The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
  • Gene obtained from curated document aligns with the Allele Registry but not with ClinVar data
  • No CSPEC computer assertion could be determined for this classification!


Variant: NM_000162.5(GCK):c.1280T>G (p.Val427Gly)

CA367397199

585912 (ClinVar)

Gene: GCK
Condition: monogenic diabetes
Inheritance Mode: Semidominant inheritance
UUID: 1cca76dc-fbc4-4410-b37e-891447725a80

HGVS expressions

NM_000162.5:c.1280T>G
NM_000162.5(GCK):c.1280T>G (p.Val427Gly)
NC_000007.14:g.44145254A>C
CM000669.2:g.44145254A>C
NC_000007.13:g.44184853A>C
CM000669.1:g.44184853A>C
NC_000007.12:g.44151378A>C
NG_008847.1:g.49170T>G
NG_008847.2:g.57917T>G
ENST00000395796.8:c.*1278T>G
ENST00000616242.5:c.*400T>G
ENST00000683378.1:n.506T>G
ENST00000336642.9:c.314T>G
ENST00000345378.7:c.1283T>G
ENST00000403799.8:c.1280T>G
ENST00000671824.1:c.1343T>G
ENST00000672743.1:n.292T>G
ENST00000673284.1:c.1280T>G
ENST00000336642.8:c.332T>G
ENST00000345378.6:c.1283T>G
ENST00000395796.7:c.1277T>G
ENST00000403799.7:c.1280T>G
ENST00000437084.1:c.1229T>G
ENST00000459642.1:n.660T>G
ENST00000616242.4:c.1277T>G
NM_000162.3:c.1280T>G
NM_033507.1:c.1283T>G
NM_033508.1:c.1277T>G
NM_000162.4:c.1280T>G
NM_001354800.1:c.1280T>G
NM_001354801.1:c.269T>G
NM_001354802.1:c.140T>G
NM_001354803.1:c.314T>G
NM_033507.2:c.1283T>G
NM_033508.2:c.1277T>G
NM_033507.3:c.1283T>G
NM_033508.3:c.1277T>G
NM_001354803.2:c.314T>G

Uncertain Significance

Met criteria codes 3
PP3 PP2 PM2_Supporting
Not Met criteria codes 5
BS1 BP4 PS4 BA1 PP4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Monogenic Diabetes Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for GCK Version 1.3.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Monogenic Diabetes VCEP
The c.1280T>G variant in the glucokinase gene, GCK, causes an amino acid change of valine to glycine at codon 427 (p.(Val427Gly)) of NM_000162.5. GCK is defined by the ClinGen MDEP as a gene that has a low rate of benign missense variation and has pathogenic missense variants as a common mechanism of disease (PP2). This variant is predicted to be deleterious by computational evidence, with a REVEL score of 0.976, which is greater than the MDEP VCEP threshold of 0.70 (PP3). This variant is absent from gnomAD v2.1.1 (PM2_Supporting). This variant was identified in an individual with a phenotype suggestive of GCK-hyperglycemia; however, PP4 is unable to be evaluated due to insufficient clinical information (internal lab contributors). In summary, c.1280T>G meets the criteria to be classified as uncertain significance for monogenic diabetes. ACMG/AMP criteria applied, as specified by the ClinGen MDEP (specification version 1.3.0, approved 8/11/2023): PM2_supporting, PP2, PP3.
Met criteria codes
PP3
This variant is predicted to be deleterious by computational evidence, with a REVEL score of 0.976, which is greater than the MDEP VCEP threshold of 0.70 (PP3).
PP2
GCK is defined by the ClinGen MDEP as a gene that has a low rate of benign missense variation and has pathogenic missense variants as a common mechanism of disease (PP2).
PM2_Supporting
This variant is absent from gnomAD v2.1.1 (PM2_Supporting). absent from gnomAD v4.0.0
Not Met criteria codes
BS1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BP4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PS4
only 1 case
BA1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP4
This variant was identified in an individual with a phenotype suggestive of GCK-hyperglycemia; however, PP4 is unable to be evaluated due to insufficient clinical information (internal lab contributors).
Approved on: 2024-04-27
Published on: 2024-04-27
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