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NM_000162.5(GCK):c.562G>A (p.Ala188Thr) AND not provided

Germline classification:
Pathogenic (3 submissions)
Last evaluated:
Sep 6, 2023
Review status:
2 stars out of maximum of 4 stars
criteria provided, multiple submitters, no conflicts
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000992055.11

Allele description [Variation Report for NM_000162.5(GCK):c.562G>A (p.Ala188Thr)]

NM_000162.5(GCK):c.562G>A (p.Ala188Thr)

Gene:
GCK:glucokinase [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
7p13
Genomic location:
Preferred name:
NM_000162.5(GCK):c.562G>A (p.Ala188Thr)
HGVS:
  • NC_000007.14:g.44149986C>T
  • NG_008847.2:g.53185G>A
  • NM_000162.5:c.562G>AMANE SELECT
  • NM_001354800.1:c.562G>A
  • NM_033507.3:c.565G>A
  • NM_033508.3:c.559G>A
  • NP_000153.1:p.Ala188Thr
  • NP_001341729.1:p.Ala188Thr
  • NP_277042.1:p.Ala189Thr
  • NP_277043.1:p.Ala187Thr
  • LRG_1074t1:c.562G>A
  • LRG_1074t2:c.565G>A
  • LRG_1074:g.53185G>A
  • LRG_1074p1:p.Ala188Thr
  • LRG_1074p2:p.Ala189Thr
  • NC_000007.13:g.44189585C>T
  • NC_000007.13:g.44189585C>T
  • NM_000162.3:c.562G>A
Protein change:
A187T
Links:
dbSNP: rs751279776
NCBI 1000 Genomes Browser:
rs751279776
Molecular consequence:
  • NM_000162.5:c.562G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001354800.1:c.562G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_033507.3:c.565G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_033508.3:c.559G>A - missense variant - [Sequence Ontology: SO:0001583]

Condition(s)

Synonyms:
none provided
Identifiers:
MedGen: C3661900

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV001144023Athena Diagnostics
criteria provided, single submitter

(Athena Diagnostics Criteria)
Pathogenic
(Sep 6, 2023)
unknownclinical testing

PubMed (18)
[See all records that cite these PMIDs]

SCV002067433Genetic Services Laboratory, University of Chicago
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenic
(Dec 8, 2020)
germlineclinical testing

PubMed (1)
[See all records that cite this PMID]

SCV003439965Invitae
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Pathogenic
(Jul 25, 2023)
germlineclinical testing

PubMed (6)
[See all records that cite these PMIDs]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineyesnot providednot providednot providednot providednot providedclinical testing
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing
not providedunknownunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Reduced penetrance of MODY-associated HNF1A/HNF4A variants but not GCK variants in clinically unselected cohorts.

Mirshahi UL, Colclough K, Wright CF, Wood AR, Beaumont RN, Tyrrell J, Laver TW, Stahl R, Golden A, Goehringer JM; Geisinger-Regeneron DiscovEHR Collaboration., Frayling TF, Hattersley AT, Carey DJ, Weedon MN, Patel KA.

Am J Hum Genet. 2022 Nov 3;109(11):2018-2028. doi: 10.1016/j.ajhg.2022.09.014. Epub 2022 Oct 17.

PubMed [citation]
PMID:
36257325
PMCID:
PMC9674944

The Mutation Spectrum of Rare Variants in the Gene of Adenosine Triphosphate (ATP)-Binding Cassette Subfamily C Member 8 in Patients with a MODY Phenotype in Western Siberia.

Ivanoshchuk D, Shakhtshneider E, Mikhailova S, Ovsyannikova A, Rymar O, Valeeva E, Orlov P, Voevoda M.

J Pers Med. 2023 Jan 19;13(2). doi:pii: 172. 10.3390/jpm13020172.

PubMed [citation]
PMID:
36836406
PMCID:
PMC9967647
See all PubMed Citations (20)

Details of each submission

From Athena Diagnostics, SCV001144023.4

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (18)

Description

The frequency of this variant in the general population is consistent with pathogenicity (http://gnomad.broadinstitute.org). This variant segregates with MODY in multiple families. Assessment of experimental evidence suggests this variant results in abnormal protein function. (PMID: 8325892, 30257192)

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1unknownunknownnot providednot providednot providednot providednot providednot providednot provided

From Genetic Services Laboratory, University of Chicago, SCV002067433.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)

Description

This sequence change has been previously described in multiple patients and families with GCK-related MODY (PMID: 8314448, 30257192, 14517956, 29207974 and 20337973). This particular sequence change has been described in the gnomAD database in one individual which corresponds to a population frequency of 0.00040% (dbSNP rs751279776). Experimental studies have indicated reduced enzymatic activity and protein stability for this sequence change (PMID: 30257192). The p.Ala188Thr change affects a highly conserved amino acid residue located in a Hexokinase domain of the GCK protein that is known to be functional. The p.Ala188Thr substitution appears to be deleterious using several in-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL). These collective evidences indicate that this sequence change is pathogenic.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineyesnot providednot providednot providednot providednot providednot providednot provided

From Invitae, SCV003439965.2

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (6)

Description

For these reasons, this variant has been classified as Pathogenic. Experimental studies have shown that this missense change affects GCK function (PMID: 8325892, 30257192). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt GCK protein function. ClinVar contains an entry for this variant (Variation ID: 804849). This missense change has been observed in individual(s) with maturity-onset diabetes of the young (PMID: 8314448, 12050210, 28170077, 30257192). It has also been observed to segregate with disease in related individuals. This variant is present in population databases (rs751279776, gnomAD 0.006%). This sequence change replaces alanine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 188 of the GCK protein (p.Ala188Thr).

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: May 7, 2024