VCV001344517.8 - ClinVar

NM_001097577.3(ANG):c.368G>C (p.Gly123Ala)

Germline

Classification

The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.

(4)

Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.

Uncertain significance

criteria provided, multiple submitters, no conflicts

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NM_001097577.3(ANG):c.368G>C (p.Gly123Ala)

Variation ID: 1344517 Accession: VCV001344517.8

Type and length

single nucleotide variant, 1 bp

Location

Cytogenetic: 14q11.2 14: 20693932 (GRCh38) [ NCBI UCSC ] 14: 21162091 (GRCh37) [ NCBI UCSC ]

Timeline in ClinVar

	First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.	Last submission Help The date of the most recent submission for each type of classification for this variant.	Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline	Mar 19, 2022	Oct 8, 2024	Oct 3, 2023

HGVS

Nucleotide	Protein	Molecular consequence
NM_001097577.3:c.368G>C MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.	NP_001091046.1:p.Gly123Ala	missense
NM_002937.5:c.-17-5423G>C MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.		intron variant
NM_001145.4:c.368G>C	NP_001136.1:p.Gly123Ala	missense
NM_001282192.2:c.-18+282G>C		intron variant
NM_001282193.2:c.-17-5423G>C		intron variant
NM_001385271.1:c.368G>C	NP_001372200.1:p.Gly123Ala	missense
NM_001385272.1:c.368G>C	NP_001372201.1:p.Gly123Ala	missense
NM_001385273.1:c.368G>C	NP_001372202.1:p.Gly123Ala	missense
NM_001385274.1:c.368G>C	NP_001372203.1:p.Gly123Ala	missense
NM_194431.3:c.-18+5058G>C		intron variant
NC_000014.9:g.20693932G>C
NC_000014.8:g.21162091G>C
NG_008717.2:g.14756G>C
NG_033053.1:g.14720G>C
LRG_653:g.14756G>C
LRG_653t1:c.368G>C	LRG_653p1:p.Gly123Ala

... more HGVS ... less HGVS

Protein change

G123A

Other names

Canonical SPDI

NC_000014.9:20693931:G:C

Functional consequence Help The effect of the variant on RNA or protein function, based on experimental evidence from submitters.

Global minor allele frequency (GMAF) Help The global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.

0.00020 (C)

Allele frequency Help The frequency of the allele represented by this VCV record.

1000 Genomes Project 30x 0.00016

1000 Genomes Project 0.00020

Links

dbSNP: rs535311762 VarSome

Genes

Gene	OMIM	ClinGen Gene Dosage Sensitivity Curation		Variation Viewer Help Links to Variation Viewer, a genome browser to view variation data from NCBI databases.	Related variants
Gene	OMIM	HI score Help The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.	TS score Help The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.		Within gene Help The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants.	All Help The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene.
ANG		-	-	GRCh38 GRCh37	8	127
EGILA	-	-	-	GRCh38	-	94
RNASE4		-	-	GRCh38 GRCh37	-	123

Conditions - Germline

Condition Help The condition for this variant-condition (RCV) record in ClinVar.	Classification Help The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions)	Review status Help The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status.	Last evaluated Help The most recent date that a submitter evaluated this variant for the condition.	Variation/condition record Help The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page.
Frontotemporal dementia	Likely pathogenic (1)	no assertion criteria provided	Feb 2, 2022	RCV001848613.2
not provided	Uncertain significance (1)	criteria provided, single submitter	Oct 3, 2023	RCV002034770.5
ANG-related disorder	Uncertain significance (1)	no assertion criteria provided	Jul 3, 2024	RCV003401757.6
Inborn genetic diseases	Uncertain significance (1)	criteria provided, single submitter	Oct 6, 2021	RCV002543425.3

