1-226883824-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_000447.3(PSEN2):​c.261C>T​(p.His87=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.511 in 1,613,636 control chromosomes in the GnomAD database, including 213,099 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.49 ( 18328 hom., cov: 31)
Exomes 𝑓: 0.51 ( 194771 hom. )

Consequence

PSEN2
NM_000447.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: 0.266
Variant links:
Genes affected
PSEN2 (HGNC:9509): (presenilin 2) Alzheimer's disease (AD) patients with an inherited form of the disease carry mutations in the presenilin proteins (PSEN1 or PSEN2) or the amyloid precursor protein (APP). These disease-linked mutations result in increased production of the longer form of amyloid-beta (main component of amyloid deposits found in AD brains). Presenilins are postulated to regulate APP processing through their effects on gamma-secretase, an enzyme that cleaves APP. Also, it is thought that the presenilins are involved in the cleavage of the Notch receptor such that, they either directly regulate gamma-secretase activity, or themselves act are protease enzymes. Two alternatively spliced transcript variants encoding different isoforms of PSEN2 have been identified. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.24).
BP6
Variant 1-226883824-C-T is Benign according to our data. Variant chr1-226883824-C-T is described in ClinVar as [Benign]. Clinvar id is 256181.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-226883824-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=0.266 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.523 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PSEN2NM_000447.3 linkuse as main transcriptc.261C>T p.His87= synonymous_variant 5/13 ENST00000366783.8 NP_000438.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PSEN2ENST00000366783.8 linkuse as main transcriptc.261C>T p.His87= synonymous_variant 5/135 NM_000447.3 ENSP00000355747 P4P49810-1

Frequencies

GnomAD3 genomes
AF:
0.486
AC:
73748
AN:
151806
Hom.:
18318
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.389
Gnomad AMI
AF:
0.575
Gnomad AMR
AF:
0.525
Gnomad ASJ
AF:
0.613
Gnomad EAS
AF:
0.411
Gnomad SAS
AF:
0.414
Gnomad FIN
AF:
0.547
Gnomad MID
AF:
0.649
Gnomad NFE
AF:
0.527
Gnomad OTH
AF:
0.530
GnomAD3 exomes
AF:
0.502
AC:
126306
AN:
251386
Hom.:
32460
AF XY:
0.503
AC XY:
68342
AN XY:
135894
show subpopulations
Gnomad AFR exome
AF:
0.380
Gnomad AMR exome
AF:
0.518
Gnomad ASJ exome
AF:
0.613
Gnomad EAS exome
AF:
0.405
Gnomad SAS exome
AF:
0.418
Gnomad FIN exome
AF:
0.536
Gnomad NFE exome
AF:
0.534
Gnomad OTH exome
AF:
0.555
GnomAD4 exome
AF:
0.514
AC:
751560
AN:
1461712
Hom.:
194771
Cov.:
59
AF XY:
0.513
AC XY:
372972
AN XY:
727156
show subpopulations
Gnomad4 AFR exome
AF:
0.391
Gnomad4 AMR exome
AF:
0.522
Gnomad4 ASJ exome
AF:
0.617
Gnomad4 EAS exome
AF:
0.442
Gnomad4 SAS exome
AF:
0.416
Gnomad4 FIN exome
AF:
0.534
Gnomad4 NFE exome
AF:
0.524
Gnomad4 OTH exome
AF:
0.514
GnomAD4 genome
AF:
0.486
AC:
73787
AN:
151924
Hom.:
18328
Cov.:
31
AF XY:
0.485
AC XY:
36056
AN XY:
74268
show subpopulations
Gnomad4 AFR
AF:
0.389
Gnomad4 AMR
AF:
0.525
Gnomad4 ASJ
AF:
0.613
Gnomad4 EAS
AF:
0.411
Gnomad4 SAS
AF:
0.416
Gnomad4 FIN
AF:
0.547
Gnomad4 NFE
AF:
0.527
Gnomad4 OTH
AF:
0.525
Alfa
AF:
0.530
Hom.:
27539
Bravo
AF:
0.483
Asia WGS
AF:
0.415
AC:
1445
AN:
3478
EpiCase
AF:
0.538
EpiControl
AF:
0.558

ClinVar

Significance: Benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Alzheimer disease 4 Benign:4
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabOct 25, 2021- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsApr 25, 2017- -
Dilated cardiomyopathy 1V Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabOct 25, 2021- -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxSep 18, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.24
CADD
Benign
5.4
DANN
Benign
0.65

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: rs1046240; hg19: chr1-227071525; COSMIC: COSV60915252; COSMIC: COSV60915252; API