1-115725533-C-T

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4

The NM_001232.4(CASQ2):​c.758G>A​(p.Arg253His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000483 in 1,407,546 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R253S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00012 ( 1 hom., cov: 30)
Exomes 𝑓: 0.000041 ( 0 hom. )

Consequence

CASQ2
NM_001232.4 missense

Scores

1
8
9

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:5

Conservation

PhyloP100: 3.29

Publications

2 publications found
Variant links:
Genes affected
CASQ2 (HGNC:1513): (calsequestrin 2) The protein encoded by this gene specifies the cardiac muscle family member of the calsequestrin family. Calsequestrin is localized to the sarcoplasmic reticulum in cardiac and slow skeletal muscle cells. The protein is a calcium binding protein that stores calcium for muscle function. Mutations in this gene cause stress-induced polymorphic ventricular tachycardia, also referred to as catecholaminergic polymorphic ventricular tachycardia 2 (CPVT2), a disease characterized by bidirectional ventricular tachycardia that may lead to cardiac arrest. [provided by RefSeq, Jul 2008]
CASQ2 Gene-Disease associations (from GenCC):
  • catecholaminergic polymorphic ventricular tachycardia
    Inheritance: AR, AD Classification: DEFINITIVE, MODERATE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • catecholaminergic polymorphic ventricular tachycardia 2
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics, Genomics England PanelApp
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.2791785).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001232.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CASQ2
NM_001232.4
MANE Select
c.758G>Ap.Arg253His
missense
Exon 7 of 11NP_001223.2O14958-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CASQ2
ENST00000261448.6
TSL:1 MANE Select
c.758G>Ap.Arg253His
missense
Exon 7 of 11ENSP00000261448.5O14958-1
CASQ2
ENST00000713711.1
c.899G>Ap.Arg300His
missense
Exon 8 of 12ENSP00000519014.1A0AAQ5BGS1
CASQ2
ENST00000874189.1
c.758G>Ap.Arg253His
missense
Exon 7 of 10ENSP00000544248.1

Frequencies

GnomAD3 genomes
AF:
0.000116
AC:
15
AN:
129072
Hom.:
1
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000302
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000371
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000907
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000934
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000846
AC:
21
AN:
248204
AF XY:
0.0000894
show subpopulations
Gnomad AFR exome
AF:
0.0000617
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000116
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000415
AC:
53
AN:
1278398
Hom.:
0
Cov.:
45
AF XY:
0.0000451
AC XY:
29
AN XY:
643330
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
29910
American (AMR)
AF:
0.0000454
AC:
2
AN:
44072
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24554
East Asian (EAS)
AF:
0.000106
AC:
4
AN:
37836
South Asian (SAS)
AF:
0.0000726
AC:
6
AN:
82666
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51638
Middle Eastern (MID)
AF:
0.000243
AC:
1
AN:
4122
European-Non Finnish (NFE)
AF:
0.0000390
AC:
37
AN:
949914
Other (OTH)
AF:
0.0000559
AC:
3
AN:
53686
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.456
Heterozygous variant carriers
0
4
8
11
15
19
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000116
AC:
15
AN:
129148
Hom.:
1
Cov.:
30
AF XY:
0.000132
AC XY:
8
AN XY:
60630
show subpopulations
African (AFR)
AF:
0.0000302
AC:
1
AN:
33164
American (AMR)
AF:
0.000370
AC:
4
AN:
10806
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3346
East Asian (EAS)
AF:
0.000909
AC:
4
AN:
4400
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4036
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6316
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
222
European-Non Finnish (NFE)
AF:
0.0000934
AC:
6
AN:
64232
Other (OTH)
AF:
0.00
AC:
0
AN:
1750
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.456
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000746
Hom.:
0
ExAC
AF:
0.0000824
AC:
10
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000178

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Cardiovascular phenotype (1)
-
1
-
Catecholaminergic polymorphic ventricular tachycardia 1 (1)
-
1
-
Catecholaminergic polymorphic ventricular tachycardia 1;C2677794:Catecholaminergic polymorphic ventricular tachycardia 2 (1)
-
1
-
Catecholaminergic polymorphic ventricular tachycardia 2 (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.0022
T
BayesDel_noAF
Uncertain
0.0
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T
Eigen
Uncertain
0.21
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.90
D
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.28
T
MetaSVM
Benign
-0.53
T
MutationAssessor
Benign
1.7
L
PhyloP100
3.3
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-2.0
N
REVEL
Uncertain
0.41
Sift
Uncertain
0.028
D
Sift4G
Uncertain
0.043
D
Polyphen
0.17
B
Vest4
0.47
MVP
0.90
MPC
0.058
ClinPred
0.11
T
GERP RS
5.3
Varity_R
0.38
gMVP
0.80
Mutation Taster
=58/42
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs199571249; hg19: chr1-116268154; COSMIC: COSV54767887; COSMIC: COSV54767887; API