ClinVar Miner

Submissions for variant NM_018384.5(GIMAP5):c.611T>C (p.Leu204Pro)

gnomAD frequency: 0.00189  dbSNP: rs72650695
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
CeGaT Center for Human Genetics Tuebingen RCV003434309 SCV004161309 likely benign not provided 2022-06-01 criteria provided, single submitter clinical testing GIMAP1-GIMAP5: BP4
Neuberg Centre For Genomic Medicine, NCGM RCV001548746 SCV004175809 pathogenic Portal hypertension, noncirrhotic, 2 2023-02-14 criteria provided, single submitter clinical testing The missense c.611T>C (p.Leu204Pro) in GIMAP5 gene has been reported previously in homozygous state in individuals affected with GIMAP5-associated hypertension (Patterson et al. 2018; Drzewiecki et al. 2021). Experimental studies demonstrated an undetectable protein expression of both GIMAP5 isoforms for this variant (Patterson et al. 2018). This variant is reported with an allele frequency of 0.2% in the gnomAD exomes database. This variant has been reported to the ClinVar database as Likely Pathogenic / Pathogenic. The amino acid change p.Leu204Pro in GIMAP5 is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. The amino acid Leu at position 204 is changed to a Pro changing protein sequence and it might alter its composition and physico-chemical properties. For these reasons, this variant has been classified as Pathogenic.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV001548746 SCV004804153 likely pathogenic Portal hypertension, noncirrhotic, 2 2024-01-04 criteria provided, single submitter clinical testing Variant summary: GIMAP5 c.611T>C (p.Leu204Pro) results in a non-conservative amino acid change located in the AIG1-type guanine nucleotide-binding (G) domain (IPR006703) of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.002 in 251010 control chromosomes in the gnomAD database, including 1 homozygotes. c.611T>C has been reported in the literature in a homozygous individuals affected with GIMAP5-associated hypertension. T cells isolated from this patient had complete loss of GIMAP5 protein expression, reduced T cell proliferation which was restored upon pharmacological targeting of GSK3. (example: Patterson_2018, and Drewieck_GIMAP5_JEM_2021). These data indicate that the variant may be associated with disease. The following publications have been ascertained in the context of this evaluation (PMID: 33956074, 29382851, 35753512).Three submitters have cited clinical-significance assessments for this variant to ClinVar after 2014 and classified the variant as pathogenic/likely pathogenic (n=2) and likely benign (n=1). Based on the evidence outlined above, the variant was classified as likely pathogenic.
OMIM RCV001548746 SCV001768715 pathogenic Portal hypertension, noncirrhotic, 2 2021-08-02 no assertion criteria provided literature only
Yale Center for Mendelian Genomics, Yale University RCV001849525 SCV002107006 likely pathogenic Portal hypertension 2021-05-06 no assertion criteria provided literature only

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