rs754433681

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 2P and 18B. PM5BP4_ModerateBP6_Very_StrongBS1BS2

The NM_004484.4(GPC3):​c.363T>A​(p.His121Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000591 in 1,184,773 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/21 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. H121Y) has been classified as Pathogenic.

Frequency

Genomes: 𝑓 0.0000093 ( 0 hom., 0 hem., cov: 21)
Exomes 𝑓: 0.0000056 ( 0 hom. 2 hem. )

Consequence

GPC3
NM_004484.4 missense

Scores

1
2
14

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.253

Publications

0 publications found
Variant links:
Genes affected
GPC3 (HGNC:4451): (glypican 3) Cell surface heparan sulfate proteoglycans are composed of a membrane-associated protein core substituted with a variable number of heparan sulfate chains. Members of the glypican-related integral membrane proteoglycan family (GRIPS) contain a core protein anchored to the cytoplasmic membrane via a glycosyl phosphatidylinositol linkage. These proteins may play a role in the control of cell division and growth regulation. The protein encoded by this gene can bind to and inhibit the dipeptidyl peptidase activity of CD26, and it can induce apoptosis in certain cell types. Deletion mutations in this gene are associated with Simpson-Golabi-Behmel syndrome, also known as Simpson dysmorphia syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
GPC3 Gene-Disease associations (from GenCC):
  • Simpson-Golabi-Behmel syndrome
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • Simpson-Golabi-Behmel syndrome type 1
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chrX-133754153-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 11690.Status of the report is no_assertion_criteria_provided, 0 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.08580905).
BP6
Variant X-133754151-A-T is Benign according to our data. Variant chrX-133754151-A-T is described in ClinVar as Likely_benign. ClinVar VariationId is 572682.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population eas. GnomAdExome4 allele frequency = 0.00000557 (6/1077754) while in subpopulation EAS AF = 0.000199 (6/30133). AF 95% confidence interval is 0.0000862. There are 0 homozygotes in GnomAdExome4. There are 2 alleles in the male GnomAdExome4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GPC3NM_004484.4 linkc.363T>A p.His121Gln missense_variant Exon 3 of 8 ENST00000370818.8 NP_004475.1 P51654-1Q53H15I6QTG3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GPC3ENST00000370818.8 linkc.363T>A p.His121Gln missense_variant Exon 3 of 8 1 NM_004484.4 ENSP00000359854.3 P51654-1

Frequencies

GnomAD3 genomes
AF:
0.00000934
AC:
1
AN:
107019
Hom.:
0
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000290
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000509
AC:
9
AN:
176714
AF XY:
0.0000477
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000662
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000557
AC:
6
AN:
1077754
Hom.:
0
Cov.:
31
AF XY:
0.00000579
AC XY:
2
AN XY:
345600
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25908
American (AMR)
AF:
0.00
AC:
0
AN:
34822
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19178
East Asian (EAS)
AF:
0.000199
AC:
6
AN:
30133
South Asian (SAS)
AF:
0.00
AC:
0
AN:
52644
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40192
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4045
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
825410
Other (OTH)
AF:
0.00
AC:
0
AN:
45422
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
AF:
0.00000934
AC:
1
AN:
107019
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
29699
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
29251
American (AMR)
AF:
0.00
AC:
0
AN:
9737
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2576
East Asian (EAS)
AF:
0.000290
AC:
1
AN:
3444
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2334
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5574
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
231
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
51785
Other (OTH)
AF:
0.00
AC:
0
AN:
1423
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 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: 0.325
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.00
Hom.:
0
ExAC
AF:
0.0000330
AC:
4

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Sep 23, 2023
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Wilms tumor 1 Benign:1
Jan 20, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.89
BayesDel_addAF
Benign
-0.56
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
16
DANN
Benign
0.77
DEOGEN2
Benign
0.33
T;.;.
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.70
T;T;T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.086
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.45
N;N;.
PhyloP100
0.25
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-0.66
N;N;.
REVEL
Benign
0.087
Sift
Benign
0.91
T;T;.
Sift4G
Benign
0.87
T;T;T
Polyphen
0.024
B;.;.
Vest4
0.19
MutPred
0.62
Gain of ubiquitination at K123 (P = 0.0632);Gain of ubiquitination at K123 (P = 0.0632);.;
MVP
0.65
MPC
0.18
ClinPred
0.054
T
GERP RS
1.5
PromoterAI
0.0012
Neutral
Varity_R
0.26
gMVP
0.63
Mutation Taster
=84/16
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: rs754433681; hg19: chrX-132888178; API