About GBA1
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is ClinGen GBA1 VCEP v1.0.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
Residue Glu427 is located within the well-characterized catalytic domain of glucocerebrosidase (GBA1). The GBA1 ClinGen Parkinson's Disease VCEP v1.0.0 does not provide explicit domain-level specifications; however, under generic ACMG/AMP rules, location in a critical functional domain where multiple pathogenic missense variants cluster supports PM1 at a supporting level.
This variant is present at very low frequency in population databases: gnomAD v2.1 AF=0.0159% (45/282,860 alleles) and gnomAD v4.1 AF=0.0193% (311/1,614,180 alleles), both below the 0.1% threshold for PM2. No homozygotes observed. Absent from gnomAD-Canada v1.0.
No benign criterion marked as applied in the recorded assessment.
ClinGen Parkinson's Disease Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for GBA1 Version 1.0.0 v1.0.0 lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM1 supporting, PM2 supporting; combination = 2 supporting, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 311 / 1,614,180 alleles. Recorded AF 0.000192667. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 0.000159089; MAF= 0.01591%, 45/282860 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000263207; MAF= 0.02632%, 34/129176 alleles, homozygotes = 0); grpmax FAF= 0.00021135.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00021720243266724586, 4/18416 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.070. Refer to the recorded PP3/BP4 rationale for interpretation.
7 Uncertain significance.
No standalone functional evidence summary is recorded in evidence_summary.functional.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen GBA1 VCEP v1.0.0, with the data and sources behind each one.
27 criteria with recorded statuses: 2 met · 12 not met · 10 not assessed · 3 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000157.4:c.1279G>A (p.Glu427Lys) is a missense variant in exon 9 of GBA1, located within the catalytic domain of glucocerebrosidase.
This variant is present at very low frequency in population databases: gnomAD v2.1 AF=0.0159% (45/282,860 alleles) and gnomAD v4.1 AF=0.0193% (311/1,614,180 alleles), with no homozygotes observed (PM2_Supporting).
The variant is located within the well-characterized catalytic domain of GBA1 where multiple pathogenic missense variants cluster (PM1_Supporting).
This variant has been reported in ClinVar as Uncertain significance by 7 clinical laboratories (ClinVar Variation ID: 493050), with no expert panel classification available.
In silico predictors are mixed: REVEL score is 0.579 (intermediate), BayesDel is 0.107 (benign-leaning), and SpliceAI predicts no splicing impact (max delta 0.07). Multiple lines of computational evidence do not consistently support a pathogenic or benign interpretation (PP3 not met, BP4 not met).
Exploratory literature review identified potential functional evidence (PMID:10079102, PMID:15300782) reporting severely reduced glucocerebrosidase activity for E427K, and potential co-segregation evidence (PMID:9375849). However, full-text verification was not available in this case to confirm exact variant-specific data (PS3 and PP1 not assessed pending full-text review).
Applying generic ACMG/AMP 2015 combination rules: PM1_Supporting + PM2_Supporting = 2 supporting pathogenic criteria. No benign criteria are met. This is consistent with a final classification of Variant of Uncertain Significance (VUS).
No criteria match.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in GBA1, mapped onto the exon structure of NM_000157.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| European (non-Finnish)263 / 1,180,044 | 0.00022 |
| South Asian20 / 91,084 | 0.00022 |
| Remaining individuals13 / 62,506 | 0.00021 |
| Middle Eastern1 / 6,062 | 0.00016 |
| European (Finnish)9 / 64,038 | 0.00014 |
| Admixed American4 / 60,024 | 6.7e-05 |
| African/African American1 / 75,016 | 1.3e-05 |
| European (non-Finnish)34 / 129,176 | 0.00026 |
| Remaining individuals1 / 7,226 | 0.00014 |
| South Asian4 / 30,616 | 0.00013 |
| European (Finnish)3 / 25,120 | 0.00012 |
| Admixed American2 / 35,432 | 5.6e-05 |
| African/African American1 / 24,966 | 4e-05 |
This variant is present in gnomAD v4.1 (AF= 0.000192667; MAF= 0.01927%, 311/1614180 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000222873; MAF= 0.02229%, 263/1180044 alleles, homozygotes = 0); grpmax FAF= 0.00020027.
This variant is present in gnomAD v2.1 (AF= 0.000159089; MAF= 0.01591%, 45/282860 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000263207; MAF= 0.02632%, 34/129176 alleles, homozygotes = 0); grpmax FAF= 0.00021135.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00021720243266724586, 4/18416 alleles, homozygotes = 0).
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.07). REVEL score = 0.579. BayesDel score = 0.107037.
9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 0.000192667; MAF= 0.01927%, 311/1614180 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000222873; MAF= 0.02229%, 263/1180044 alleles, homozygotes = 0); grpmax FAF= 0.00020027.
This variant is present in gnomAD v2.1 (AF= 0.000159089; MAF= 0.01591%, 45/282860 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000263207; MAF= 0.02632%, 34/129176 alleles, homozygotes = 0); grpmax FAF= 0.00021135.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00021720243266724586, 4/18416 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Uncertain significance (7 clinical laboratories). (ClinVarID = 493050)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.07). REVEL score = 0.579. BayesDel score = 0.107037.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.