10-102918589-G-C

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_017649.5(CNNM2):​c.109G>C​(p.Gly37Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000282 in 1,417,580 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G37S) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000028 ( 0 hom. )

Consequence

CNNM2
NM_017649.5 missense

Scores

2
3
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.48

Publications

1 publications found
Variant links:
Genes affected
CNNM2 (HGNC:103): (cyclin and CBS domain divalent metal cation transport mediator 2) This gene encodes a member of the ancient conserved domain containing protein family. Members of this protein family contain a cyclin box motif and have structural similarity to the cyclins. The encoded protein may play an important role in magnesium homeostasis by mediating the epithelial transport and renal reabsorption of Mg2+. Mutations in this gene are associated with renal hypomagnesemia. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Dec 2011]
CNNM2 Gene-Disease associations (from GenCC):
  • hypomagnesemia, seizures, and intellectual disability 1
    Inheritance: AR, SD, AD Classification: DEFINITIVE, STRONG Submitted by: G2P, ClinGen, Illumina, Labcorp Genetics (formerly Invitae)
  • renal hypomagnesemia 6
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • familial primary hypomagnesemia with normocalciuria and normocalcemia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.23394614).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CNNM2NM_017649.5 linkc.109G>C p.Gly37Arg missense_variant Exon 1 of 8 ENST00000369878.9 NP_060119.3 Q9H8M5-1
CNNM2NM_199076.3 linkc.109G>C p.Gly37Arg missense_variant Exon 1 of 7 NP_951058.1 Q9H8M5-2
CNNM2NM_199077.3 linkc.109G>C p.Gly37Arg missense_variant Exon 1 of 2 NP_951059.1 Q9H8M5-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CNNM2ENST00000369878.9 linkc.109G>C p.Gly37Arg missense_variant Exon 1 of 8 1 NM_017649.5 ENSP00000358894.3 Q9H8M5-1
CNNM2ENST00000369875.3 linkc.109G>C p.Gly37Arg missense_variant Exon 1 of 2 1 ENSP00000358891.3 Q9H8M5-3
CNNM2ENST00000433628.2 linkc.109G>C p.Gly37Arg missense_variant Exon 1 of 7 2 ENSP00000392875.2 Q9H8M5-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000176
AC:
3
AN:
170182
AF XY:
0.0000318
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000114
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
AF:
0.00000282
AC:
4
AN:
1417580
Hom.:
0
Cov.:
31
AF XY:
0.00000570
AC XY:
4
AN XY:
702230
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
30640
American (AMR)
AF:
0.0000783
AC:
3
AN:
38292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24982
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36686
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81282
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48312
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5190
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1093520
Other (OTH)
AF:
0.0000170
AC:
1
AN:
58676
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000018), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.388
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.00000888
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.017
T;.;.
Eigen
Benign
-0.53
Eigen_PC
Benign
-0.33
FATHMM_MKL
Benign
0.058
N
LIST_S2
Benign
0.81
T;T;T
M_CAP
Pathogenic
0.99
D
MetaRNN
Benign
0.23
T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Benign
0.0
N;N;N
PhyloP100
1.5
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-1.2
N;N;N
REVEL
Benign
0.13
Sift
Uncertain
0.0040
D;D;D
Sift4G
Uncertain
0.015
D;D;D
Polyphen
0.0
B;.;B
Vest4
0.26
MutPred
0.38
Loss of loop (P = 0.0073);Loss of loop (P = 0.0073);Loss of loop (P = 0.0073);
MVP
0.043
ClinPred
0.43
T
GERP RS
3.2
PromoterAI
-0.0078
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.12
gMVP
0.71
Mutation Taster
=81/19
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: rs773321447; hg19: chr10-104678346; API