18-11066135-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4BS1_Supporting

The NM_001378183.1(PIEZO2):​c.152C>T​(p.Thr51Met) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000545 in 1,531,728 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00041 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00056 ( 0 hom. )

Consequence

PIEZO2
NM_001378183.1 missense

Scores

11
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 9.43
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.27508387).
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000414 (63/152136) while in subpopulation NFE AF= 0.000779 (53/68036). AF 95% confidence interval is 0.000612. There are 0 homozygotes in gnomad4. There are 30 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PIEZO2NM_001378183.1 linkc.152C>T p.Thr51Met missense_variant 2/56 ENST00000674853.1 NP_001365112.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PIEZO2ENST00000674853.1 linkc.152C>T p.Thr51Met missense_variant 2/56 NM_001378183.1 ENSP00000501957.1 A0A2H4UKA7

Frequencies

GnomAD3 genomes
AF:
0.000414
AC:
63
AN:
152136
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.000779
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000303
AC:
43
AN:
141828
Hom.:
0
AF XY:
0.000382
AC XY:
29
AN XY:
75848
show subpopulations
Gnomad AFR exome
AF:
0.000132
Gnomad AMR exome
AF:
0.0000407
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000881
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000669
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000560
AC:
772
AN:
1379592
Hom.:
0
Cov.:
29
AF XY:
0.000556
AC XY:
379
AN XY:
681126
show subpopulations
Gnomad4 AFR exome
AF:
0.0000953
Gnomad4 AMR exome
AF:
0.0000841
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000280
Gnomad4 SAS exome
AF:
0.0000379
Gnomad4 FIN exome
AF:
0.0000572
Gnomad4 NFE exome
AF:
0.000695
Gnomad4 OTH exome
AF:
0.000191
GnomAD4 genome
AF:
0.000414
AC:
63
AN:
152136
Hom.:
0
Cov.:
32
AF XY:
0.000404
AC XY:
30
AN XY:
74314
show subpopulations
Gnomad4 AFR
AF:
0.000193
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000779
Gnomad4 OTH
AF:
0.000478
Alfa
AF:
0.000395
Hom.:
0
Bravo
AF:
0.000423
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000629
AC:
2
ExAC
AF:
0.000234
AC:
5

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 31, 2022- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxJun 04, 2023In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 30, 2024The c.152C>T (p.T51M) alteration is located in exon 2 (coding exon 2) of the PIEZO2 gene. This alteration results from a C to T substitution at nucleotide position 152, causing the threonine (T) at amino acid position 51 to be replaced by a methionine (M). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Arthrogryposis, distal, with impaired proprioception and touch Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicDec 15, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.55
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Uncertain
0.010
CADD
Pathogenic
26
DANN
Benign
0.60
DEOGEN2
Benign
0.020
.;.;T
Eigen
Uncertain
0.27
Eigen_PC
Uncertain
0.27
FATHMM_MKL
Benign
0.020
N
LIST_S2
Uncertain
0.90
D;D;D
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.28
T;T;T
MetaSVM
Uncertain
-0.12
T
MutationAssessor
Benign
1.8
L;L;L
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-2.3
N;.;.
REVEL
Uncertain
0.38
Sift
Uncertain
0.0050
D;.;.
Sift4G
Uncertain
0.0030
D;D;D
Vest4
0.58
MVP
0.16
MPC
1.0
ClinPred
0.12
T
GERP RS
5.8
Varity_R
0.067
gMVP
0.28

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs371432372; hg19: chr18-11066134; COSMIC: COSV57431799; API