Submissions - Germline

Classification Help The submitted germline classification for each SCV record. (Last evaluated)	Review status Help Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria)	Condition Help The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant.	Submitter Help The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar.	More information Help This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter.
Uncertain significance (Oct 03, 2023)	criteria provided, single submitter (Invitae Variant Classification Sherloc (09022015)) Method: clinical testing	not provided Affected status: unknown Allele origin: germline	Labcorp Genetics (formerly Invitae), Labcorp Accession: SCV002144958.3 First in ClinVar: Mar 28, 2022 Last updated: Feb 14, 2024	Comment: This sequence change replaces glycine, which is neutral and non-polar, with alanine, which is neutral and non-polar, at codon 123 of the ANG protein (p.Gly123Ala). … (more) This sequence change replaces glycine, which is neutral and non-polar, with alanine, which is neutral and non-polar, at codon 123 of the ANG protein (p.Gly123Ala). This variant is present in population databases (rs535311762, gnomAD 0.05%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with ANG-related conditions. ClinVar contains an entry for this variant (Variation ID: 1344517). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Not Available"; PolyPhen-2: "Benign"; Align-GVGD: "Not Available". The alanine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. (less)
Uncertain significance (Oct 06, 2021)	criteria provided, single submitter (Ambry Variant Classification Scheme 2023) Method: clinical testing	Inborn genetic diseases Affected status: unknown Allele origin: germline	Ambry Genetics Accession: SCV003700838.2 First in ClinVar: Feb 07, 2023 Last updated: May 01, 2024	Comment: The c.368G>C (p.G123A) alteration is located in exon 2 (coding exon 1) of the ANG gene. This alteration results from a G to C substitution … (more) The c.368G>C (p.G123A) alteration is located in exon 2 (coding exon 1) of the ANG gene. This alteration results from a G to C substitution at nucleotide position 368, causing the glycine (G) at amino acid position 123 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. (less)
Likely pathogenic (Feb 02, 2022)	no assertion criteria provided Method: research	Frontotemporal dementia Affected status: yes Allele origin: unknown	Guerreiro-Bras Laboratory, Van Andel Institute Accession: SCV002106330.1 First in ClinVar: Mar 19, 2022 Last updated: Mar 19, 2022	Age: 34-73 years Ethnicity/Population group: Caucasian Geographic origin: Portugal
Uncertain significance (Jul 03, 2024)	no assertion criteria provided Method: clinical testing	ANG-related condition Affected status: unknown Allele origin: germline	PreventionGenetics, part of Exact Sciences Accession: SCV004121260.2 First in ClinVar: Nov 20, 2023 Last updated: Oct 08, 2024	Comment: The ANG c.368G>C variant is predicted to result in the amino acid substitution p.Gly123Ala. This variant was reported in an individual with frontotemporal dementia; however, … (more) The ANG c.368G>C variant is predicted to result in the amino acid substitution p.Gly123Ala. This variant was reported in an individual with frontotemporal dementia; however, family analysis showed that the variant only segregated in two out of three affected siblings (Tábuas-Pereira et al. 2022. PubMed ID: 35873773). This variant is reported in 0.051% of alleles in individuals of Latino descent in gnomAD. This variant has conflicting interpretations in ClinVar ranging from uncertain to likely pathogenic (https://preview.ncbi.nlm.nih.gov/clinvar/variation/1344517/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. (less)

Comment:

This sequence change replaces glycine, which is neutral and non-polar, with alanine, which is neutral and non-polar, at codon 123 of the ANG protein (p.Gly123Ala). This variant is present in population databases (rs535311762, gnomAD 0.05%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with ANG-related conditions. ClinVar contains an entry for this variant (Variation ID: 1344517). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Not Available"; PolyPhen-2: "Benign"; Align-GVGD: "Not Available". The alanine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.

Comment:

The c.368G>C (p.G123A) alteration is located in exon 2 (coding exon 1) of the ANG gene. This alteration results from a G to C substitution at nucleotide position 368, causing the glycine (G) at amino acid position 123 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear.

Comment:

The ANG c.368G>C variant is predicted to result in the amino acid substitution p.Gly123Ala. This variant was reported in an individual with frontotemporal dementia; however, family analysis showed that the variant only segregated in two out of three affected siblings (Tábuas-Pereira et al. 2022. PubMed ID: 35873773). This variant is reported in 0.051% of alleles in individuals of Latino descent in gnomAD. This variant has conflicting interpretations in ClinVar ranging from uncertain to likely pathogenic (https://preview.ncbi.nlm.nih.gov/clinvar/variation/1344517/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence.

Germline Functional Evidence

There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Comment:

Citations for germline classification of this variant

There are no citations for germline classification of this variant in ClinVar. If you know of citations for this variation, please consider submitting that information to ClinVar.

Text-mined citations for rs535311762 ...

These citations are identified by LitVar using the rs number, so they may include citations for more than one variant at this location. Please review the LitVar results carefully for your variant of interest.

Record last updated Oct 13, 2024

ClinVar Genomic variation as it relates to human health

NM_001097577.3(ANG):c.368G>C (p.Gly123Ala)

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for rs535311762 ...