rs56199702

Variant names:

• chr6-121446820-T-A
• rs56199702
• NM_000165.5:c.-16-12T>A

Your query was ambiguous. Multiple possible variants found:

• chr6-121446820-T-A
• chr6-121446820-T-C

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 1P and 9B. PP3 BP6 BS1 BS2

The NM_000165.5(GJA1):​c.-16-12T>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0063 in 1,546,168 control chromosomes in the GnomAD database, including 67 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

• Frequency:
  • Genomes: 𝑓 0.0056 (8 hom., cov: 32)
  • Exomes 𝑓: 0.0064 (59 hom.)
• Consequence: GJA1 NM_000165.5 intron
• Scores: Splicing: ADA: 0.9992
• Clinical Significance: Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1 B:5
• Conservation: PhyloP100: 1.57
• Publications: 3 publications found

Genes affected

GJA1 (HGNC:4274): (gap junction protein alpha 1) This gene is a member of the connexin gene family. The encoded protein is a component of gap junctions, which are composed of arrays of intercellular channels that provide a route for the diffusion of low molecular weight materials from cell to cell. The encoded protein is the major protein of gap junctions in the heart that are thought to have a crucial role in the synchronized contraction of the heart and in embryonic development. A related intronless pseudogene has been mapped to chromosome 5. Mutations in this gene have been associated with oculodentodigital dysplasia, autosomal recessive craniometaphyseal dysplasia and heart malformations. [provided by RefSeq, May 2014]

GJA1 Gene-Disease associations (from GenCC):

• hypoplastic left heart syndrome 1

  Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
• oculodentodigital dysplasia

  Inheritance: AD, AR, SD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, G2P, Orphanet, Labcorp Genetics (formerly Invitae)
• autosomal dominant palmoplantar keratoderma and congenital alopecia

  Inheritance: AD Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics, Genomics England PanelApp, G2P
• erythrokeratodermia variabilis et progressiva 3

  Inheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
• oculodentodigital dysplasia, autosomal recessive

  Inheritance: AR Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
• craniometaphyseal dysplasia

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• erythrokeratodermia variabilis

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• syndactyly type 3

  Inheritance: AD, Unknown Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
• craniometaphyseal dysplasia, autosomal recessive

  Inheritance: AR, Unknown Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
• Hallermann-Streiff syndrome

  Inheritance: AR Classification: LIMITED Submitted by: G2P
• congenital heart disease

  Inheritance: Unknown Classification: LIMITED Submitted by: ClinGen
• nonsyndromic genetic hearing loss

  Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

ACMG classification

Our verdict: Benign. The variant received -8 ACMG points.

• PP3: Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF, max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
• BP6: Variant 6-121446820-T-A is Benign according to our data. Variant chr6-121446820-T-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 355158.
• BS1: Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00558 (850/152306) while in subpopulation NFE AF = 0.0094 (639/67996). AF 95% confidence interval is 0.00879. There are 8 homozygotes in GnomAd4. There are 398 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
• BS2: High Homozygotes in GnomAd4 at 8 Unknown,AD,AR,SD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000165.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	GJA1	NM_000165.5	MANE Select	c.-16-12T>A		intron	N/A	NP_000156.1	P17302

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	GJA1	ENST00000282561.4	TSL:1 MANE Select	c.-16-12T>A		intron	N/A	ENSP00000282561.3	P17302
	GJA1	ENST00000647564.1		c.-16-12T>A		intron	N/A	ENSP00000497565.1	P17302
	GJA1	ENST00000649003.1		c.-16-12T>A		intron	N/A	ENSP00000497283.1	P17302

Frequencies

GnomAD3 genomes AF: 0.00559 AC: 850 AN: 152188 Hom.: 8 Cov.: 32

Gnomad AFR AF: 0.00130

Gnomad AMI AF: 0.00

Gnomad AMR AF: 0.00196

Gnomad ASJ AF: 0.00231

Gnomad EAS AF: 0.00

Gnomad SAS AF: 0.000621

Gnomad FIN AF: 0.00960

Gnomad MID AF: 0.00

Gnomad NFE AF: 0.00940

Gnomad OTH AF: 0.00670

GnomAD2 exomes AF: 0.00573 AC: 1433 AN: 250014 AF XY: 0.00571

Gnomad AFR exome AF: 0.00112

Gnomad AMR exome AF: 0.00234

Gnomad ASJ exome AF: 0.00258

Gnomad EAS exome AF: 0.00

Gnomad FIN exome AF: 0.0108

Gnomad NFE exome AF: 0.00911

Gnomad OTH exome AF: 0.00687

GnomAD4 exome AF: 0.00638 AC: 8894 AN: 1393862 Hom.: 59 Cov.: 26 AF XY: 0.00638 AC XY: 4451 AN XY: 697682

African (AFR) AF: 0.00118 AC: 38 AN: 32210

American (AMR) AF: 0.00280 AC: 125 AN: 44646

Ashkenazi Jewish (ASJ) AF: 0.00214 AC: 55 AN: 25716

East Asian (EAS) AF: 0.00 AC: 0 AN: 39366

South Asian (SAS) AF: 0.000130 AC: 11 AN: 84936

European-Finnish (FIN) AF: 0.0111 AC: 590 AN: 53390

Middle Eastern (MID) AF: 0.000705 AC: 4 AN: 5672

European-Non Finnish (NFE) AF: 0.00738 AC: 7748 AN: 1049864

Other (OTH) AF: 0.00556 AC: 323 AN: 58062

GnomAD4 genome AF: 0.00558 AC: 850 AN: 152306 Hom.: 8 Cov.: 32 AF XY: 0.00534 AC XY: 398 AN XY: 74482

African (AFR) AF: 0.00130 AC: 54 AN: 41586

American (AMR) AF: 0.00196 AC: 30 AN: 15300

Ashkenazi Jewish (ASJ) AF: 0.00231 AC: 8 AN: 3468

East Asian (EAS) AF: 0.00 AC: 0 AN: 5184

South Asian (SAS) AF: 0.000621 AC: 3 AN: 4828

European-Finnish (FIN) AF: 0.00960 AC: 102 AN: 10626

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 294

European-Non Finnish (NFE) AF: 0.00940 AC: 639 AN: 67996

Other (OTH) AF: 0.00663 AC: 14 AN: 2112

Alfa AF: 0.00917 Hom.: 4

Bravo AF: 0.00429

ClinVar

ClinVar submissions

Significance: Conflicting classifications of pathogenicity

Revision: criteria provided, conflicting classifications

Pathogenic	VUS	Benign	Condition
-	-	3	not provided (3)
-	1	-	Hypoplastic left heart syndrome 1 (1)
-	-	1	Oculodentodigital dysplasia (1)
-	-	1	Syndactyly type 3 (1)

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.76
CADD	Benign	14
DANN	Benign	0.76
PhyloP100		1.6
Mutation Taster		=100/0	polymorphism

Splicing

Name	Calibrated prediction	Score	Prediction
dbscSNV1_ADA	Pathogenic	1.0
dbscSNV1_RF	Pathogenic	0.91
SpliceAI score (max)		0.99		Details are displayed if max score is > 0.2
DS_AG_spliceai		0.99		Position offset: 2

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

Other links and lift over

dbSNP: rs56199702; hg19: chr6-121767966;