rs574164748

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_ModerateBP6_Moderate

The NM_000156.6(GAMT):​c.7G>T​(p.Ala3Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000827 in 1,209,714 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A3V) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 8.3e-7 ( 0 hom. )

Consequence

GAMT
NM_000156.6 missense

Scores

1
1
16

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.157

Publications

2 publications found
Variant links:
Genes affected
GAMT (HGNC:4136): (guanidinoacetate N-methyltransferase) The protein encoded by this gene is a methyltransferase that converts guanidoacetate to creatine, using S-adenosylmethionine as the methyl donor. Defects in this gene have been implicated in neurologic syndromes and muscular hypotonia, probably due to creatine deficiency and accumulation of guanidinoacetate in the brain of affected individuals. Two transcript variants encoding different isoforms have been described for this gene. Pseudogenes of this gene are found on chromosomes 2 and 13. [provided by RefSeq, Feb 2012]
GAMT Gene-Disease associations (from GenCC):
  • guanidinoacetate methyltransferase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, G2P, ClinGen, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.14780992).
BP6
Variant 19-1401470-C-A is Benign according to our data. Variant chr19-1401470-C-A is described in ClinVar as Likely_benign. ClinVar VariationId is 205575.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000156.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GAMT
NM_000156.6
MANE Select
c.7G>Tp.Ala3Ser
missense
Exon 1 of 6NP_000147.1Q14353-1
GAMT
NM_138924.3
c.7G>Tp.Ala3Ser
missense
Exon 1 of 5NP_620279.1Q14353-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GAMT
ENST00000252288.8
TSL:1 MANE Select
c.7G>Tp.Ala3Ser
missense
Exon 1 of 6ENSP00000252288.1Q14353-1
GAMT
ENST00000902474.1
c.7G>Tp.Ala3Ser
missense
Exon 1 of 6ENSP00000572533.1
GAMT
ENST00000447102.8
TSL:2
c.7G>Tp.Ala3Ser
missense
Exon 1 of 5ENSP00000403536.2Q14353-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
8.27e-7
AC:
1
AN:
1209714
Hom.:
0
Cov.:
31
AF XY:
0.00000170
AC XY:
1
AN XY:
588214
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
24634
American (AMR)
AF:
0.00
AC:
0
AN:
15338
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18430
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27170
South Asian (SAS)
AF:
0.0000187
AC:
1
AN:
53504
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
29392
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3454
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
988406
Other (OTH)
AF:
0.00
AC:
0
AN:
49386
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.020
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
5.8
DANN
Benign
0.95
DEOGEN2
Benign
0.32
T
Eigen
Benign
-0.92
Eigen_PC
Benign
-0.97
FATHMM_MKL
Benign
0.081
N
LIST_S2
Benign
0.35
T
M_CAP
Pathogenic
0.89
D
MetaRNN
Benign
0.15
T
MetaSVM
Benign
-0.40
T
MutationAssessor
Benign
0.14
N
PhyloP100
-0.16
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-0.63
N
REVEL
Benign
0.22
Sift
Benign
0.43
T
Sift4G
Benign
0.32
T
Polyphen
0.0030
B
Vest4
0.14
MutPred
0.079
Gain of glycosylation at A3 (P = 0.0018)
MVP
0.80
MPC
0.14
ClinPred
0.11
T
GERP RS
1.3
PromoterAI
0.13
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.071
gMVP
0.45
Mutation Taster
=98/2
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: rs574164748; hg19: chr19-1401469; API