15-99690400-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM1PP5BP4BS2_Supporting

The NM_001319206.4(MEF2A):​c.830C>T​(p.Pro277Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000971 in 1,604,264 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.00066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0010 ( 2 hom. )

Consequence

MEF2A
NM_001319206.4 missense

Scores

4
6
7

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 7.57
Variant links:
Genes affected
MEF2A (HGNC:6993): (myocyte enhancer factor 2A) The protein encoded by this gene is a DNA-binding transcription factor that activates many muscle-specific, growth factor-induced, and stress-induced genes. The encoded protein can act as a homodimer or as a heterodimer and is involved in several cellular processes, including muscle development, neuronal differentiation, cell growth control, and apoptosis. Defects in this gene could be a cause of autosomal dominant coronary artery disease 1 with myocardial infarction (ADCAD1). Several transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM1
In a mutagenesis_site Reduced p38 alpha- and beta2-mediated transcriptional activity; when associated with A-278. (size 0) in uniprot entity MEF2A_HUMAN
PP5
Variant 15-99690400-C-T is Pathogenic according to our data. Variant chr15-99690400-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 8949.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr15-99690400-C-T is described in Lovd as [Pathogenic].
BP4
Computational evidence support a benign effect (MetaRNN=0.21290135). . Strength limited to SUPPORTING due to the PP5.
BS2
High AC in GnomAd4 at 101 AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MEF2ANM_001319206.4 linkuse as main transcriptc.830C>T p.Pro277Leu missense_variant 8/12 ENST00000557942.6 NP_001306135.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MEF2AENST00000557942.6 linkuse as main transcriptc.830C>T p.Pro277Leu missense_variant 8/125 NM_001319206.4 ENSP00000453095 Q02078-2

Frequencies

GnomAD3 genomes
AF:
0.000664
AC:
101
AN:
152210
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00115
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000606
AC:
147
AN:
242696
Hom.:
0
AF XY:
0.000661
AC XY:
87
AN XY:
131544
show subpopulations
Gnomad AFR exome
AF:
0.000197
Gnomad AMR exome
AF:
0.000452
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000207
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00107
Gnomad OTH exome
AF:
0.000856
GnomAD4 exome
AF:
0.00100
AC:
1456
AN:
1451936
Hom.:
2
Cov.:
31
AF XY:
0.000980
AC XY:
706
AN XY:
720686
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.000433
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000306
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.00123
Gnomad4 OTH exome
AF:
0.000768
GnomAD4 genome
AF:
0.000663
AC:
101
AN:
152328
Hom.:
0
Cov.:
32
AF XY:
0.000591
AC XY:
44
AN XY:
74492
show subpopulations
Gnomad4 AFR
AF:
0.000192
Gnomad4 AMR
AF:
0.000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.00115
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00103
Hom.:
0
Bravo
AF:
0.000767
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00285
AC:
11
ESP6500AA
AF:
0.000526
AC:
2
ESP6500EA
AF:
0.000729
AC:
6
ExAC
AF:
0.000703
AC:
85
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Coronary artery disease/myocardial infarction Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMFeb 01, 2006- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.090
CADD
Pathogenic
29
DANN
Uncertain
1.0
Eigen
Pathogenic
0.83
Eigen_PC
Pathogenic
0.84
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Pathogenic
0.99
D;D;D;.;D;D
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.21
T;T;T;T;T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Uncertain
2.8
M;.;.;.;.;.
MutationTaster
Benign
1.0
A;A;A;A;A;A;A
PrimateAI
Uncertain
0.74
T
PROVEAN
Pathogenic
-4.6
D;D;D;D;D;D
REVEL
Benign
0.28
Sift
Uncertain
0.0020
D;D;D;D;D;D
Sift4G
Uncertain
0.013
D;D;D;D;D;T
Polyphen
0.97
D;.;D;D;.;D
Vest4
0.82
MVP
0.29
MPC
0.41
ClinPred
0.12
T
GERP RS
5.8
gMVP
0.58

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs121918529; hg19: chr15-100230605; COSMIC: COSV57535931; API