1-103623866-G-T

Variant summary

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

The ENST00000414303.7(AMY2A):​c.1102G>T​(p.Asp368Tyr) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000666 in 150,200 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 21)
Exomes 𝑓: 0.000018 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

AMY2A
ENST00000414303.7 missense, splice_region

Scores

11
5
3
Splicing: ADA: 0.9980
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.32
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, 0.98

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AMY2ANM_000699.4 linkuse as main transcriptc.1102G>T p.Asp368Tyr missense_variant, splice_region_variant 8/10 ENST00000414303.7 NP_000690.1 P04746-1Q53F26
AMY2AXM_047418085.1 linkuse as main transcriptc.1102G>T p.Asp368Tyr missense_variant, splice_region_variant 9/11 XP_047274041.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AMY2AENST00000414303.7 linkuse as main transcriptc.1102G>T p.Asp368Tyr missense_variant, splice_region_variant 8/101 NM_000699.4 ENSP00000397582.2 P04746-1
AMY2AENST00000497748.1 linkuse as main transcriptn.239G>T splice_region_variant, non_coding_transcript_exon_variant 3/52

Frequencies

GnomAD3 genomes
AF:
0.00000666
AC:
1
AN:
150200
Hom.:
0
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000149
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000178
AC:
26
AN:
1458376
Hom.:
0
Cov.:
30
AF XY:
0.0000220
AC XY:
16
AN XY:
725636
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.0000234
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000666
AC:
1
AN:
150200
Hom.:
0
Cov.:
21
AF XY:
0.0000137
AC XY:
1
AN XY:
73206
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000149
Gnomad4 OTH
AF:
0.00

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 GeneticsJun 16, 2024The c.1102G>T (p.D368Y) alteration is located in exon 8 (coding exon 8) of the AMY2A gene. This alteration results from a G to T substitution at nucleotide position 1102, causing the aspartic acid (D) at amino acid position 368 to be replaced by a tyrosine (Y). 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
0.92
BayesDel_addAF
Pathogenic
0.28
D
BayesDel_noAF
Pathogenic
0.17
CADD
Pathogenic
32
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.43
T;T
Eigen
Uncertain
0.53
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.97
D;.
M_CAP
Benign
0.025
D
MetaRNN
Pathogenic
0.98
D;D
MetaSVM
Benign
-0.33
T
MutationAssessor
Pathogenic
2.9
M;M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.60
T
PROVEAN
Pathogenic
-5.1
.;D
REVEL
Pathogenic
0.80
Sift
Pathogenic
0.0
.;D
Sift4G
Pathogenic
0.0010
D;D
Polyphen
1.0
D;D
Vest4
0.85
MutPred
0.80
Loss of disorder (P = 0.0465);Loss of disorder (P = 0.0465);
MVP
0.49
MPC
3.7
ClinPred
1.0
D
GERP RS
2.9
Varity_R
0.93
gMVP
0.59

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.97
SpliceAI score (max)
0.46
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.46
Position offset: 0

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: rs1328454751; hg19: chr1-104166488; API