1-119997088-G-T

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 2P and 10B. PM2BP4_ModerateBP6_Very_Strong

The NM_024408.4(NOTCH2):​c.660C>A​(p.Ser220Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,640 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: not found (cov: 30)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

NOTCH2
NM_024408.4 missense

Scores

2
17

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.120

Publications

6 publications found
Variant links:
Genes affected
NOTCH2 (HGNC:7882): (notch receptor 2) This gene encodes a member of the Notch family. Members of this Type 1 transmembrane protein family share structural characteristics including an extracellular domain consisting of multiple epidermal growth factor-like (EGF) repeats, and an intracellular domain consisting of multiple, different domain types. Notch family members play a role in a variety of developmental processes by controlling cell fate decisions. The Notch signaling network is an evolutionarily conserved intercellular signaling pathway which regulates interactions between physically adjacent cells. In Drosophilia, notch interaction with its cell-bound ligands (delta, serrate) establishes an intercellular signaling pathway that plays a key role in development. Homologues of the notch-ligands have also been identified in human, but precise interactions between these ligands and the human notch homologues remain to be determined. This protein is cleaved in the trans-Golgi network, and presented on the cell surface as a heterodimer. This protein functions as a receptor for membrane bound ligands, and may play a role in vascular, renal and hepatic development. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2011]
NOTCH2 Gene-Disease associations (from GenCC):
  • acroosteolysis dominant type
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • Alagille syndrome due to a NOTCH2 point mutation
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • Alagille syndrome
    Inheritance: AD Classification: MODERATE Submitted by: Illumina

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.15923414).
BP6
Variant 1-119997088-G-T is Benign according to our data. Variant chr1-119997088-G-T is described in ClinVar as Likely_benign. ClinVar VariationId is 445811.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NOTCH2NM_024408.4 linkc.660C>A p.Ser220Arg missense_variant Exon 4 of 34 ENST00000256646.7 NP_077719.2 Q04721Q6IQ50Q9UFD5
NOTCH2NM_001200001.2 linkc.660C>A p.Ser220Arg missense_variant Exon 4 of 22 NP_001186930.1 Q04721Q6IQ50

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NOTCH2ENST00000256646.7 linkc.660C>A p.Ser220Arg missense_variant Exon 4 of 34 1 NM_024408.4 ENSP00000256646.2 Q04721
NOTCH2ENST00000479412.2 linkn.798C>A non_coding_transcript_exon_variant Exon 3 of 14 1
NOTCH2ENST00000652302.1 linkc.660C>A p.Ser220Arg missense_variant Exon 4 of 5 ENSP00000499202.1 A0A494C1U9
NOTCH2ENST00000652264.1 linkc.*200C>A downstream_gene_variant ENSP00000499006.1 A0A494C1F1

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD2 exomes
AF:
0.0000245
AC:
6
AN:
245038
AF XY:
0.0000151
show subpopulations
Gnomad AFR exome
AF:
0.0000622
Gnomad AMR exome
AF:
0.0000295
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000272
Gnomad OTH exome
AF:
0.000168
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461640
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727132
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33472
American (AMR)
AF:
0.00
AC:
0
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39694
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86250
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53414
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5762
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1111824
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.408
Heterozygous variant carriers
0
0
1
1
2
2
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
Cov.:
30
Alfa
AF:
0.0178
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000906
AC:
11

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Aug 22, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.068
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
9.2
DANN
Benign
0.65
DEOGEN2
Uncertain
0.44
T;T;.
Eigen
Benign
-0.79
Eigen_PC
Benign
-0.93
FATHMM_MKL
Benign
0.19
N
LIST_S2
Benign
0.46
T;T;.
M_CAP
Benign
0.036
D
MetaRNN
Benign
0.16
T;T;T
MetaSVM
Benign
-0.86
T
MutationAssessor
Benign
0.81
L;.;.
PhyloP100
-0.12
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-2.0
N;.;.
REVEL
Benign
0.28
Sift
Benign
0.36
T;.;.
Sift4G
Benign
0.38
T;T;T
Polyphen
0.97
D;D;.
Vest4
0.54
MutPred
0.38
Loss of disorder (P = 0.1501);.;.;
MVP
0.80
MPC
1.1
ClinPred
0.043
T
GERP RS
-1.1
Varity_R
0.042
gMVP
0.41
Mutation Taster
=62/38
polymorphism

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

Other links and lift over

dbSNP: rs112650847; hg19: chr1-120539711; COSMIC: COSV56680697; API