rs761399728

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PM5PP3_ModeratePP5_Very_Strong

The NM_016194.4(GNB5):​c.368C>T​(p.Ser123Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000192 in 1,611,272 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S123W) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000021 ( 0 hom. )

Consequence

GNB5
NM_016194.4 missense

Scores

9
7
1

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:8O:3

Conservation

PhyloP100: 9.82

Publications

13 publications found
Variant links:
Genes affected
GNB5 (HGNC:4401): (G protein subunit beta 5) Heterotrimeric guanine nucleotide-binding proteins (G proteins), which integrate signals between receptors and effector proteins, are composed of an alpha, a beta, and a gamma subunit. These subunits are encoded by families of related genes. This gene encodes a beta subunit. Beta subunits are important regulators of alpha subunits, as well as of certain signal transduction receptors and effectors. Alternatively spliced transcript variants encoding different isoforms exist. [provided by RefSeq, Jul 2008]
GNB5 Gene-Disease associations (from GenCC):
  • gnb5-related intellectual disability-cardiac arrhythmia syndrome
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P
  • language delay and attention deficit-hyperactivity disorder/cognitive impairment with or without cardiac arrhythmia
    Inheritance: AR Classification: STRONG Submitted by: Ambry Genetics
  • schizophrenia
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 12 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr15-52153947-G-C is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 977622.Status of the report is criteria_provided_single_submitter, 1 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.865
PP5
Variant 15-52153947-G-A is Pathogenic according to our data. Variant chr15-52153947-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 254029.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_016194.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GNB5
NM_016194.4
MANE Select
c.368C>Tp.Ser123Leu
missense
Exon 4 of 13NP_057278.2
GNB5
NM_006578.4
c.242C>Tp.Ser81Leu
missense
Exon 2 of 11NP_006569.1O14775-2
GNB5
NM_001379343.1
c.86C>Tp.Ser29Leu
missense
Exon 2 of 11NP_001366272.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GNB5
ENST00000261837.12
TSL:5 MANE Select
c.368C>Tp.Ser123Leu
missense
Exon 4 of 13ENSP00000261837.7O14775-1
GNB5
ENST00000358784.11
TSL:1
c.242C>Tp.Ser81Leu
missense
Exon 2 of 11ENSP00000351635.7O14775-2
GNB5
ENST00000396335.8
TSL:1
c.242C>Tp.Ser81Leu
missense
Exon 2 of 9ENSP00000379626.4O14775-3

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152190
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
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:
0.0000558
AC:
14
AN:
250808
AF XY:
0.0000516
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.000291
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:
0.0000206
AC:
30
AN:
1459082
Hom.:
0
Cov.:
31
AF XY:
0.0000248
AC XY:
18
AN XY:
725756
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33434
American (AMR)
AF:
0.000269
AC:
12
AN:
44668
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26052
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39678
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85910
European-Finnish (FIN)
AF:
0.0000188
AC:
1
AN:
53308
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5758
European-Non Finnish (NFE)
AF:
0.0000117
AC:
13
AN:
1110042
Other (OTH)
AF:
0.0000498
AC:
3
AN:
60232
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
2
4
7
9
11
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
AF:
0.00000657
AC:
1
AN:
152190
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74356
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41442
American (AMR)
AF:
0.0000655
AC:
1
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5200
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68042
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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:
0.000214
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.0000494
AC:
6

ClinVar

ClinVar submissions
Significance:Pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
3
-
-
not provided (3)
2
-
-
Gnb5-related intellectual disability-cardiac arrhythmia syndrome (4)
1
-
-
Delayed speech and language development;C0557874:Global developmental delay;C1263846:Attention deficit hyperactivity disorder (1)
1
-
-
Inborn genetic diseases (1)
1
-
-
Language delay and attention deficit-hyperactivity disorder/cognitive impairment with or without cardiac arrhythmia (1)
-
-
-
Language delay and attention deficit-hyperactivity disorder/cognitive impairment with or without cardiac arrhythmia;C5568877:Gnb5-related intellectual disability-cardiac arrhythmia syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Pathogenic
0.23
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.42
T
Eigen
Pathogenic
0.80
Eigen_PC
Pathogenic
0.78
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.98
D
M_CAP
Uncertain
0.26
D
MetaRNN
Pathogenic
0.87
D
MetaSVM
Uncertain
0.014
D
PhyloP100
9.8
PrimateAI
Pathogenic
0.81
D
PROVEAN
Uncertain
-4.1
D
REVEL
Uncertain
0.64
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0020
D
Polyphen
0.87
P
Vest4
0.83
MutPred
0.74
Loss of disorder (P = 0.0114)
MVP
0.86
MPC
0.90
ClinPred
0.92
D
GERP RS
5.4
Varity_R
0.58
gMVP
0.75
Mutation Taster
=1/99
disease causing (ClinVar)

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: rs761399728; hg19: chr15-52446144; COSMIC: COSV55899887; API