rs587779384

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 5P and 2B. PM1PM2PP2BP4_Moderate

The NM_022041.4(GAN):​c.1084G>A​(p.Glu362Lys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000117 in 1,277,348 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E362Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

GAN
NM_022041.4 missense, splice_region

Scores

1
4
11
Splicing: ADA: 0.002237
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: 5.24

Publications

1 publications found
Variant links:
Genes affected
GAN (HGNC:4137): (gigaxonin) This gene encodes a member of the cytoskeletal BTB/kelch (Broad-Complex, Tramtrack and Bric a brac) repeat family. The encoded protein plays a role in neurofilament architecture and is involved in mediating the ubiquitination and degradation of some proteins. Defects in this gene are a cause of giant axonal neuropathy (GAN). [provided by RefSeq, Oct 2008]
GAN Gene-Disease associations (from GenCC):
  • giant axonal neuropathy 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), ClinGen, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM1
In a repeat Kelch 2 (size 47) in uniprot entity GAN_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_022041.4
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 11 curated pathogenic missense variants (we use a threshold of 10). The gene has 3 curated benign missense variants. Trascript score misZ: -2.0288 (below the threshold of 3.09). GenCC associations: The gene is linked to giant axonal neuropathy 1.
BP4
Computational evidence support a benign effect (MetaRNN=0.2375308).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GANNM_022041.4 linkc.1084G>A p.Glu362Lys missense_variant, splice_region_variant Exon 6 of 11 ENST00000648994.2 NP_071324.1 Q9H2C0A0A0S2Z4W2B3KTC3
GANNM_001377486.1 linkc.445G>A p.Glu149Lys missense_variant, splice_region_variant Exon 5 of 10 NP_001364415.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GANENST00000648994.2 linkc.1084G>A p.Glu362Lys missense_variant, splice_region_variant Exon 6 of 11 NM_022041.4 ENSP00000497351.1 Q9H2C0

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000119
AC:
3
AN:
251470
AF XY:
0.0000147
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000117
AC:
15
AN:
1277348
Hom.:
0
Cov.:
20
AF XY:
0.00000465
AC XY:
3
AN XY:
644528
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30130
American (AMR)
AF:
0.00
AC:
0
AN:
44498
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25026
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38906
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82486
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53334
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5434
European-Non Finnish (NFE)
AF:
0.0000138
AC:
13
AN:
943394
Other (OTH)
AF:
0.0000369
AC:
2
AN:
54140
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000330
AC:
4

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Charcot-Marie-Tooth disease Uncertain:1
Nov 01, 2013
Dept. of Medical Genetics, Telemark Hospital Trust, Telemark Hospital Trust
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

- -

Giant axonal neuropathy 1 Uncertain:1
May 06, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces glutamic acid, which is acidic and polar, with lysine, which is basic and polar, at codon 362 of the GAN protein (p.Glu362Lys). This variant is present in population databases (rs587779384, gnomAD 0.004%). This missense change has been observed in individual(s) with Charcot Marie Tooth disease, type 2 (PMID: 25025039). ClinVar contains an entry for this variant (Variation ID: 157535). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Uncertain
0.095
D
BayesDel_noAF
Uncertain
0.010
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
T;T
Eigen
Benign
-0.087
Eigen_PC
Benign
0.041
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.85
.;D
M_CAP
Benign
0.0094
T
MetaRNN
Benign
0.24
T;T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
-0.055
N;N
PhyloP100
5.2
PrimateAI
Uncertain
0.66
T
Sift4G
Benign
0.12
T;.
Polyphen
0.15
B;B
Vest4
0.72
MutPred
0.42
Gain of ubiquitination at E362 (P = 0.023);Gain of ubiquitination at E362 (P = 0.023);
MVP
0.74
MPC
0.19
ClinPred
0.40
T
GERP RS
5.0
Varity_R
0.24
gMVP
0.61
Mutation Taster
=78/22
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0022
dbscSNV1_RF
Benign
0.018
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: rs587779384; hg19: chr16-81396214; COSMIC: COSV73721485; COSMIC: COSV73721485; API