Variant: NM_000162.5(GCK):c.454T>C (p.Phe152Leu)

CA367401929

995370 (ClinVar)

Gene: GCK

Condition: monogenic diabetes

Inheritance Mode: Semidominant inheritance

UUID: c45f79b0-c0a7-429f-8d11-0f0b09338025

Approved on: 2024-04-18

Published on: 2024-04-18

HGVS expressions

NM_000162.5:c.454T>C
NM_000162.5(GCK):c.454T>C (p.Phe152Leu)
NC_000007.14:g.44150985A>G
CM000669.2:g.44150985A>G
NC_000007.13:g.44190584A>G
CM000669.1:g.44190584A>G
NC_000007.12:g.44157109A>G
NG_008847.1:g.43439T>C
NG_008847.2:g.52186T>C
ENST00000395796.8:c.*452T>C
ENST00000616242.5:c.454T>C
ENST00000682635.1:n.940T>C
ENST00000345378.7:c.457T>C
ENST00000403799.8:c.454T>C
ENST00000671824.1:c.454T>C
ENST00000673284.1:c.454T>C
ENST00000345378.6:c.457T>C
ENST00000395796.7:c.451T>C
ENST00000403799.7:c.454T>C
ENST00000437084.1:c.403T>C
ENST00000616242.4:c.451T>C
NM_000162.3:c.454T>C
NM_033507.1:c.457T>C
NM_033508.1:c.451T>C
NM_000162.4:c.454T>C
NM_001354800.1:c.454T>C
NM_033507.2:c.457T>C
NM_033508.2:c.451T>C
NM_033507.3:c.457T>C
NM_033508.3:c.451T>C

Pathogenic

• Met criteria codes: PP4_Moderate PS4 PP3 PP2 PP1_Strong PM2_Supporting

Expert Panel

Monogenic Diabetes VCEP

Criteria Specification Information

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

Evidence submitted by expert panel

Monogenic Diabetes VCEP

The c.454T>C variant in the glucokinase gene, GCK, causes an amino acid change of phenylalanine to leucine at codon 152 (p.(Phe152Leu)) 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 0.992, 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 seven unrelated individuals with hyperglycemia (PS4; PMID: 16965331, internal lab contributors]). This variant segregated with diabetes/hyperglycemia, with at least four informative meioses in two families (PP1_Strong; internal lab contributors). This variant was identified in an individual with a clinical history highly specific for GCK-hyperglycemia (FBG 5.5-8 mmol/L and HbA1c 5.6 - 7.6% and negative antibody) (PP4_Moderate; internal lab contributors]). In summary, c.454T>C meets the criteria to be classified as a variant of pathogenic for monogenic diabetes. ACMG/AMP criteria applied, as specified by the ClinGen MDEP (specification version 1.3.0, approved 8/11/2023): PP4_Moderate, PS4, PM2_Supporting, PP3, PP2, PP1_Strong.

Met criteria codes

• PP4_Moderate: This variant was identified in an individual with a clinical history highly specific for GCK-hyperglycemia (FBG 5.5-8 mmol/L and HbA1c 5.6 - 7.6% and negative antibody) (PP4_Moderate; internal lab contributors]).
• PS4: This variant was identified in seven unrelated individuals with hyperglycemia (PS4; PMID: 16965331, internal lab contributors]).
• PP3: This variant is predicted to be deleterious by computational evidence, with a REVEL score of 0.992, 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).
• PP1_Strong: This variant segregated with diabetes/hyperglycemia, with at least four informative meioses in two families (PP1_Strong; internal lab contributors).
• PM2_Supporting: This variant is absent from gnomAD v2.1.1 (PM2_Supporting).