19-1037811-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_004368.4(CNN2):​c.841G>A​(p.Asp281Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000322 in 1,582,702 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D281H) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000097 ( 0 hom., cov: 35)
Exomes 𝑓: 0.000026 ( 0 hom. )

Consequence

CNN2
NM_004368.4 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.94
Variant links:
Genes affected
CNN2 (HGNC:2156): (calponin 2) The protein encoded by this gene, which can bind actin, calmodulin, troponin C, and tropomyosin, may function in the structural organization of actin filaments. The encoded protein could play a role in smooth muscle contraction and cell adhesion. Several pseudogenes of this gene have been identified, and are present on chromosomes 1, 2, 3, 6, 9, 11, 13, 15, 16, 21 and 22. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jan 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.065927744).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CNN2NM_004368.4 linkuse as main transcriptc.841G>A p.Asp281Asn missense_variant 7/7 ENST00000263097.9 NP_004359.1 Q99439-1
CNN2NM_001303501.2 linkuse as main transcriptc.904G>A p.Asp302Asn missense_variant 7/7 NP_001290430.1 Q99439B4DUT8
CNN2NM_001303499.2 linkuse as main transcriptc.808G>A p.Asp270Asn missense_variant 7/7 NP_001290428.1 Q99439B4DDF4
CNN2NM_201277.3 linkuse as main transcriptc.724G>A p.Asp242Asn missense_variant 6/6 NP_958434.1 Q99439-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CNN2ENST00000263097.9 linkuse as main transcriptc.841G>A p.Asp281Asn missense_variant 7/71 NM_004368.4 ENSP00000263097.2 Q99439-1

Frequencies

GnomAD3 genomes
AF:
0.0000974
AC:
13
AN:
133528
Hom.:
0
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.000222
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000329
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00110
GnomAD3 exomes
AF:
0.0000728
AC:
18
AN:
247098
Hom.:
0
AF XY:
0.0000519
AC XY:
7
AN XY:
134846
show subpopulations
Gnomad AFR exome
AF:
0.000332
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000165
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000463
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000262
AC:
38
AN:
1449174
Hom.:
0
Cov.:
33
AF XY:
0.0000250
AC XY:
18
AN XY:
720318
show subpopulations
Gnomad4 AFR exome
AF:
0.000271
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000510
Gnomad4 SAS exome
AF:
0.0000118
Gnomad4 FIN exome
AF:
0.000252
Gnomad4 NFE exome
AF:
0.0000108
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000974
AC:
13
AN:
133528
Hom.:
0
Cov.:
35
AF XY:
0.000139
AC XY:
9
AN XY:
64772
show subpopulations
Gnomad4 AFR
AF:
0.000222
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000329
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00110
Bravo
AF:
0.000113
ExAC
AF:
0.0000577
AC:
7

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 GeneticsJul 16, 2021The c.841G>A (p.D281N) alteration is located in exon 7 (coding exon 7) of the CNN2 gene. This alteration results from a G to A substitution at nucleotide position 841, causing the aspartic acid (D) at amino acid position 281 to be replaced by an asparagine (N). 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
0.072
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
20
DANN
Benign
0.97
DEOGEN2
Benign
0.23
T;.;.;T
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.48
FATHMM_MKL
Benign
0.59
D
LIST_S2
Benign
0.69
T;T;T;T
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.066
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.7
L;.;.;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-1.2
N;N;N;N
REVEL
Benign
0.020
Sift
Benign
0.25
T;T;T;T
Sift4G
Benign
0.49
T;T;T;T
Polyphen
0.014
B;.;B;B
Vest4
0.13
MutPred
0.21
.;.;.;Loss of catalytic residue at D302 (P = 0.0945);
MVP
0.29
MPC
0.096
ClinPred
0.029
T
GERP RS
4.4
Varity_R
0.18
gMVP
0.13

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: rs80117328; hg19: chr19-1037810; COSMIC: COSV54037577; COSMIC: COSV54037577; API