15-23645669-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_019066.5(MAGEL2):​c.2074G>A​(p.Val692Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0032 in 1,567,664 control chromosomes in the GnomAD database, including 41 homozygotes. In-silico tool predicts a benign outcome for this variant. 9/14 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0020 ( 5 hom., cov: 32)
Exomes 𝑓: 0.0033 ( 36 hom. )

Consequence

MAGEL2
NM_019066.5 missense

Scores

2
9

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.387
Variant links:
Genes affected
MAGEL2 (HGNC:6814): (MAGE family member L2) Prader-Willi syndrome (PWS) is caused by the loss of expression of imprinted genes in chromosome 15q11-q13 region. Affected individuals exhibit neonatal hypotonia, developmental delay, and childhood-onset obesity. Necdin (NDN), a gene involved in the terminal differentiation of neurons, localizes to this region of the genome and has been implicated as one of the genes responsible for the etiology of PWS. This gene is structurally similar to NDN, is also localized to the PWS chromosomal region, and is paternally imprinted, suggesting a possible role for it in PWS. [provided by RefSeq, Oct 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003316313).
BP6
Variant 15-23645669-C-T is Benign according to our data. Variant chr15-23645669-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 193400.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr15-23645669-C-T is described in Lovd as [Benign]. Variant chr15-23645669-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00205 (312/152352) while in subpopulation SAS AF= 0.0193 (93/4830). AF 95% confidence interval is 0.0161. There are 5 homozygotes in gnomad4. There are 171 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 312 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MAGEL2NM_019066.5 linkuse as main transcriptc.2074G>A p.Val692Ile missense_variant 1/1 ENST00000650528.1 NP_061939.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MAGEL2ENST00000650528.1 linkuse as main transcriptc.2074G>A p.Val692Ile missense_variant 1/1 NM_019066.5 ENSP00000497810 P1

Frequencies

GnomAD3 genomes
AF:
0.00206
AC:
313
AN:
152234
Hom.:
5
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000386
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000654
Gnomad ASJ
AF:
0.00547
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0194
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00248
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00388
AC:
749
AN:
192994
Hom.:
8
AF XY:
0.00468
AC XY:
489
AN XY:
104490
show subpopulations
Gnomad AFR exome
AF:
0.000637
Gnomad AMR exome
AF:
0.000992
Gnomad ASJ exome
AF:
0.00389
Gnomad EAS exome
AF:
0.000191
Gnomad SAS exome
AF:
0.0210
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00266
Gnomad OTH exome
AF:
0.00392
GnomAD4 exome
AF:
0.00332
AC:
4700
AN:
1415312
Hom.:
36
Cov.:
32
AF XY:
0.00380
AC XY:
2662
AN XY:
699806
show subpopulations
Gnomad4 AFR exome
AF:
0.000531
Gnomad4 AMR exome
AF:
0.00106
Gnomad4 ASJ exome
AF:
0.00365
Gnomad4 EAS exome
AF:
0.000128
Gnomad4 SAS exome
AF:
0.0201
Gnomad4 FIN exome
AF:
0.0000198
Gnomad4 NFE exome
AF:
0.00248
Gnomad4 OTH exome
AF:
0.00392
GnomAD4 genome
AF:
0.00205
AC:
312
AN:
152352
Hom.:
5
Cov.:
32
AF XY:
0.00230
AC XY:
171
AN XY:
74492
show subpopulations
Gnomad4 AFR
AF:
0.000385
Gnomad4 AMR
AF:
0.000653
Gnomad4 ASJ
AF:
0.00547
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.0193
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00248
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00263
Hom.:
3
Bravo
AF:
0.00172
TwinsUK
AF:
0.00378
AC:
14
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.000268
AC:
1
ESP6500EA
AF:
0.00159
AC:
13
ExAC
AF:
0.00359
AC:
432
Asia WGS
AF:
0.00636
AC:
22
AN:
3476

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsMar 07, 2017- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Mar 31, 2015- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Prader-Willi syndrome;C5575066:Schaaf-Yang syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJul 28, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.72
T
BayesDel_noAF
Benign
-0.79
CADD
Benign
1.6
DANN
Benign
0.96
DEOGEN2
Benign
0.046
T;T
FATHMM_MKL
Benign
0.089
N
LIST_S2
Benign
0.44
.;T
MetaRNN
Benign
0.0033
T;T
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.51
T
Sift4G
Uncertain
0.043
D;.
Vest4
0.043
MVP
0.043
MPC
0.054
GERP RS
1.4
Varity_R
0.015
gMVP
0.11

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: rs200926181; hg19: chr15-23890816; API