The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]


Variant: NM_000152.5(GAA):c.1552-13G>A

CA8815382

255353 (ClinVar)

Gene: GAA
Condition: glycogen storage disease II
Inheritance Mode: Autosomal recessive inheritance
UUID: 9e7461e9-74b8-465f-91f5-afa2ba0779a6

HGVS expressions

NM_000152.5:c.1552-13G>A
NM_000152.5(GAA):c.1552-13G>A
NC_000017.11:g.80110928G>A
CM000679.2:g.80110928G>A
NC_000017.10:g.78084727G>A
CM000679.1:g.78084727G>A
NC_000017.9:g.75699322G>A
NG_009822.1:g.14373G>A
ENST00000302262.8:c.1552-13G>A
ENST00000302262.7:c.1552-13G>A
ENST00000390015.7:c.1552-13G>A
NM_000152.3:c.1552-13G>A
NM_001079803.1:c.1552-13G>A
NM_001079804.1:c.1552-13G>A
NM_000152.4:c.1552-13G>A
NM_001079803.2:c.1552-13G>A
NM_001079804.2:c.1552-13G>A
NM_001079803.3:c.1552-13G>A
NM_001079804.3:c.1552-13G>A

Likely Benign

Met criteria codes 2
BS1 BP4
Not Met criteria codes 2
PP4 PM3

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Lysosomal Storage Disorders Variant Curation Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 2

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Lysosomal Diseases VCEP
The NM_000152.5:c.1552-13G>A variant is located near the acceptor splice region of intron 10 of GAA. The computational splicing predictor SpliceAI predicts that the variant has no impact on splicing (BP4). To our knowledge, functional studies investigating the impact of this variant on splicing are not available. The highest population minor allele frequency in gnomAD v2.1.1 is 0.004705 (607/129008 alleles) in the European non-Finnish population, which meets the ClinGen LSD VCEP’s threshold for BS1 (>0.005) when rounded up (BS1). There are 2 homozygotes in gnomAD v2.1.1. The variant was reported in a patient with Pompe disease along with a variant that has been classified as pathogenic by the ClinGen LD VCEP (c.841C>T (p.Arg281Trp); the phase was not reported in that patient (PMID: 31086307). However, analysis of clinical laboratory data in multiple patients with these two variants indicates that they likely occur in cis. There is a ClinVar entry for this variant (Variation ID: 255353). In summary, this variant meets the criteria to be classified as likely benign for Pompe disease. GAA-specific ACMG/AMP criteria met, as specified by the ClinGen Lysosomal Diseases Variant Curation Expert Panel (Specifications Version 2.0): BS1, BP4. Classification approved by the ClinGen Lysosomal Diseases Variant Curation Expert Panel, April 18th, 2023).
Met criteria codes
BS1
The highest population minor allele frequency in gnomAD v2.1.1 is 0.004705 (607/129008 alleles) in the European non-Finnish population, which meets the ClinGen LSD VCEP’s threshold for BS1 (>0.005) when rounded up. There are 2 homozygotes in gnomAD v2.1.1. (BS1)
BP4
The computational splicing predictor SpliceAI predicts that the variant has no impact on splicing (BP4).
Not Met criteria codes
PP4
The variant has been reported in a patient with Pompe disease who is compound heterozygous for for another variant in GAA that has been classified as pathogenic by the ClinGen LD VCEP; the phase was not reported in that patient (PMID: 31086307). However, analysis of clinical laboratory data in multiple patients with these two variants indicates that they likely occur in cis. PP4 was not applied for this reason, and because the variant does not meet PM2_Supporting.
PM3
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Approved on: 2023-04-18
Published on: 2023-07-11
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