ClinVar Miner

Submissions for variant NM_021957.4(GYS2):c.495+1G>T

gnomAD frequency: 0.00009  dbSNP: rs372079212
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Total submissions: 4
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV000823292 SCV000964146 pathogenic Glycogen storage disorder due to hepatic glycogen synthase deficiency 2022-03-18 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. ClinVar contains an entry for this variant (Variation ID: 665082). Disruption of this splice site has been observed in individuals with glycogen storage disease (PMID: 25070466; Invitae). This variant is present in population databases (rs372079212, gnomAD 0.02%). This sequence change affects a donor splice site in intron 3 of the GYS2 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 GYS2 are known to be pathogenic (PMID: 9691087).
Laboratorio de Genetica e Diagnostico Molecular, Hospital Israelita Albert Einstein RCV002252252 SCV002523873 likely pathogenic See cases 2020-11-27 criteria provided, single submitter clinical testing ACMG classification criteria: PVS1, PM2, PM3
Fulgent Genetics, Fulgent Genetics RCV000823292 SCV002806245 pathogenic Glycogen storage disorder due to hepatic glycogen synthase deficiency 2021-07-09 criteria provided, single submitter clinical testing
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000823292 SCV002819370 likely pathogenic Glycogen storage disorder due to hepatic glycogen synthase deficiency 2022-12-08 criteria provided, single submitter clinical testing Variant summary: GYS2 c.495+1G>T 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. Several computational tools predict a significant impact on normal splicing: Three predict the variant abolishes the canonical 5' splicing donor site. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 9.6e-05 in 250990 control chromosomes, predominantly at a frequency of 0.00019 within the Non-Finnish European subpopulation in the gnomAD database. c.495+1G>T has been reported in the literature in the compound heterozygous state in at least one individual affected with Glycogen Storage Disorder Due To Hepatic Glycogen Synthase Deficiency (GSD0) (e.g. Weinstein_2006, Brown_2015). To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Two submitters have provided clinical-significance assessments for this variant to ClinVar after 2014 and classified the variant as either pathogenic (n=1) or likely pathogenic (n=1). Based on the evidence outlined above, the variant was classified as likely pathogenic.

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