12-132618934-C-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4BP6BS2

The NM_170682.4(P2RX2):​c.118C>A​(p.Arg40Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000085 in 1,176,460 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: not found (cov: 28)
Exomes 𝑓: 0.0000085 ( 0 hom. )

Consequence

P2RX2
NM_170682.4 missense

Scores

1
3
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 0.127
Variant links:
Genes affected
P2RX2 (HGNC:15459): (purinergic receptor P2X 2) The product of this gene belongs to the family of purinoceptors for ATP. This receptor functions as a ligand-gated ion channel. Binding to ATP mediates synaptic transmission between neurons and from neurons to smooth muscle. Multiple transcript variants encoding distinct isoforms have been identified for this gene. [provided by RefSeq, Aug 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3081751).
BP6
Variant 12-132618934-C-A is Benign according to our data. Variant chr12-132618934-C-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 2551691.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS2
High AC in GnomAdExome4 at 10 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
P2RX2NM_170682.4 linkuse as main transcriptc.118C>A p.Arg40Ser missense_variant 1/11 ENST00000643471.2 NP_733782.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
P2RX2ENST00000643471.2 linkuse as main transcriptc.118C>A p.Arg40Ser missense_variant 1/11 NM_170682.4 ENSP00000494644 A2Q9UBL9-1

Frequencies

GnomAD3 genomes
Cov.:
28
GnomAD3 exomes
AF:
0.0000260
AC:
3
AN:
115480
Hom.:
0
AF XY:
0.0000470
AC XY:
3
AN XY:
63864
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000501
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000850
AC:
10
AN:
1176460
Hom.:
0
Cov.:
31
AF XY:
0.0000105
AC XY:
6
AN XY:
570964
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000831
Gnomad4 OTH exome
AF:
0.0000435
GnomAD4 genome
Cov.:
28
ExAC
AF:
0.0000252
AC:
3

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 24, 2023The c.118C>A (p.R40S) alteration is located in exon 1 (coding exon 1) of the P2RX2 gene. This alteration results from a C to A substitution at nucleotide position 118, causing the arginine (R) at amino acid position 40 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpMar 08, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.18
T;T;.;.;.;.;T
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.16
FATHMM_MKL
Benign
0.055
N
LIST_S2
Benign
0.82
.;T;T;T;T;T;T
M_CAP
Pathogenic
0.77
D
MetaRNN
Benign
0.31
T;T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.5
L;L;L;L;L;L;.
MutationTaster
Benign
1.0
D;D;N;N;N;N;N
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
-1.2
.;N;N;N;N;N;.
REVEL
Benign
0.090
Sift
Uncertain
0.0040
.;D;D;T;D;D;.
Sift4G
Benign
0.12
.;T;T;T;T;T;T
Polyphen
0.78
P;P;P;P;B;P;B
Vest4
0.31, 0.39, 0.38, 0.34, 0.32, 0.37
MutPred
0.56
Loss of MoRF binding (P = 0.0372);Loss of MoRF binding (P = 0.0372);Loss of MoRF binding (P = 0.0372);Loss of MoRF binding (P = 0.0372);Loss of MoRF binding (P = 0.0372);Loss of MoRF binding (P = 0.0372);Loss of MoRF binding (P = 0.0372);
MVP
0.51
MPC
1.4
ClinPred
0.37
T
GERP RS
3.1
Varity_R
0.39
gMVP
0.33

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs747266387; hg19: chr12-133195520; API