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 likely pathogenic. Select a step to read what it means.
Likely pathogenic.A likely pathogenic classification under the recorded framework.
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. 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.
The variant substitutes arginine 502, located at the domain 2:3 interface of glucocerebrosidase. Liou et al. (2006, PMID:16293621) demonstrated that substitution at this exact residue (R463P / p.Arg502Pro) abolishes catalytic activity (CRIM SA = 0.01, dead enzyme), indicating this position is critical for GCase function. The variant maps to a structurally defined interface region essential for enzymatic activity. Additionally, exon 10 of GBA is a recognized mutational hot spot (Ankleshwaria et al., 2014, PMID:24522292).
The variant is present at very low frequency in population databases: gnomAD v2.1 AF = 0.0067% (19/282,556 alleles, 0 homozygotes) and gnomAD v4.1 AF = 0.023% (370/1,612,378 alleles, 0 homozygotes). Both frequencies are below the 0.1% PM2 threshold. The absence of homozygotes is consistent with a recessive disease model. However, 370 alleles in v4.1 tempers the strength to supporting rather than moderate.
A different missense change at the same amino acid residue, p.Arg502Pro (R463P in older nomenclature), has been reported as a pathogenic variant in Gaucher disease. Liou et al. (2006, PMID:16293621) expressed and characterized R463P in a baculovirus/insect cell system and found it is a catalytically dead enzyme (CRIM SA = 0.01). This demonstrates that missense alterations at position Arg502 yield a deleterious effect, satisfying the PM5 requirement for a pathogenic missense change at the same residue.
Multiple in silico predictors support a deleterious effect. REVEL score is 0.817 (above the 0.75 damaging threshold). The substitution of a basic arginine with a cysteine capable of forming aberrant disulfide bonds at a position within the domain 2:3 interface of GCase is consistent with a deleterious structural impact. SpliceAI predicts no splicing impact (max delta = 0.06).
This variant is classified as Pathogenic in ClinVar (Variation ID: 4295) by 20 clinical laboratories. Although the review status is criteria provided, single submitter (1-star, not expert panel reviewed), the broad consensus across multiple independent clinical diagnostic laboratories supports applying PP5 at supporting strength. The variant has been consistently reported as Pathogenic with validated PMID evidence trails.
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 v1.0 lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM1 moderate, PM2 supporting, PM5 moderate, PP3 supporting, PP5 supporting; combination = 2 moderate + 3 supporting, which maps to Likely Pathogenic.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 370 / 1,612,378 alleles. Recorded AF 0.000229475. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 6.72433e-05; MAF= 0.00672%, 19/282556 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000108632; MAF= 0.01086%, 14/128876 alleles, homozygotes = 0); grpmax FAF= 7.443e-05.
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.060. Refer to the recorded PP3/BP4 rationale for interpretation.
20 Pathogenic. ClinVar API review status: criteria provided, multiple submitters, no conflicts.
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, with the data and sources behind each one.
27 criteria with recorded statuses: 5 met · 8 not met · 9 not assessed · 5 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The variant c.1504C>T (p.Arg502Cys) substitutes a conserved arginine at the domain 2:3 interface of glucocerebrosidase, a position demonstrated to be critical for enzyme function.
A different missense change at the same residue, p.Arg502Pro, produces a catalytically dead enzyme (CRIM SA = 0.01), establishing that amino acid substitutions at this position abrogate GCase activity.
The variant has been reported in patients with Gaucher disease, including one homozygous individual with type 1 GD presenting with hepatosplenomegaly, anemia, and severe bone disease.
The variant is present at very low frequency in gnomAD (v2.1 AF = 0.0067%, 19/282,556 alleles; v4.1 AF = 0.023%, 370/1,612,378 alleles) with no homozygotes observed.
REVEL in silico prediction score of 0.817 supports a deleterious effect, consistent with the substitution of a basic arginine with a cysteine at a structurally critical domain interface.
Classified as Pathogenic by 20 clinical diagnostic laboratories in ClinVar (Variation ID: 4295), reflecting broad clinical consensus.
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)350 / 1,179,482 | 0.0003 |
| Remaining individuals6 / 62,450 | 9.6e-05 |
| African/African American6 / 74,490 | 8.1e-05 |
| South Asian7 / 90,922 | 7.7e-05 |
| Admixed American1 / 59,782 | 1.7e-05 |
| European (non-Finnish)14 / 128,876 | 0.00011 |
| South Asian3 / 30,616 | 9.8e-05 |
| African/African American2 / 24,964 | 8e-05 |
This variant is present in gnomAD v4.1 (AF= 0.000229475; MAF= 0.02295%, 370/1612378 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.00029674; MAF= 0.02967%, 350/1179482 alleles, homozygotes = 0); grpmax FAF= 0.00027066.
This variant is present in gnomAD v2.1 (AF= 6.72433e-05; MAF= 0.00672%, 19/282556 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000108632; MAF= 0.01086%, 14/128876 alleles, homozygotes = 0); grpmax FAF= 7.443e-05.
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.06). REVEL score = 0.817. BayesDel score = 0.468641.
8 paper records listed. 2 cited in the classification.
Only M416V and R463P completely inactivate the enzyme.
Location Table 1 (R463P entry), Results, Discussion section
Context Baculovirus/Sf21 insect cell expression system. CRIM specific activity, CBE inhibition, deoxynojirimycin Ki, phosphatidylserine activation, cathepsin D sensitivity assays.
R463C homozygous mutation was seen in one patient (3.03%) with type 1 GD with severe bone osteomylitis of femur, hepatosplenomegaly and chronic anemia, and splenectomy was carried out because of severely enlarged spleen.
Location Abstract, Results, Table 2 (Patient 3), Discussion
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= 0.000229475; MAF= 0.02295%, 370/1612378 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.00029674; MAF= 0.02967%, 350/1179482 alleles, homozygotes = 0); grpmax FAF= 0.00027066.
This variant is present in gnomAD v2.1 (AF= 6.72433e-05; MAF= 0.00672%, 19/282556 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000108632; MAF= 0.01086%, 14/128876 alleles, homozygotes = 0); grpmax FAF= 7.443e-05.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Pathogenic (20 clinical laboratories). (ClinVarID = 4295)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.06). REVEL score = 0.817. BayesDel score = 0.468641.
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.