rs773530688

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting

The NM_020631.6(PLEKHG5):​c.2867G>A​(p.Arg956Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000128 in 1,562,712 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. R956R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

PLEKHG5
NM_020631.6 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:6

Conservation

PhyloP100: -0.00500

Publications

3 publications found
Variant links:
Genes affected
PLEKHG5 (HGNC:29105): (pleckstrin homology and RhoGEF domain containing G5) This gene encodes a protein that activates the nuclear factor kappa B (NFKB1) signaling pathway. Mutations in this gene are associated with autosomal recessive distal spinal muscular atrophy. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2012]
PLEKHG5 Gene-Disease associations (from GenCC):
  • neuromuscular disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Charcot-Marie-Tooth disease recessive intermediate C
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
  • neuronopathy, distal hereditary motor, autosomal recessive 4
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.028455675).
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.0000121 (17/1410464) while in subpopulation MID AF = 0.00132 (7/5290). AF 95% confidence interval is 0.00062. There are 0 homozygotes in GnomAdExome4. There are 8 alleles in the male GnomAdExome4 subpopulation. Median coverage is 32. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020631.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHG5
NM_020631.6
MANE Select
c.2867G>Ap.Arg956Lys
missense
Exon 20 of 21NP_065682.2
PLEKHG5
NM_001265593.2
c.3074G>Ap.Arg1025Lys
missense
Exon 20 of 21NP_001252522.1A0A804EMX3
PLEKHG5
NM_001042663.3
c.2978G>Ap.Arg993Lys
missense
Exon 21 of 22NP_001036128.2O94827-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHG5
ENST00000377728.8
TSL:2 MANE Select
c.2867G>Ap.Arg956Lys
missense
Exon 20 of 21ENSP00000366957.3O94827-5
PLEKHG5
ENST00000377732.5
TSL:1
c.2978G>Ap.Arg993Lys
missense
Exon 20 of 21ENSP00000366961.1O94827-3
PLEKHG5
ENST00000400915.8
TSL:1
c.2978G>Ap.Arg993Lys
missense
Exon 21 of 22ENSP00000383706.4O94827-3

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152248
Hom.:
0
Cov.:
33
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000118
AC:
2
AN:
169454
AF XY:
0.0000219
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000771
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000121
AC:
17
AN:
1410464
Hom.:
0
Cov.:
32
AF XY:
0.0000115
AC XY:
8
AN XY:
697556
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32098
American (AMR)
AF:
0.0000540
AC:
2
AN:
37062
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25328
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36494
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80998
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47076
Middle Eastern (MID)
AF:
0.00132
AC:
7
AN:
5290
European-Non Finnish (NFE)
AF:
0.00000460
AC:
5
AN:
1087634
Other (OTH)
AF:
0.0000513
AC:
3
AN:
58484
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
1
2
3
4
5
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:
0.0000197
AC:
3
AN:
152248
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74376
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41470
American (AMR)
AF:
0.00
AC:
0
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
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:
0.000142
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.0000171
AC:
2

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
4
-
not provided (4)
-
1
-
Neuronopathy, distal hereditary motor, autosomal recessive 4 (1)
-
1
-
Neuronopathy, distal hereditary motor, autosomal recessive 4;C3809309:Charcot-Marie-Tooth disease recessive intermediate C (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
2.8
DANN
Benign
0.91
DEOGEN2
Benign
0.084
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.041
N
LIST_S2
Benign
0.44
T
M_CAP
Benign
0.071
D
MetaRNN
Benign
0.028
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L
PhyloP100
-0.0050
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-0.030
N
REVEL
Benign
0.037
Sift
Benign
0.083
T
Sift4G
Benign
0.12
T
Polyphen
0.0010
B
Vest4
0.091
MutPred
0.26
Gain of ubiquitination at R1012 (P = 0.0051)
MVP
0.18
MPC
0.26
ClinPred
0.020
T
GERP RS
2.0
BranchPoint Hunter
3.0
Varity_R
0.10
gMVP
0.28
Mutation Taster
=92/8
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs773530688; hg19: chr1-6528029; API