ClinVar

Description

Variant summary: GCK c.823C>G (p.Arg275Gly) results in a non-conservative amino acid change located in the Hexokinase, C-terminal domain (IPR022673) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant was absent in 250398 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.823C>G has been reported in the literature in settings of multigene panel testing in one proband from a cohort referred for Maturity Onset Diabetes of the Young genetic testing (example, Sain-Martin_2022). The specifc clinical criteria of GCK-associated Monogenic Diabetes is not explicitly specified. These report(s) do not provide unequivocal conclusions about association of the variant with Monogenic Diabetes. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Other variants located at the same codon, namely c.823C>T (p.Arg275Cys)/c.824G>T (p.Arg275Leu)/c.824G>C (p.Arg275Pro) have been classified as Pathogenic/Likely pathogenic by the Clingen MODY expert panel, supporting a critical relevance of this Arginine reside to GCK protein function. The following publication have been ascertained in the context of this evaluation (PMID: 34556497). No submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. Based on the evidence outlined above, the variant was classified as uncertain significance.