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GeneBe

1-100874231-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001033025.3(EXTL2):c.704C>T(p.Ala235Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000392 in 1,612,786 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00029 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00040 ( 1 hom. )

Consequence

EXTL2
NM_001033025.3 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.06
Variant links:
Genes affected
EXTL2 (HGNC:3516): (exostosin like glycosyltransferase 2) Enables alpha-1,4-N-acetylgalactosaminyltransferase activity and glucuronyl-galactosyl-proteoglycan 4-alpha-N-acetylglucosaminyltransferase activity. Involved in N-acetylglucosamine metabolic process and UDP-N-acetylgalactosamine metabolic process. Located in cytosol; endoplasmic reticulum; and nucleoplasm. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.034500957).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EXTL2NM_001033025.3 linkuse as main transcriptc.704C>T p.Ala235Val missense_variant 5/5 ENST00000370114.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EXTL2ENST00000370114.8 linkuse as main transcriptc.704C>T p.Ala235Val missense_variant 5/51 NM_001033025.3 P1
EXTL2ENST00000370113.7 linkuse as main transcriptc.704C>T p.Ala235Val missense_variant 5/51 P1
EXTL2ENST00000450240.2 linkuse as main transcriptc.728C>T p.Ala243Val missense_variant 6/64
EXTL2ENST00000535414.5 linkuse as main transcriptc.*189C>T 3_prime_UTR_variant 4/45

Frequencies

GnomAD3 genomes
AF:
0.000290
AC:
44
AN:
151966
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000656
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000476
AC:
119
AN:
249852
Hom.:
0
AF XY:
0.000511
AC XY:
69
AN XY:
135004
show subpopulations
Gnomad AFR exome
AF:
0.000247
Gnomad AMR exome
AF:
0.00119
Gnomad ASJ exome
AF:
0.00149
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000479
Gnomad OTH exome
AF:
0.000825
GnomAD4 exome
AF:
0.000403
AC:
589
AN:
1460702
Hom.:
1
Cov.:
32
AF XY:
0.000400
AC XY:
291
AN XY:
726636
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.00106
Gnomad4 ASJ exome
AF:
0.00184
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.000408
Gnomad4 OTH exome
AF:
0.000481
GnomAD4 genome
AF:
0.000289
AC:
44
AN:
152084
Hom.:
0
Cov.:
32
AF XY:
0.000229
AC XY:
17
AN XY:
74360
show subpopulations
Gnomad4 AFR
AF:
0.0000482
Gnomad4 AMR
AF:
0.000655
Gnomad4 ASJ
AF:
0.00115
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000473
Hom.:
0
Bravo
AF:
0.000400
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000582
AC:
5
ExAC
AF:
0.000379
AC:
46
EpiCase
AF:
0.000546
EpiControl
AF:
0.000712

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 26, 2022The c.704C>T (p.A235V) alteration is located in exon 5 (coding exon 4) of the EXTL2 gene. This alteration results from a C to T substitution at nucleotide position 704, causing the alanine (A) at amino acid position 235 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.32
Cadd
Benign
21
Dann
Uncertain
0.98
DEOGEN2
Benign
0.40
T;T;T
Eigen
Benign
-0.12
Eigen_PC
Benign
-0.035
FATHMM_MKL
Benign
0.58
D
M_CAP
Benign
0.021
T
MetaRNN
Benign
0.035
T;T;T
MetaSVM
Benign
-0.70
T
MutationAssessor
Uncertain
2.1
M;M;.
MutationTaster
Benign
0.92
N;N;N
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.7
N;N;N
REVEL
Benign
0.24
Sift
Benign
0.28
T;T;T
Sift4G
Benign
0.26
T;T;.
Polyphen
0.0020
B;B;.
Vest4
0.10
MVP
0.77
MPC
0.16
ClinPred
0.015
T
GERP RS
5.1
Varity_R
0.057
gMVP
0.32

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs147366080; hg19: chr1-101339787; API