rs59291670

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002055.5(GFAP):​c.469G>A​(p.Asp157Asn) variant causes a missense change. The variant allele was found at a frequency of 0.0165 in 1,549,378 control chromosomes in the GnomAD database, including 282 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.011 ( 16 hom., cov: 32)
Exomes 𝑓: 0.017 ( 266 hom. )

Consequence

GFAP
NM_002055.5 missense

Scores

9
9

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7O:1

Conservation

PhyloP100: 3.80
Variant links:
Genes affected
GFAP (HGNC:4235): (glial fibrillary acidic protein) This gene encodes one of the major intermediate filament proteins of mature astrocytes. It is used as a marker to distinguish astrocytes from other glial cells during development. Mutations in this gene cause Alexander disease, a rare disorder of astrocytes in the central nervous system. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0133288205).
BP6
Variant 17-44914081-C-T is Benign according to our data. Variant chr17-44914081-C-T is described in ClinVar as [Benign]. Clinvar id is 66485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-44914081-C-T is described in Lovd as [Likely_benign]. Variant chr17-44914081-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0109 (1658/152104) while in subpopulation NFE AF= 0.0173 (1179/67984). AF 95% confidence interval is 0.0165. There are 16 homozygotes in gnomad4. There are 789 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 1658 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GFAPNM_002055.5 linkuse as main transcriptc.469G>A p.Asp157Asn missense_variant 2/9 ENST00000588735.3
GFAPNM_001363846.2 linkuse as main transcriptc.469G>A p.Asp157Asn missense_variant 2/10
GFAPNM_001242376.3 linkuse as main transcriptc.469G>A p.Asp157Asn missense_variant 2/7
GFAPNM_001131019.3 linkuse as main transcriptc.469G>A p.Asp157Asn missense_variant 2/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GFAPENST00000588735.3 linkuse as main transcriptc.469G>A p.Asp157Asn missense_variant 2/91 NM_002055.5 P1P14136-1

Frequencies

GnomAD3 genomes
AF:
0.0109
AC:
1657
AN:
151986
Hom.:
16
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00310
Gnomad AMI
AF:
0.0154
Gnomad AMR
AF:
0.00583
Gnomad ASJ
AF:
0.00720
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.0182
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0173
Gnomad OTH
AF:
0.0105
GnomAD3 exomes
AF:
0.0109
AC:
1746
AN:
159742
Hom.:
21
AF XY:
0.0103
AC XY:
869
AN XY:
84146
show subpopulations
Gnomad AFR exome
AF:
0.00330
Gnomad AMR exome
AF:
0.00493
Gnomad ASJ exome
AF:
0.0103
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00113
Gnomad FIN exome
AF:
0.0165
Gnomad NFE exome
AF:
0.0189
Gnomad OTH exome
AF:
0.00918
GnomAD4 exome
AF:
0.0171
AC:
23837
AN:
1397274
Hom.:
266
Cov.:
30
AF XY:
0.0166
AC XY:
11443
AN XY:
689466
show subpopulations
Gnomad4 AFR exome
AF:
0.00296
Gnomad4 AMR exome
AF:
0.00494
Gnomad4 ASJ exome
AF:
0.00909
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00101
Gnomad4 FIN exome
AF:
0.0165
Gnomad4 NFE exome
AF:
0.0201
Gnomad4 OTH exome
AF:
0.0128
GnomAD4 genome
AF:
0.0109
AC:
1658
AN:
152104
Hom.:
16
Cov.:
32
AF XY:
0.0106
AC XY:
789
AN XY:
74392
show subpopulations
Gnomad4 AFR
AF:
0.00309
Gnomad4 AMR
AF:
0.00582
Gnomad4 ASJ
AF:
0.00720
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00125
Gnomad4 FIN
AF:
0.0182
Gnomad4 NFE
AF:
0.0173
Gnomad4 OTH
AF:
0.0104
Alfa
AF:
0.0150
Hom.:
11
Bravo
AF:
0.0107
TwinsUK
AF:
0.0205
AC:
76
ALSPAC
AF:
0.0179
AC:
69
ESP6500AA
AF:
0.00620
AC:
27
ESP6500EA
AF:
0.0142
AC:
121
ExAC
AF:
0.00690
AC:
741
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:7Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5Other:1
not provided, no classification providedliterature onlyEpithelial Biology; Institute of Medical Biology, Singapore-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 30, 2024- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024GFAP: BP4, BS1, BS2 -
not specified Benign:2
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMar 25, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.41
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.62
.;D;.;.;.;.;D;.;.;.
Eigen
Benign
0.13
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.87
D;D;D;D;D;D;D;D;D;D
MetaRNN
Benign
0.013
T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.080
T
MutationAssessor
Benign
1.2
.;L;.;.;L;L;.;.;.;.
MutationTaster
Benign
0.92
D;D;D;D
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-2.3
.;.;N;.;N;.;.;.;.;.
REVEL
Uncertain
0.37
Sift
Uncertain
0.025
.;.;D;.;D;.;.;.;.;.
Sift4G
Uncertain
0.024
.;.;D;.;D;.;D;D;.;.
Polyphen
0.0040
.;B;.;.;.;.;.;.;.;.
Vest4
0.26, 0.27, 0.28
MPC
0.78
ClinPred
0.020
T
GERP RS
4.6
Varity_R
0.35
gMVP
0.32

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs59291670; hg19: chr17-42991449; API