1-103618930-C-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_000699.4(AMY2A):​c.335C>A​(p.Ala112Asp) variant causes a missense change. The variant allele was found at a frequency of 0.00000251 in 1,196,542 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 29)
Exomes 𝑓: 0.0000025 ( 0 hom. )

Consequence

AMY2A
NM_000699.4 missense

Scores

9
8
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.68
Variant links:
Genes affected
AMY2A (HGNC:477): (amylase alpha 2A) This gene encodes a member of the alpha-amylase family of proteins. Amylases are secreted proteins that hydrolyze 1,4-alpha-glucoside bonds in oligosaccharides and polysaccharides, catalyzing the first step in digestion of dietary starch and glycogen. This gene and several family members are present in a gene cluster on chromosome 1. This gene encodes an amylase isoenzyme produced by the pancreas. [provided by RefSeq, Jan 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.957

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AMY2ANM_000699.4 linkc.335C>A p.Ala112Asp missense_variant 3/10 ENST00000414303.7 NP_000690.1 P04746-1Q53F26
AMY2AXM_047418085.1 linkc.335C>A p.Ala112Asp missense_variant 4/11 XP_047274041.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AMY2AENST00000414303.7 linkc.335C>A p.Ala112Asp missense_variant 3/101 NM_000699.4 ENSP00000397582.2 P04746-1
AMY2AENST00000423678.2 linkc.335C>A p.Ala112Asp missense_variant 3/43 ENSP00000390832.2 H7BZQ8

Frequencies

GnomAD3 genomes
Cov.:
29
GnomAD3 exomes
AF:
0.0000278
AC:
4
AN:
143852
Hom.:
0
AF XY:
0.0000132
AC XY:
1
AN XY:
75556
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000218
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000251
AC:
3
AN:
1196542
Hom.:
0
Cov.:
20
AF XY:
0.00000169
AC XY:
1
AN XY:
593326
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000114
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
29
Bravo
AF:
0.0000189
ExAC
AF:
0.0000341
AC:
4

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 GeneticsDec 04, 2024The c.335C>A (p.A112D) alteration is located in exon 3 (coding exon 3) of the AMY2A gene. This alteration results from a C to A substitution at nucleotide position 335, causing the alanine (A) at amino acid position 112 to be replaced by an aspartic acid (D). 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
Pathogenic
0.96
BayesDel_addAF
Pathogenic
0.30
D
BayesDel_noAF
Pathogenic
0.49
CADD
Pathogenic
30
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.87
D;D
Eigen
Uncertain
0.20
Eigen_PC
Benign
0.083
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Pathogenic
0.98
D;.
M_CAP
Uncertain
0.12
D
MetaRNN
Pathogenic
0.96
D;D
MetaSVM
Uncertain
0.39
D
MutationAssessor
Pathogenic
3.9
H;H
PrimateAI
Pathogenic
0.83
D
PROVEAN
Uncertain
-3.7
.;D
REVEL
Pathogenic
0.95
Sift
Uncertain
0.0020
.;D
Sift4G
Uncertain
0.015
D;D
Polyphen
0.99
D;D
Vest4
0.95
MutPred
0.83
Loss of MoRF binding (P = 0.0658);Loss of MoRF binding (P = 0.0658);
MVP
0.97
MPC
4.3
ClinPred
0.94
D
GERP RS
2.7
Varity_R
0.99
gMVP
0.83

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs745355607; hg19: chr1-104161552; API