18-10704450-A-T

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BP4

The NM_001378183.1(PIEZO2):​c.6202T>A​(p.Leu2068Met) variant causes a missense change. The variant allele was found at a frequency of 0.000228 in 1,537,228 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. L2068L) has been classified as Benign.

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00023 ( 1 hom. )

Consequence

PIEZO2
NM_001378183.1 missense

Scores

3
6
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 3.87
Variant links:
Genes affected
PIEZO2 (HGNC:26270): (piezo type mechanosensitive ion channel component 2) The protein encoded by this gene contains more than thirty transmembrane domains and likely functions as part of mechanically-activated (MA) cation channels. These channels serve to connect mechanical forces to biological signals. The encoded protein quickly adapts MA currents in somatosensory neurons. Defects in this gene are a cause of type 5 distal arthrogryposis. Several alternatively spliced transcript variants of this gene have been described, but their full-length nature is not known. [provided by RefSeq, Feb 2014]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.4093642).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PIEZO2NM_001378183.1 linkuse as main transcriptc.6202T>A p.Leu2068Met missense_variant 42/56 ENST00000674853.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PIEZO2ENST00000674853.1 linkuse as main transcriptc.6202T>A p.Leu2068Met missense_variant 42/56 NM_001378183.1
ENST00000584167.1 linkuse as main transcriptn.37+117A>T intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.000177
AC:
27
AN:
152170
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000523
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:
0.000265
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000134
AC:
19
AN:
141888
Hom.:
1
AF XY:
0.000119
AC XY:
9
AN XY:
75888
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000325
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000120
Gnomad OTH exome
AF:
0.000947
GnomAD4 exome
AF:
0.000233
AC:
323
AN:
1384940
Hom.:
1
Cov.:
30
AF XY:
0.000222
AC XY:
152
AN XY:
683400
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000616
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:
0.000269
Gnomad4 OTH exome
AF:
0.000190
GnomAD4 genome
AF:
0.000177
AC:
27
AN:
152288
Hom.:
0
Cov.:
33
AF XY:
0.000188
AC XY:
14
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000523
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000265
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000115
Hom.:
0
Bravo
AF:
0.000162
ExAC
AF:
0.0000442
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoDec 15, 2016- -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 28, 2022The c.5863T>A (p.L1955M) alteration is located in exon 38 (coding exon 38) of the PIEZO2 gene. This alteration results from a T to A substitution at nucleotide position 5863, causing the leucine (L) at amino acid position 1955 to be replaced by a methionine (M). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeDec 19, 2023This sequence change replaces leucine, which is neutral and non-polar, with methionine, which is neutral and non-polar, at codon 1955 of the PIEZO2 protein (p.Leu1955Met). This variant is present in population databases (rs112982077, gnomAD 0.04%), including at least one homozygous and/or hemizygous individual. This variant has not been reported in the literature in individuals affected with PIEZO2-related conditions. ClinVar contains an entry for this variant (Variation ID: 436312). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on PIEZO2 protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.79
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.23
CADD
Uncertain
24
DANN
Benign
0.89
DEOGEN2
Benign
0.11
.;T;.;T
Eigen
Uncertain
0.19
Eigen_PC
Benign
0.21
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.87
D;D;D;T
M_CAP
Uncertain
0.092
D
MetaRNN
Benign
0.41
T;T;T;T
MetaSVM
Benign
-0.82
T
MutationAssessor
Uncertain
2.7
M;.;.;M
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
-1.9
N;.;.;.
REVEL
Benign
0.12
Sift
Pathogenic
0.0
D;.;.;.
Sift4G
Uncertain
0.020
D;D;D;D
Vest4
0.68
MutPred
0.31
Gain of catalytic residue at L1955 (P = 0.0387);.;.;Gain of catalytic residue at L1955 (P = 0.0387);
MVP
0.082
MPC
1.0
ClinPred
0.15
T
GERP RS
4.2
Varity_R
0.38
gMVP
0.51

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: rs112982077; hg19: chr18-10704448; API