18-31531255-AAGAG-AAG
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Variant summary
Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2
The NM_001943.5(DSG2):c.1280+10_1280+11delAG variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000465 in 1,614,120 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.000052 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000046 ( 0 hom. )
Consequence
DSG2
NM_001943.5 intron
NM_001943.5 intron
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 2.76
Genes affected
DSG2 (HGNC:3049): (desmoglein 2) This gene encodes a member of the desmoglein family and cadherin cell adhesion molecule superfamily of proteins. Desmogleins are calcium-binding transmembrane glycoprotein components of desmosomes, cell-cell junctions between epithelial, myocardial, and other cell types. The encoded preproprotein is proteolytically processed to generate the mature glycoprotein. This gene is present in a gene cluster with other desmoglein gene family members on chromosome 18. Mutations in this gene have been associated with arrhythmogenic right ventricular dysplasia, familial, 10. [provided by RefSeq, Jan 2016]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -9 ACMG points.
BP6
Variant 18-31531255-AAG-A is Benign according to our data. Variant chr18-31531255-AAG-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 228628.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Uncertain_significance=3, Benign=1}.
BS1
Variant frequency is greater than expected in population eas. gnomad4_exome allele frequency = 0.0000458 (67/1461736) while in subpopulation EAS AF= 0.00159 (63/39684). AF 95% confidence interval is 0.00127. There are 0 homozygotes in gnomad4_exome. There are 35 alleles in male gnomad4_exome subpopulation. This position pass quality control queck.
BS2
High AC in GnomAd4 at 8 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
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DSG2 | NM_001943.5 | c.1280+10_1280+11delAG | intron_variant | ENST00000261590.13 | NP_001934.2 | |||
DSG2 | XM_047437315.1 | c.746+10_746+11delAG | intron_variant | XP_047293271.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
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DSG2 | ENST00000261590.13 | c.1280+10_1280+11delAG | intron_variant | 1 | NM_001943.5 | ENSP00000261590.8 | ||||
DSG2 | ENST00000683614.2 | n.1121_1122delAG | non_coding_transcript_exon_variant | 7/7 |
Frequencies
GnomAD3 genomes AF: 0.0000525 AC: 8AN: 152266Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.000181 AC: 45AN: 248976Hom.: 0 AF XY: 0.000215 AC XY: 29AN XY: 135092
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GnomAD4 exome AF: 0.0000458 AC: 67AN: 1461736Hom.: 0 AF XY: 0.0000481 AC XY: 35AN XY: 727156
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GnomAD4 genome AF: 0.0000525 AC: 8AN: 152384Hom.: 0 Cov.: 32 AF XY: 0.0000805 AC XY: 6AN XY: 74524
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:6
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
not specified Uncertain:1Benign:2
Uncertain significance, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Apr 13, 2015 | Variant classified as Uncertain Significance - Favor Benign. The c.1280+4AG[3] ( also reported as c.1280+4_1280+5delAG) variant in DSG2 has not been previously r eported in individuals with cardiomyopathy, but has been identified in 0.2% (19/ 8616) of East Asian chromosomes by the Exome Aggregation Consortium (ExAC, http: //exac.broadinstitute.org). This variant results in a deletion of one dinucleoti de repeat in the 5' splice region. Computational tools do not suggest an impact to splicing. However, this information is not predictive enough to rule out path ogenicity. In summary, while the clinical significance of the c.1280+4AG[3] vari ant is uncertain, its frequency suggests that it is more likely to be benign. - |
Likely benign, criteria provided, single submitter | clinical testing | Phosphorus, Inc. | Jan 19, 2022 | This deletion variant is located 10bp away from the canonical splice-site in intron 9 of the DSG2 gene (transcript: NM_001943.3). This variant has an entry in ClinVar (228628) NM_001943.5(DSG2):c.1280+4AG[3]. This variant occurred in gnomAD with a total MAF of 0.0175% and the highest MAF of 0.2494% in the East Asian population. This position is not conserved. In silico splicing algorithms predicted that this variant will not have an impact on splicing (not found in scSNV). The variant has not occurred in the literature in association with disease. Considering that the variant has a relatively high frequency in the population, it has been classified as Likely Benign. - |
Likely benign, criteria provided, single submitter | clinical testing | GeneDx | Jun 24, 2016 | This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. - |
Arrhythmogenic right ventricular cardiomyopathy Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Jun 14, 2016 | - - |
Dilated Cardiomyopathy, Dominant Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Jun 14, 2016 | - - |
Cardiomyopathy Benign:1
Benign, criteria provided, single submitter | clinical testing | Color Diagnostics, LLC DBA Color Health | Dec 03, 2018 | - - |
Arrhythmogenic right ventricular dysplasia 10 Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 09, 2024 | - - |
not provided Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Mar 06, 2017 | Variant summary: The DSG2 c.1280+10_1280+11delAG variant involves the alteration of an intronic nucleotide, which 5/5 splice prediction tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. This variant was found in 19/120602 control chromosomes, predominantly observed in the East Asian subpopulation at a frequency of 0.002206 (19/8612). This frequency is about 221 times the estimated maximal expected allele frequency of a pathogenic DSG2 variant (0.00001), suggesting this is likely a benign polymorphism found primarily in population(s) of East Asian origin. The variant of interest has not, to our knowledge, been reported in affected individuals via publications. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as uncertain significance, without additional information to perform an independent evaluation. Therefore, the variant of interest has been classified as "likely benign." - |
DSG2-related disorder Benign:1
Likely benign, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Oct 19, 2020 | This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at