gene-Disease associations (from GenCC):
  • polyglucosan body myopathy type 2
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, PanelApp Australia, ClinGen
  • glycogen storage disease XV
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Orphanet, Labcorp Genetics (formerly Invitae), Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 8 ACMG points.

PP5
Variant 3-148994280-G-C is Pathogenic according to our data. Variant chr3-148994280-G-C is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 162661.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GYG1NM_004130.4 linkc.143+3G>C splice_region_variant, intron_variant Intron 2 of 7 ENST00000345003.9 NP_004121.2
GYG1NM_001184720.2 linkc.143+3G>C splice_region_variant, intron_variant Intron 2 of 6 NP_001171649.1
GYG1NM_001184721.2 linkc.143+3G>C splice_region_variant, intron_variant Intron 2 of 5 NP_001171650.1
GYG1XM_017006275.2 linkc.-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
GYG1ENST00000345003.9 linkc.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:
29
AN:
152184
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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:
0.000294
Gnomad OTH
AF:
0.000955
GnomAD2 exomes
AF:
0.000199
AC:
50
AN:
251254
AF XY:
0.000243
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.0000578
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000405
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000357
AC:
522
AN:
1461696
Hom.:
0
Cov.:
32
AF XY:
0.000345
AC XY:
251
AN XY:
727162
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33476
American (AMR)
AF:
0.0000447
AC:
2
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39694
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86256
European-Finnish (FIN)
AF:
0.0000187
AC:
1
AN:
53398
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.000455
AC:
506
AN:
1111858
Other (OTH)
AF:
0.000215
AC:
13
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
27
54
81
108
135
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
26
52
78
104
130
<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:
0.000190
AC:
29
AN:
152302
Hom.:
0
Cov.:
32
AF XY:
0.000161
AC XY:
12
AN XY:
74484
show subpopulations
African (AFR)
AF:
0.000120
AC:
5
AN:
41556
American (AMR)
AF:
0.000131
AC:
2
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000294
AC:
20
AN:
68020
Other (OTH)
AF:
0.000945
AC:
2
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.000264
Hom.:
0
Bravo
AF:
0.000185
EpiCase
AF:
0.000600
EpiControl
AF:
0.000533

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:3
Apr 17, 2025
GeneDx
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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) -

Mar 15, 2022
Revvity Omics, Revvity
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

GYG1: PP1:Strong, PM2, PM3, PS3:Moderate -

Polyglucosan body myopathy type 2 Pathogenic:2
May 02, 2023
Broad Center for Mendelian Genomics, Broad Institute of MIT and Harvard
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:curation

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). -

Dec 01, 2014
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Glycogen storage disease XV;C4015452:Polyglucosan body myopathy type 2 Pathogenic:1
Dec 03, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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
Sep 17, 2019
Undiagnosed Diseases Network, NIH
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.43
CADD
Uncertain
24
DANN
Benign
0.90
PhyloP100
2.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.1
Mutation Taster
=13/87
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.95
dbscSNV1_RF
Pathogenic
0.74
SpliceAI score (max)
0.27
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.27
Position offset: -20

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs370652040; hg19: chr3-148712067; API