11-64727354-C-T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting

The NM_001098671.2(RASGRP2):​c.1778G>A​(p.Arg593His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000778 in 1,613,882 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R593C) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00046 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00081 ( 0 hom. )

Consequence

RASGRP2
NM_001098671.2 missense

Scores

1
3
14

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 0.894

Publications

4 publications found
Variant links:
Genes affected
RASGRP2 (HGNC:9879): (RAS guanyl releasing protein 2) The protein encoded by this gene is a brain-enriched nucleotide exchanged factor that contains an N-terminal GEF domain, 2 tandem repeats of EF-hand calcium-binding motifs, and a C-terminal diacylglycerol/phorbol ester-binding domain. This protein can activate small GTPases, including RAS and RAP1/RAS3. The nucleotide exchange activity of this protein can be stimulated by calcium and diacylglycerol. Four alternatively spliced transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Jan 2016]
RASGRP2 Gene-Disease associations (from GenCC):
  • platelet-type bleeding disorder 18
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, ClinGen
  • osteopetrosis
    Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.040214896).
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00046 (70/152228) while in subpopulation NFE AF = 0.000912 (62/68004). AF 95% confidence interval is 0.000729. There are 0 homozygotes in GnomAd4. There are 29 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001098671.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RASGRP2
NM_001098671.2
MANE Select
c.1778G>Ap.Arg593His
missense
Exon 16 of 17NP_001092141.1Q7LDG7-1
RASGRP2
NM_001440703.1
c.1868G>Ap.Arg623His
missense
Exon 17 of 18NP_001427632.1
RASGRP2
NM_001440704.1
c.1865G>Ap.Arg622His
missense
Exon 17 of 18NP_001427633.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RASGRP2
ENST00000394432.8
TSL:1 MANE Select
c.1778G>Ap.Arg593His
missense
Exon 16 of 17ENSP00000377953.3Q7LDG7-1
RASGRP2
ENST00000354024.7
TSL:1
c.1778G>Ap.Arg593His
missense
Exon 16 of 17ENSP00000338864.3Q7LDG7-1
RASGRP2
ENST00000377497.7
TSL:1
c.1778G>Ap.Arg593His
missense
Exon 16 of 17ENSP00000366717.3Q7LDG7-1

Frequencies

GnomAD3 genomes
AF:
0.000460
AC:
70
AN:
152110
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.000912
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000314
AC:
79
AN:
251380
AF XY:
0.000309
show subpopulations
Gnomad AFR exome
AF:
0.000185
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:
0.000642
Gnomad OTH exome
AF:
0.000489
GnomAD4 exome
AF:
0.000811
AC:
1186
AN:
1461654
Hom.:
0
Cov.:
31
AF XY:
0.000751
AC XY:
546
AN XY:
727132
show subpopulations
African (AFR)
AF:
0.0000598
AC:
2
AN:
33472
American (AMR)
AF:
0.00
AC:
0
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26122
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86250
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53380
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.00100
AC:
1114
AN:
1111868
Other (OTH)
AF:
0.00116
AC:
70
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.451
Heterozygous variant carriers
0
54
109
163
218
272
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
46
92
138
184
230
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000460
AC:
70
AN:
152228
Hom.:
0
Cov.:
31
AF XY:
0.000390
AC XY:
29
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.000169
AC:
7
AN:
41534
American (AMR)
AF:
0.0000654
AC:
1
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10610
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000912
AC:
62
AN:
68004
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
4
8
12
16
20
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:
0.000501
Hom.:
0
Bravo
AF:
0.000453
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00151
AC:
13
ExAC
AF:
0.000288
AC:
35
EpiCase
AF:
0.000709
EpiControl
AF:
0.000533

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not provided (2)
-
1
-
Inborn genetic diseases (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
22
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.16
T
Eigen
Benign
-0.061
Eigen_PC
Benign
0.046
FATHMM_MKL
Benign
0.37
N
LIST_S2
Uncertain
0.86
D
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.040
T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
0.34
N
PhyloP100
0.89
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.069
Sift
Uncertain
0.012
D
Sift4G
Benign
0.14
T
Polyphen
0.90
P
Vest4
0.29
MVP
0.29
MPC
0.76
ClinPred
0.062
T
GERP RS
3.6
Varity_R
0.11
gMVP
0.41
Mutation Taster
=96/4
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: rs149482849; hg19: chr11-64494826; COSMIC: COSV55454460; COSMIC: COSV55454460; API