11-64607474-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_015080.4(NRXN2):​c.4861G>A​(p.Gly1621Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000661 in 151,384 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 30)

Consequence

NRXN2
NM_015080.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.20
Variant links:
Genes affected
NRXN2 (HGNC:8009): (neurexin 2) This gene encodes a member of the neurexin gene family. The products of these genes function as cell adhesion molecules and receptors in the vertebrate nervous system. These genes utilize two promoters. The majority of transcripts are produced from the upstream promoter and encode alpha-neurexin isoforms while a smaller number of transcripts are produced from the downstream promoter and encode beta-neuresin isoforms. The alpha-neurexins contain epidermal growth factor-like (EGF-like) sequences and laminin G domains, and have been shown to interact with neurexophilins. The beta-neurexins lack EGF-like sequences and contain fewer laminin G domains than alpha-neurexins. Alternative splicing and the use of alternative promoters may generate thousands of transcript variants (PMID: 12036300, PMID: 11944992).[provided by RefSeq, Jun 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.04987204).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NRXN2NM_015080.4 linkuse as main transcriptc.4861G>A p.Gly1621Ser missense_variant 23/23 ENST00000265459.11 NP_055895.1 Q9P2S2-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NRXN2ENST00000265459.11 linkuse as main transcriptc.4861G>A p.Gly1621Ser missense_variant 23/235 NM_015080.4 ENSP00000265459.5 Q9P2S2-1
NRXN2ENST00000704782.1 linkuse as main transcriptc.4870G>A p.Gly1624Ser missense_variant 22/22 ENSP00000516031.1 A0A994J5C3
NRXN2ENST00000704781.1 linkuse as main transcriptc.4288G>A p.Gly1430Ser missense_variant 22/22 ENSP00000516029.1 A0A994J4N8

Frequencies

GnomAD3 genomes
AF:
0.00000661
AC:
1
AN:
151266
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000196
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
GnomAD3 exomes
AF:
0.00000429
AC:
1
AN:
233116
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
128336
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000558
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Cov.:
33
GnomAD4 genome
AF:
0.00000661
AC:
1
AN:
151384
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
74034
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000197
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.00000833
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 16, 2021The c.4861G>A (p.G1621S) alteration is located in exon 23 (coding exon 22) of the NRXN2 gene. This alteration results from a G to A substitution at nucleotide position 4861, causing the glycine (G) at amino acid position 1621 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.079
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.49
CADD
Uncertain
25
DANN
Benign
0.95
DEOGEN2
Benign
0.097
T;T;.;T;.
Eigen
Benign
-0.39
Eigen_PC
Benign
-0.22
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Uncertain
0.94
D;.;D;D;D
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.050
T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.55
.;N;.;N;.
PrimateAI
Uncertain
0.76
T
PROVEAN
Benign
-1.3
N;N;N;N;N
REVEL
Benign
0.071
Sift
Benign
0.67
T;T;T;T;T
Sift4G
Benign
0.76
T;T;T;T;T
Polyphen
0.13
B;B;B;B;.
Vest4
0.050
MutPred
0.19
.;Gain of glycosylation at G1621 (P = 0.0035);.;Gain of glycosylation at G1621 (P = 0.0035);.;
MVP
0.15
MPC
1.1
ClinPred
0.27
T
GERP RS
3.8
Varity_R
0.13
gMVP
0.54

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs537120457; hg19: chr11-64374946; API