rs8179206

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001486.4(GCKR):​c.230A>G​(p.Glu77Gly) variant causes a missense change. The variant allele was found at a frequency of 0.00068 in 1,612,790 control chromosomes in the GnomAD database, including 11 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E77K) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00094 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00065 ( 11 hom. )

Consequence

GCKR
NM_001486.4 missense

Scores

4
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 3.82

Publications

20 publications found
Variant links:
Genes affected
GCKR (HGNC:4196): (glucokinase regulator) This gene encodes a protein belonging to the GCKR subfamily of the SIS (Sugar ISomerase) family of proteins. The gene product is a regulatory protein that inhibits glucokinase in liver and pancreatic islet cells by binding non-covalently to form an inactive complex with the enzyme. This gene is considered a susceptibility gene candidate for a form of maturity-onset diabetes of the young (MODY). [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005439669).
BP6
Variant 2-27497575-A-G is Benign according to our data. Variant chr2-27497575-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 225371.
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.000939 (143/152296) while in subpopulation EAS AF = 0.0215 (111/5174). AF 95% confidence interval is 0.0182. There are 0 homozygotes in GnomAd4. There are 87 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 11 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GCKRNM_001486.4 linkc.230A>G p.Glu77Gly missense_variant Exon 3 of 19 ENST00000264717.7 NP_001477.2
GCKRXM_011532763.1 linkc.230A>G p.Glu77Gly missense_variant Exon 3 of 13 XP_011531065.1
GCKRXR_001738699.1 linkn.296A>G non_coding_transcript_exon_variant Exon 3 of 13

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GCKRENST00000264717.7 linkc.230A>G p.Glu77Gly missense_variant Exon 3 of 19 1 NM_001486.4 ENSP00000264717.2
GCKRENST00000472290.1 linkn.252A>G non_coding_transcript_exon_variant Exon 3 of 11 1
GCKRENST00000453813.1 linkc.146A>G p.Glu49Gly missense_variant Exon 2 of 8 3 ENSP00000399463.1
GCKRENST00000417872.5 linkn.287A>G non_coding_transcript_exon_variant Exon 3 of 7 4

Frequencies

GnomAD3 genomes
AF:
0.000953
AC:
145
AN:
152178
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00105
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0218
Gnomad SAS
AF:
0.00166
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00191
AC:
480
AN:
251482
AF XY:
0.00174
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0241
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.000815
GnomAD4 exome
AF:
0.000653
AC:
954
AN:
1460494
Hom.:
11
Cov.:
30
AF XY:
0.000670
AC XY:
487
AN XY:
726656
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33450
American (AMR)
AF:
0.000134
AC:
6
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26128
East Asian (EAS)
AF:
0.0187
AC:
744
AN:
39692
South Asian (SAS)
AF:
0.000858
AC:
74
AN:
86212
European-Finnish (FIN)
AF:
0.0000187
AC:
1
AN:
53418
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5760
European-Non Finnish (NFE)
AF:
0.0000603
AC:
67
AN:
1110764
Other (OTH)
AF:
0.000994
AC:
60
AN:
60356
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
58
116
173
231
289
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000939
AC:
143
AN:
152296
Hom.:
0
Cov.:
32
AF XY:
0.00117
AC XY:
87
AN XY:
74470
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41566
American (AMR)
AF:
0.00105
AC:
16
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.0215
AC:
111
AN:
5174
South Asian (SAS)
AF:
0.00166
AC:
8
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000103
AC:
7
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
9
18
26
35
44
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000582
Hom.:
2
Bravo
AF:
0.00156
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.00194
AC:
235
Asia WGS
AF:
0.00520
AC:
18
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:3
Jun 22, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 30420299, 24879641, 20657596) -

Nov 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

GCKR: BP4, BS1, BS2 -

Aug 28, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

FASTING PLASMA GLUCOSE LEVEL QUANTITATIVE TRAIT LOCUS 5 Uncertain:1
Mar 18, 2016
Soonchunhyang University Bucheon Hospital, Soonchunhyang University Medical Center
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:reference population

- -

GCKR-related disorder Benign:1
Feb 28, 2024
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.35
T;T
Eigen
Benign
-0.49
Eigen_PC
Benign
-0.48
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.71
T;T
MetaRNN
Benign
0.0054
T;T
MetaSVM
Benign
-0.85
T
PhyloP100
3.8
PrimateAI
Benign
0.37
T
PROVEAN
Uncertain
-3.3
D;D
REVEL
Benign
0.16
Sift
Uncertain
0.020
D;D
Sift4G
Benign
0.064
T;T
Vest4
0.36
MPC
0.20
ClinPred
0.054
T
GERP RS
3.1
PromoterAI
0.016
Neutral
gMVP
0.31
Mutation Taster
=77/23
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
Splicevardb
2.0
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: rs8179206; hg19: chr2-27720442; COSMIC: COSV53021480; COSMIC: COSV53021480; API