rs746638187
Variant summary
Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_017739.4(POMGNT1):c.550C>T(p.His184Tyr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000341 in 1,614,022 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_017739.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000460 AC: 7AN: 152270Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.0000358 AC: 9AN: 251228Hom.: 0 AF XY: 0.0000442 AC XY: 6AN XY: 135890
GnomAD4 exome AF: 0.0000328 AC: 48AN: 1461752Hom.: 0 Cov.: 34 AF XY: 0.0000289 AC XY: 21AN XY: 727174
GnomAD4 genome AF: 0.0000460 AC: 7AN: 152270Hom.: 0 Cov.: 33 AF XY: 0.0000403 AC XY: 3AN XY: 74402
ClinVar
Submissions by phenotype
not provided Uncertain:3
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Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant does not alter protein structure/function; Identified in several individuals with clinical findings of POMGNT1-related disorders in published literature (PMID: 36964972, 30937090, 31230720); This variant is associated with the following publications: (PMID: 34426522, 36964972, 31230720, 30937090) -
not specified Uncertain:1
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Muscular dystrophy-dystroglycanopathy Uncertain:1
The p.His184Tyr variant in POMGNT1 has been reported in one individual with muscular dystrophy-dystroglycanopathy (PMID: 30937090), and has also been identified in 0.009% (12/128998) of European (non-Finnish) chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP ID: rs746638187). Although this variant has been seen in the general population in a heterozygous state, its frequency is low enough to be consistent with a recessive carrier frequency. The variant has also been reported in ClinVar (Variation ID#: 471407) as a variant of uncertain significance by Invitae, Mayo Clinic Laboratories, Genetic Services Laboratory (University of Chicago), Lupski Lab (Baylor-Hopkins CMG, Baylor College of Medicine), and Natera, Inc. Computational prediction tools and conservation analyses do not provide strong support for or against an impact to the protein. In summary, the clinical significance of the p.His184Tyr variant is uncertain. ACMG/AMP Criteria applied: PM2_Supporting (Richards 2015). -
Autosomal recessive limb-girdle muscular dystrophy type 2O Uncertain:1
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Muscular dystrophy-dystroglycanopathy (congenital with intellectual disability), type B3;C3150417:Autosomal recessive limb-girdle muscular dystrophy type 2O Uncertain:1
This sequence change replaces histidine, which is basic and polar, with tyrosine, which is neutral and polar, at codon 184 of the POMGNT1 protein (p.His184Tyr). This variant is present in population databases (rs746638187, gnomAD 0.009%). This missense change has been observed in individual(s) with clinical features of muscle-eye-brain disease (PMID: 30937090). ClinVar contains an entry for this variant (Variation ID: 471407). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be disruptive. 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. -
Muscular dystrophy-dystroglycanopathy (congenital with intellectual disability), type B3 Uncertain:1
Criteria applied: PM3,PM2_SUP -
Muscle eye brain disease Uncertain:1
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Retinal dystrophy Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at