12-110281550-G-A

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_Strong BP6_Moderate BS2

The NM_170665.4(ATP2A2):c.-240G>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00539 in 267,932 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

• Frequency:
  • Genomes: 𝑓 0.0054 (4 hom., cov: 32)
  • Exomes 𝑓: 0.0053 (2 hom.)
• Consequence: ATP2A2 NM_170665.4 5_prime_UTR
• Clinical Significance: Benign criteria provided, single submitter B:1
• Conservation: PhyloP100: 0.243

Genes affected

ATP2A2 (HGNC:812): (ATPase sarcoplasmic/endoplasmic reticulum Ca2+ transporting 2) This gene encodes one of the SERCA Ca(2+)-ATPases, which are intracellular pumps located in the sarcoplasmic or endoplasmic reticula of the skeletal muscle. This enzyme catalyzes the hydrolysis of ATP coupled with the translocation of calcium from the cytosol into the sarcoplasmic reticulum lumen, and is involved in regulation of the contraction/relaxation cycle. Mutations in this gene cause Darier-White disease, also known as keratosis follicularis, an autosomal dominant skin disorder characterized by loss of adhesion between epidermal cells and abnormal keratinization. Other types of mutations in this gene have been associated with various forms of muscular dystrophies. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2019]

ACMG classification

Verdict is Benign. Variant got -10 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.48).
• BP6: Variant 12-110281550-G-A is Benign according to our data. Variant chr12-110281550-G-A is described in ClinVar as [Benign]. Clinvar id is 307154.Status of the report is criteria_provided_single_submitter, 1 stars.
• BS2: High AC in GnomAd at 827 AD gene.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
ATP2A2	NM_170665.4	c.-240G>A		5_prime_UTR_variant	1/20	ENST00000539276.7

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
ATP2A2	ENST00000539276.7	c.-240G>A		5_prime_UTR_variant	1/20	1	NM_170665.4	P3
ATP2A2	ENST00000308664.10	c.-240G>A		5_prime_UTR_variant	1/21	1		A1
ATP2A2	ENST00000552636.2	c.-258+586G>A		intron_variant		4
ATP2A2	ENST00000377685.9	c.-240G>A		5_prime_UTR_variant, NMD_transcript_variant	1/20	5

Frequencies

GnomAD3 genomes AF: 0.00545 AC: 827 AN: 151772 Hom.: 4 Cov.: 32

Gnomad AFR AF: 0.00114

Gnomad AMI AF: 0.00219

Gnomad AMR AF: 0.00347

Gnomad ASJ AF: 0.000288

Gnomad EAS AF: 0.000195

Gnomad SAS AF: 0.00373

Gnomad FIN AF: 0.0308

Gnomad MID AF: 0.00

Gnomad NFE AF: 0.00545

Gnomad OTH AF: 0.00526

GnomAD4 exome AF: 0.00532 AC: 617 AN: 116054 Hom.: 2 Cov.: 0 AF XY: 0.00508 AC XY: 304 AN XY: 59794

Gnomad4 AFR exome AF: 0.000994

Gnomad4 AMR exome AF: 0.00391

Gnomad4 ASJ exome AF: 0.000245

Gnomad4 EAS exome AF: 0.00

Gnomad4 SAS exome AF: 0.00145

Gnomad4 FIN exome AF: 0.0220

Gnomad4 NFE exome AF: 0.00482

Gnomad4 OTH exome AF: 0.00375

GnomAD4 genome AF: 0.00545 AC: 827 AN: 151878 Hom.: 4 Cov.: 32 AF XY: 0.00647 AC XY: 480 AN XY: 74236

Gnomad4 AFR AF: 0.00113

Gnomad4 AMR AF: 0.00347

Gnomad4 ASJ AF: 0.000288

Gnomad4 EAS AF: 0.000196

Gnomad4 SAS AF: 0.00373

Gnomad4 FIN AF: 0.0308

Gnomad4 NFE AF: 0.00545

Gnomad4 OTH AF: 0.00521

Alfa AF: 0.00796 Hom.: 1

Bravo AF: 0.00341

Asia WGS AF: 0.00175 AC: 6 AN: 3436

ClinVar

Significance: Benign

Submissions summary: Benign:1

Revision: criteria provided, single submitter

Submissions by phenotype

Keratosis follicularis Benign:1

Benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jan 13, 2018

This 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. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.48
Cadd	Benign	17
Dann	Benign	0.90
RBP_binding_hub_radar		1.0
RBP_regulation_power_radar		2.3

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Other links and lift over

dbSNP: rs577127824; hg19: chr12-110719355;