13-20189095-T-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PM5

The NM_004004.6(GJB2):​c.487A>C​(p.Met163Leu) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. 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. M163V) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)

Consequence

GJB2
NM_004004.6 missense

Scores

4
5
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1O:1

Conservation

PhyloP100: 6.20
Variant links:
Genes affected
GJB2 (HGNC:4284): (gap junction protein beta 2) This gene encodes a member of the gap junction protein family. The gap junctions were first characterized by electron microscopy as regionally specialized structures on plasma membranes of contacting adherent cells. These structures were shown to consist of cell-to-cell channels that facilitate the transfer of ions and small molecules between cells. The gap junction proteins, also known as connexins, purified from fractions of enriched gap junctions from different tissues differ. According to sequence similarities at the nucleotide and amino acid levels, the gap junction proteins are divided into two categories, alpha and beta. Mutations in this gene are responsible for as much as 50% of pre-lingual, recessive deafness. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM1
In a chain Gap junction beta-2 protein (size 225) in uniprot entity CXB2_HUMAN there are 70 pathogenic changes around while only 16 benign (81%) in NM_004004.6
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr13-20189095-T-C is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GJB2NM_004004.6 linkc.487A>C p.Met163Leu missense_variant Exon 2 of 2 ENST00000382848.5 NP_003995.2 P29033H9U1J4
GJB2XM_011535049.3 linkc.487A>C p.Met163Leu missense_variant Exon 2 of 2 XP_011533351.1 P29033H9U1J4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GJB2ENST00000382848.5 linkc.487A>C p.Met163Leu missense_variant Exon 2 of 2 1 NM_004004.6 ENSP00000372299.4 P29033
GJB2ENST00000382844.2 linkc.487A>C p.Met163Leu missense_variant Exon 1 of 1 6 ENSP00000372295.1 P29033

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
33
GnomAD4 genome
Cov.:
33

ClinVar

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

Submissions by phenotype

Nonsyndromic genetic hearing loss Uncertain:1
Aug 04, 2020
INGEBI, INGEBI / CONICET
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Based on ACMG/AMP guidelines and Hearing Loss Expert Panel (HL-EP) specific criteria: the c.487A>C, p.Met163Leu variant in GJB2 gene is absent from population databases (gnomAD, GO-ESP, 1000 genomes) meeting PM2 criteria. Computational evidence is not enough to meet neither PP3 nor BP4 rules, since REVEL score is 0.534. This variant has been detected in a family case in the proband and her affected mother. In the same report, the variant was studied in HeLa cells demonstrating that the mutant protein p.Met163Leu had defective trafficking to the plasma membrane and was associated with increased cell death (PMID:18472371). Since the functional studies performed in that report were not the specified by the HL-EP, the evidence strength has been downgraded to PS3_Supporting. Besides, the p.Met163Leu change has beed identified in heterozygous state in two hearing loss patients (PMID: 23668481;19887791) meeting PS4_Supporting rule. In summary, the clinical significance of this variant is currently uncertain (PM2, PS3_Supporting, PS4_Supporting). -

Autosomal dominant nonsyndromic hearing loss 3A Other:1
-
GeneReviews
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Pathogenic
0.41
D
BayesDel_noAF
Pathogenic
0.36
CADD
Benign
22
DANN
Benign
0.84
DEOGEN2
Uncertain
0.64
D;D;D
Eigen
Benign
-0.17
Eigen_PC
Benign
0.078
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.90
.;.;D
M_CAP
Benign
0.078
D
MetaRNN
Uncertain
0.67
D;D;D
MetaSVM
Uncertain
-0.041
T
MutationAssessor
Benign
1.1
L;L;L
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.2
N;N;.
REVEL
Pathogenic
0.68
Sift
Benign
0.84
T;T;.
Sift4G
Benign
1.0
T;T;.
Polyphen
0.028
B;B;B
Vest4
0.66
MutPred
0.60
Gain of sheet (P = 0.1945);Gain of sheet (P = 0.1945);Gain of sheet (P = 0.1945);
MVP
0.74
MPC
0.038
ClinPred
0.55
D
GERP RS
5.5
Varity_R
0.71
gMVP
0.86

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: rs80338949; hg19: chr13-20763234; API