16-4507747-C-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_002134.4(HMOX2):ā€‹c.239C>Gā€‹(p.Ala80Gly) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000274 in 1,461,848 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000027 ( 0 hom. )

Consequence

HMOX2
NM_002134.4 missense

Scores

7
11
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.91
Variant links:
Genes affected
HMOX2 (HGNC:5014): (heme oxygenase 2) Heme oxygenase, an essential enzyme in heme catabolism, cleaves heme to form biliverdin, which is subsequently converted to bilirubin by biliverdin reductase, and carbon monoxide, a putative neurotransmitter. Heme oxygenase activity is induced by its substrate heme and by various nonheme substances. Heme oxygenase occurs as 2 isozymes, an inducible heme oxygenase-1 and a constitutive heme oxygenase-2. HMOX1 and HMOX2 belong to the heme oxygenase family. Several alternatively spliced transcript variants encoding three different isoforms have been found for this gene. [provided by RefSeq, Oct 2013]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.94

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HMOX2NM_002134.4 linkuse as main transcriptc.239C>G p.Ala80Gly missense_variant 4/6 ENST00000570646.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HMOX2ENST00000570646.6 linkuse as main transcriptc.239C>G p.Ala80Gly missense_variant 4/61 NM_002134.4 P1P30519-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1461848
Hom.:
0
Cov.:
32
AF XY:
0.00000275
AC XY:
2
AN XY:
727220
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:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 26, 2023The c.239C>G (p.A80G) alteration is located in exon 5 (coding exon 3) of the HMOX2 gene. This alteration results from a C to G substitution at nucleotide position 239, causing the alanine (A) at amino acid position 80 to be replaced by a glycine (G). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.35
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Uncertain
0.10
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.42
.;T;T;T;T;T;T;.;T;.;T;T;.;T;T;T
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.94
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Pathogenic
0.99
D;.;.;.;.;D;.;D;D;D;D;D;D;.;.;D
M_CAP
Uncertain
0.11
D
MetaRNN
Pathogenic
0.94
D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Uncertain
-0.26
T
MutationAssessor
Pathogenic
3.9
.;H;H;H;H;H;H;.;.;.;.;.;.;H;H;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-3.6
.;D;.;D;.;.;D;.;.;.;.;.;.;D;D;.
REVEL
Uncertain
0.60
Sift
Uncertain
0.0030
.;D;.;D;.;.;D;.;.;.;.;.;.;D;D;.
Sift4G
Uncertain
0.0040
D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
Polyphen
1.0
.;D;D;D;D;D;D;.;.;.;.;.;.;D;D;.
Vest4
0.74, 0.74, 0.73, 0.80
MutPred
0.83
Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);.;Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);Gain of glycosylation at S79 (P = 0.069);.;
MVP
0.75
MPC
0.34
ClinPred
1.0
D
GERP RS
5.8
Varity_R
0.96
gMVP
0.56

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.41
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.41
Position offset: 0

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr16-4557748; API