1-103619721-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_000699.4(AMY2A):​c.681C>A​(p.Asp227Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000447 in 151,962 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00045 ( 0 hom., cov: 27)
Exomes 𝑓: 0.000038 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

AMY2A
NM_000699.4 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.22
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.084721744).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AMY2ANM_000699.4 linkc.681C>A p.Asp227Glu missense_variant 4/10 ENST00000414303.7 NP_000690.1 P04746-1Q53F26
AMY2AXM_047418085.1 linkc.681C>A p.Asp227Glu missense_variant 5/11 XP_047274041.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AMY2AENST00000414303.7 linkc.681C>A p.Asp227Glu missense_variant 4/101 NM_000699.4 ENSP00000397582.2 P04746-1
AMY2AENST00000423678.2 linkc.513+613C>A intron_variant 3 ENSP00000390832.2 H7BZQ8

Frequencies

GnomAD3 genomes
AF:
0.000448
AC:
68
AN:
151844
Hom.:
0
Cov.:
27
show subpopulations
Gnomad AFR
AF:
0.00160
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000481
AC:
6
AN:
124652
Hom.:
0
AF XY:
0.0000463
AC XY:
3
AN XY:
64818
show subpopulations
Gnomad AFR exome
AF:
0.000575
Gnomad AMR exome
AF:
0.0000519
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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000383
AC:
56
AN:
1461300
Hom.:
0
Cov.:
32
AF XY:
0.0000316
AC XY:
23
AN XY:
726990
show subpopulations
Gnomad4 AFR exome
AF:
0.00147
Gnomad4 AMR exome
AF:
0.0000447
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:
0.00000180
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.000447
AC:
68
AN:
151962
Hom.:
0
Cov.:
27
AF XY:
0.000431
AC XY:
32
AN XY:
74298
show subpopulations
Gnomad4 AFR
AF:
0.00159
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000338
Hom.:
0
ExAC
AF:
0.00000903
AC:
1

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 GeneticsAug 26, 2024The c.681C>A (p.D227E) alteration is located in exon 4 (coding exon 4) of the AMY2A gene. This alteration results from a C to A substitution at nucleotide position 681, causing the aspartic acid (D) at amino acid position 227 to be replaced by a glutamic acid (E). 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
0.14
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
8.2
DANN
Benign
0.96
DEOGEN2
Uncertain
0.54
D;D
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.068
N
LIST_S2
Benign
0.78
T;.
M_CAP
Benign
0.070
D
MetaRNN
Benign
0.085
T;T
MetaSVM
Uncertain
0.025
D
MutationAssessor
Benign
1.7
L;L
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-1.4
.;N
REVEL
Benign
0.24
Sift
Benign
0.048
.;D
Sift4G
Benign
0.12
T;T
Polyphen
0.0
B;B
Vest4
0.18
MutPred
0.36
Gain of methylation at K223 (P = 0.1655);Gain of methylation at K223 (P = 0.1655);
MVP
0.47
MPC
1.7
ClinPred
0.016
T
GERP RS
-1.2
Varity_R
0.42
gMVP
0.25

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: rs764764228; hg19: chr1-104162343; API