18-36138378-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_018255.4(ELP2):​c.397G>A​(p.Ala133Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00000274 in 1,461,820 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

ELP2
NM_018255.4 missense

Scores

7
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.81
Variant links:
Genes affected
ELP2 (HGNC:18248): (elongator acetyltransferase complex subunit 2) The protein encoded by this gene is a core subunit of the elongator complex, a histone acetyltransferase complex that associates with RNA polymerase II. In addition to histone acetylation, the encoded protein effects transcriptional elongation and may help remodel chromatin. [provided by RefSeq, May 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELP2NM_018255.4 linkuse as main transcriptc.397G>A p.Ala133Thr missense_variant 4/22 ENST00000358232.11 NP_060725.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELP2ENST00000358232.11 linkuse as main transcriptc.397G>A p.Ala133Thr missense_variant 4/221 NM_018255.4 ENSP00000350967 P1Q6IA86-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1461820
Hom.:
0
Cov.:
34
AF XY:
0.00000550
AC XY:
4
AN XY:
727208
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
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 05, 2023The c.397G>A (p.A133T) alteration is located in exon 4 (coding exon 4) of the ELP2 gene. This alteration results from a G to A substitution at nucleotide position 397, causing the alanine (A) at amino acid position 133 to be replaced by a threonine (T). 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
Benign
0.11
BayesDel_addAF
Benign
0.0099
T
BayesDel_noAF
Benign
-0.22
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.026
T;.;.;.;.;.
Eigen
Benign
0.18
Eigen_PC
Benign
0.15
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.85
D;T;D;T;T;T
M_CAP
Benign
0.069
D
MetaRNN
Uncertain
0.50
T;T;T;T;T;T
MetaSVM
Benign
-0.38
T
MutationAssessor
Uncertain
2.5
M;M;M;M;M;M
MutationTaster
Benign
1.0
D;D;D;D;D;N
PrimateAI
Benign
0.46
T
PROVEAN
Uncertain
-3.1
D;D;D;D;D;D
REVEL
Uncertain
0.38
Sift
Uncertain
0.0050
D;D;T;T;D;D
Sift4G
Benign
0.13
T;T;T;T;T;T
Polyphen
1.0
D;P;.;.;.;P
Vest4
0.55
MutPred
0.63
Gain of catalytic residue at A133 (P = 0.1185);Gain of catalytic residue at A133 (P = 0.1185);Gain of catalytic residue at A133 (P = 0.1185);Gain of catalytic residue at A133 (P = 0.1185);Gain of catalytic residue at A133 (P = 0.1185);Gain of catalytic residue at A133 (P = 0.1185);
MVP
0.64
MPC
0.25
ClinPred
0.96
D
GERP RS
4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.33
gMVP
0.54

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: rs1671838145; hg19: chr18-33718341; API