ClinVar Miner

Submissions for variant NM_000162.5(GCK):c.863+1G>A

dbSNP: rs1376796469
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Athena Diagnostics RCV000711787 SCV000842184 pathogenic not provided 2020-10-14 criteria provided, single submitter clinical testing This variant is expected to severely impact normal RNA splicing, and consequently, protein structure and/or function. The frequency of this variant in the general population is consistent with pathogenicity (http://gnomad.broadinstitute.org). This variant has been identified in at least one individual with clinical features associated with this gene.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV001420913 SCV001623362 likely pathogenic Maturity-onset diabetes of the young type 2 2024-10-04 criteria provided, single submitter clinical testing Variant summary: GCK c.863+1G>A is located in a canonical splice-site and is predicted to affect mRNA splicing resulting in a significantly altered protein due to either exon skipping, shortening, or inclusion of intronic material. Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing and loss of GCK function. Several computational tools predict a significant impact on normal splicing: Four predict the variant abolishes a 5 splicing donor site. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 4.1e-06 in 241310 control chromosomes. c.863+1G>A has been reported in the literature in heterozygous individuals affected with Maturity Onset Diabetes Of The Young 2/Neonatal Diabetes Mellitus (Alkorta-Aranburu_2014, Harsunen_2023). These data indicate that the variant may be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 25306193, 36418577, 35229243). ClinVar contains an entry for this variant (Variation ID: 585928). Based on the evidence outlined above, the variant was classified as likely pathogenic.
Labcorp Genetics (formerly Invitae), Labcorp RCV000711787 SCV002235594 pathogenic not provided 2024-10-13 criteria provided, single submitter clinical testing This sequence change affects a donor splice site in intron 7 of the GCK gene. It is expected to disrupt RNA splicing. Variants that disrupt the donor or acceptor splice site typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in GCK are known to be pathogenic (PMID: 7553875, 9867845, 14578306, 24323243, 25015100). This variant is present in population databases (no rsID available, gnomAD 0.0009%). Disruption of this splice site has been observed in individual(s) with maturity-onset diabetes of the young (PMID: 19790256, 21696527, 25306193). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 585928). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. For these reasons, this variant has been classified as Pathogenic.
Geisinger Clinic, Geisinger Health System RCV001420913 SCV002562196 pathogenic Maturity-onset diabetes of the young type 2 2022-08-02 criteria provided, single submitter research PVS1, PM2, PS4_Supporting, PS1_Moderate, PP4
Fulgent Genetics, Fulgent Genetics RCV005034335 SCV005668346 pathogenic Type 2 diabetes mellitus; Hyperinsulinism due to glucokinase deficiency; Maturity-onset diabetes of the young type 2; Permanent neonatal diabetes mellitus 1 2024-03-08 criteria provided, single submitter clinical testing

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