1-205059101-C-T

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_005076.5(CNTN2):​c.505C>T​(p.Leu169Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0032 in 1,614,204 control chromosomes in the GnomAD database, including 12 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0022 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0033 ( 10 hom. )

Consequence

CNTN2
NM_005076.5 missense

Scores

4
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 0.717
Variant links:
Genes affected
CNTN2 (HGNC:2172): (contactin 2) This gene encodes a member of the contactin family of proteins, part of the immunoglobulin superfamily of cell adhesion molecules. The encoded glycosylphosphatidylinositol (GPI)-anchored neuronal membrane protein plays a role in the proliferation, migration, and axon guidance of neurons of the developing cerebellum. A mutation in this gene may be associated with adult myoclonic epilepsy. [provided by RefSeq, Sep 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009752125).
BP6
Variant 1-205059101-C-T is Benign according to our data. Variant chr1-205059101-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 445932.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1}. Variant chr1-205059101-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00224 (342/152342) while in subpopulation NFE AF= 0.00414 (282/68034). AF 95% confidence interval is 0.00375. There are 2 homozygotes in gnomad4. There are 155 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CNTN2NM_005076.5 linkc.505C>T p.Leu169Phe missense_variant Exon 6 of 23 ENST00000331830.7 NP_005067.1 Q02246A1ML24A1L3A3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CNTN2ENST00000331830.7 linkc.505C>T p.Leu169Phe missense_variant Exon 6 of 23 1 NM_005076.5 ENSP00000330633.4 Q02246

Frequencies

GnomAD3 genomes
AF:
0.00225
AC:
343
AN:
152224
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000651
Gnomad AMI
AF:
0.00219
Gnomad AMR
AF:
0.00118
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00103
Gnomad FIN
AF:
0.000282
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00416
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00260
AC:
653
AN:
251318
Hom.:
1
AF XY:
0.00255
AC XY:
346
AN XY:
135866
show subpopulations
Gnomad AFR exome
AF:
0.000738
Gnomad AMR exome
AF:
0.00202
Gnomad ASJ exome
AF:
0.000397
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00108
Gnomad FIN exome
AF:
0.000370
Gnomad NFE exome
AF:
0.00443
Gnomad OTH exome
AF:
0.00359
GnomAD4 exome
AF:
0.00330
AC:
4827
AN:
1461862
Hom.:
10
Cov.:
32
AF XY:
0.00333
AC XY:
2421
AN XY:
727232
show subpopulations
Gnomad4 AFR exome
AF:
0.000597
Gnomad4 AMR exome
AF:
0.00226
Gnomad4 ASJ exome
AF:
0.000536
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00101
Gnomad4 FIN exome
AF:
0.000543
Gnomad4 NFE exome
AF:
0.00399
Gnomad4 OTH exome
AF:
0.00205
GnomAD4 genome
AF:
0.00224
AC:
342
AN:
152342
Hom.:
2
Cov.:
32
AF XY:
0.00208
AC XY:
155
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.000649
Gnomad4 AMR
AF:
0.00118
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.000282
Gnomad4 NFE
AF:
0.00414
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00336
Hom.:
1
Bravo
AF:
0.00255
TwinsUK
AF:
0.00485
AC:
18
ALSPAC
AF:
0.00389
AC:
15
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00419
AC:
36
ExAC
AF:
0.00267
AC:
324
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00365
EpiControl
AF:
0.00474

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Mar 09, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

May 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

CNTN2: BS2 -

CNTN2-related disorder Benign:1
Jan 09, 2020
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Epilepsy, familial adult myoclonic, 5 Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
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
Uncertain
0.51
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.16
T;T;.
Eigen
Benign
-0.14
Eigen_PC
Benign
-0.0088
FATHMM_MKL
Benign
0.75
D
LIST_S2
Uncertain
0.88
.;.;D
M_CAP
Benign
0.0037
T
MetaRNN
Benign
0.0098
T;T;T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
0.82
L;L;.
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-1.7
.;N;.
REVEL
Benign
0.044
Sift
Benign
0.21
.;T;.
Sift4G
Benign
0.34
.;T;.
Polyphen
0.060
B;B;.
Vest4
0.27
MVP
0.48
MPC
0.52
ClinPred
0.016
T
GERP RS
4.0
Varity_R
0.36
gMVP
0.67

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: rs142502980; hg19: chr1-205028229; API