1-236686786-A-G

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_ModerateBP6_Moderate

The ENST00000366578.6(ACTN2):​c.113A>G​(p.Lys38Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000661 in 151,372 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

ACTN2
ENST00000366578.6 missense

Scores

1
4
13

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 8.43

Publications

0 publications found
Variant links:
Genes affected
ACTN2 (HGNC:164): (actinin alpha 2) Alpha actinins belong to the spectrin gene superfamily which represents a diverse group of cytoskeletal proteins, including the alpha and beta spectrins and dystrophins. Alpha actinin is an actin-binding protein with multiple roles in different cell types. In nonmuscle cells, the cytoskeletal isoform is found along microfilament bundles and adherens-type junctions, where it is involved in binding actin to the membrane. In contrast, skeletal, cardiac, and smooth muscle isoforms are localized to the Z-disc and analogous dense bodies, where they help anchor the myofibrillar actin filaments. This gene encodes a muscle-specific, alpha actinin isoform that is expressed in both skeletal and cardiac muscles. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2013]
ACTN2 Gene-Disease associations (from GenCC):
  • intrinsic cardiomyopathy
    Inheritance: AD Classification: DEFINITIVE, MODERATE Submitted by: Laboratory for Molecular Medicine, ClinGen
  • myopathy, congenital, with structured cores and z-line abnormalities
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • dilated cardiomyopathy 1AA
    Inheritance: AD Classification: MODERATE, LIMITED Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • heart conduction disease
    Inheritance: AD Classification: LIMITED Submitted by: Genomics England PanelApp
  • myopathy, distal, 6, adult-onset, autosomal dominant
    Inheritance: AD, Unknown Classification: LIMITED Submitted by: Broad Center for Mendelian Genomics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.18862203).
BP6
Variant 1-236686786-A-G is Benign according to our data. Variant chr1-236686786-A-G is described in ClinVar as Benign. ClinVar VariationId is 532044.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000366578.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACTN2
NM_001103.4
MANE Select
c.113A>Gp.Lys38Arg
missense
Exon 1 of 21NP_001094.1
ACTN2
NM_001278343.2
c.113A>Gp.Lys38Arg
missense
Exon 1 of 21NP_001265272.1
ACTN2
NR_184402.1
n.288A>G
non_coding_transcript_exon
Exon 1 of 23

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACTN2
ENST00000366578.6
TSL:1 MANE Select
c.113A>Gp.Lys38Arg
missense
Exon 1 of 21ENSP00000355537.4
ACTN2
ENST00000542672.7
TSL:1
c.113A>Gp.Lys38Arg
missense
Exon 1 of 21ENSP00000443495.1
ACTN2
ENST00000682015.1
c.113A>Gp.Lys38Arg
missense
Exon 1 of 20ENSP00000506961.1

Frequencies

GnomAD3 genomes
AF:
0.00000661
AC:
1
AN:
151372
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000991
AC:
2
AN:
201898
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.000187
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1372366
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
682664
African (AFR)
AF:
0.00
AC:
0
AN:
28258
American (AMR)
AF:
0.00
AC:
0
AN:
35732
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23010
East Asian (EAS)
AF:
0.00
AC:
0
AN:
31916
South Asian (SAS)
AF:
0.00
AC:
0
AN:
75568
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51526
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4964
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1065844
Other (OTH)
AF:
0.00
AC:
0
AN:
55548
GnomAD4 genome
AF:
0.00000661
AC:
1
AN:
151372
Hom.:
0
Cov.:
31
AF XY:
0.0000135
AC XY:
1
AN XY:
73930
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41242
American (AMR)
AF:
0.00
AC:
0
AN:
15226
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5080
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4798
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10480
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
308
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67790
Other (OTH)
AF:
0.00
AC:
0
AN:
2076
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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

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:
0.00
Hom.:
0
Bravo
AF:
0.0000113
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000165
AC:
2

ClinVar

ClinVar submissions as Germline

Significance:Benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Primary familial hypertrophic cardiomyopathy;C2677338:Dilated cardiomyopathy 1AA (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.38
CADD
Pathogenic
29
DANN
Uncertain
0.98
DEOGEN2
Benign
0.34
T
Eigen
Benign
-0.32
Eigen_PC
Benign
-0.14
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.94
D
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.19
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
L
PhyloP100
8.4
PrimateAI
Uncertain
0.78
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.10
Sift
Benign
0.48
T
Sift4G
Benign
0.59
T
Polyphen
0.0010
B
Vest4
0.33
MVP
0.67
MPC
0.72
ClinPred
0.40
T
GERP RS
3.6
PromoterAI
-0.034
Neutral
Varity_R
0.41
gMVP
0.47
Mutation Taster
=67/33
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: rs376510300; hg19: chr1-236850086; API