12-1831184-G-A

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_001039029.3(LRTM2):​c.317G>A​(p.Arg106Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000273 in 1,613,796 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000027 ( 0 hom. )

Consequence

LRTM2
NM_001039029.3 missense

Scores

18

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 1.26
Variant links:
Genes affected
LRTM2 (HGNC:32443): (leucine rich repeats and transmembrane domains 2) Predicted to enable Roundabout binding activity and heparin binding activity. Predicted to be involved in axon guidance and negative chemotaxis. Predicted to act upstream of or within positive regulation of synapse assembly. Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]
CACNA2D4 (HGNC:20202): (calcium voltage-gated channel auxiliary subunit alpha2delta 4) This gene encodes a member of the alpha-2/delta subunit family, a protein in the voltage-dependent calcium channel complex. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization and consist of a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. Various versions of each of these subunits exist, either expressed from similar genes or the result of alternative splicing. Research on a highly similar protein in rabbit suggests the protein described in this record is cleaved into alpha-2 and delta subunits. Alternate transcriptional splice variants of this gene have been observed but have not been thoroughly characterized. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.027161568).
BP6
Variant 12-1831184-G-A is Benign according to our data. Variant chr12-1831184-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 3292128.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LRTM2NM_001039029.3 linkuse as main transcriptc.317G>A p.Arg106Gln missense_variant 4/5 ENST00000299194.6 NP_001034118.1 Q8N967
CACNA2D4NM_172364.5 linkuse as main transcriptc.2551+9555C>T intron_variant ENST00000382722.10 NP_758952.4 Q7Z3S7-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LRTM2ENST00000299194.6 linkuse as main transcriptc.317G>A p.Arg106Gln missense_variant 4/52 NM_001039029.3 ENSP00000299194.1 Q8N967
CACNA2D4ENST00000382722.10 linkuse as main transcriptc.2551+9555C>T intron_variant 1 NM_172364.5 ENSP00000372169.4 Q7Z3S7-1
CACNA2D4ENST00000586184.5 linkuse as main transcriptc.2551+9555C>T intron_variant 5 ENSP00000465060.1 Q7Z3S7-5
CACNA2D4ENST00000587995.5 linkuse as main transcriptc.2476+9555C>T intron_variant 5 ENSP00000465372.1 K7EJY1
CACNA2D4ENST00000585708.5 linkuse as main transcriptc.2359+9555C>T intron_variant 5 ENSP00000467697.1 Q7Z3S7-6
CACNA2D4ENST00000588077.5 linkuse as main transcriptc.2359+9555C>T intron_variant 5 ENSP00000468530.1 Q7Z3S7-4
CACNA2D4ENST00000444595.6 linkuse as main transcriptn.*797+9555C>T intron_variant 1 ENSP00000403371.2 E7EUE0
CACNA2D4ENST00000537784.5 linkuse as main transcriptn.391+9555C>T intron_variant 1 ENSP00000440231.2 X6RLU5

Frequencies

GnomAD3 genomes
AF:
0.0000328
AC:
5
AN:
152216
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000598
AC:
15
AN:
250660
Hom.:
0
AF XY:
0.0000663
AC XY:
9
AN XY:
135698
show subpopulations
Gnomad AFR exome
AF:
0.0000626
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000881
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.0000267
AC:
39
AN:
1461580
Hom.:
0
Cov.:
31
AF XY:
0.0000275
AC XY:
20
AN XY:
727102
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.0000261
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.0000328
AC:
5
AN:
152216
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74354
show subpopulations
Gnomad4 AFR
AF:
0.0000482
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000255
Hom.:
0
Bravo
AF:
0.0000302
ExAC
AF:
0.0000741
AC:
9
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000178

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJun 07, 2024This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.057
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
18
DANN
Benign
0.88
DEOGEN2
Benign
0.012
T;T;T
Eigen
Benign
-0.85
Eigen_PC
Benign
-0.66
FATHMM_MKL
Benign
0.050
N
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.027
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.70
N;N;N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
0.49
N;N;N
REVEL
Benign
0.020
Sift
Benign
0.94
T;T;T
Sift4G
Benign
0.64
T;T;T
Polyphen
0.0
B;B;B
Vest4
0.079
MVP
0.46
MPC
0.35
ClinPred
0.029
T
GERP RS
1.1
Varity_R
0.035
gMVP
0.17

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: rs766045075; hg19: chr12-1940350; API