19-34438643-A-G

Position:

• chr19-34438643-A-G

Variant summary

Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PVS1 PM2 PP3_Strong PP5_Moderate

The NM_005499.3(UBA2):​c.460-2A>G variant causes a splice acceptor change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★).

• Frequency: Genomes: not found (cov: 32)
• Consequence: UBA2 NM_005499.3 splice_acceptor
• Scores: Splicing: ADA: 1.000
• Clinical Significance: Pathogenic criteria provided, single submitter P:1
• Conservation: PhyloP100: 8.78

Genes affected

UBA2 (HGNC:30661): (ubiquitin like modifier activating enzyme 2) Posttranslational modification of proteins by the addition of the small protein SUMO (see SUMO1; MIM 601912), or sumoylation, regulates protein structure and intracellular localization. SAE1 (MIM 613294) and UBA2 form a heterodimer that functions as a SUMO-activating enzyme for the sumoylation of proteins (Okuma et al., 1999 [PubMed 9920803]).[supplied by OMIM, Mar 2010]

ACMG classification

Verdict is Pathogenic. Variant got 16 ACMG points.

• PVS1: Splicing variant, LoF is a know mechanism of disease, No cryptic splice site detected. Exon removal results in frameshift change.
• PM2: Very rare variant in population databases, with high coverage
• PP3: Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF, max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
• PP5: Variant 19-34438643-A-G is Pathogenic according to our data. Variant chr19-34438643-A-G is described in ClinVar as [Pathogenic]. Clinvar id is 3064270.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
UBA2	NM_005499.3	c.460-2A>G		splice_acceptor_variant		ENST00000246548.9

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
UBA2	ENST00000246548.9	c.460-2A>G		splice_acceptor_variant		1	NM_005499.3	P1

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 30

GnomAD4 genome Cov.: 32

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1

Revision: criteria provided, single submitter

Submissions by phenotype

ACCES syndrome Pathogenic:1

Pathogenic, criteria provided, single submitter

clinical testing

Medical Genetics Laboratory, Etlik City Hospital

Mar 25, 2024

The whole-exome sequencing (WES) analysis of the patient, who presented with a phenotype resembling spondyloepiphyseal dysplasia tarda, revealed a heterozygous variant, NM_005499.3:c.460-2A>G, in the UBA2 gene. This variant has not been previously documented in the medical literature or major variant databases such as ClinVar or LOVD, and it is absent in population data from GnomAD. Located at the canonical acceptor splice site, precisely at the junction of intron 5 and exon 6 in the NM_005499.2 transcript, which comprises a total of 17 exons, it is anticipated that this variant will affect the splicing process. According to the American College of Medical Genetics and Genomics and the Association for Molecular Pathology guidelines, the c.460-2A>G variant is classified as pathogenic (Richards et al., 2015). The WES analysis did not identify any additional variants classified as pathogenic or likely pathogenic. Consequently, the identified variant was interpreted as clinically relevant within the spectrum of UBA2-related conditions. The father, affected by a similar phenotype, carried the variant in the heterozygous state, consistent with his daughter's genetic makeup. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_addAF	Pathogenic	0.30	D
BayesDel_noAF	Pathogenic	0.19
CADD	Pathogenic	32
DANN	Uncertain	1.0
Eigen	Pathogenic	1.1
Eigen_PC	Pathogenic	0.93
FATHMM_MKL	Pathogenic	0.99	D
MutationTaster	Benign	1.0	D;D
GERP RS		5.4

Splicing

Name	Calibrated prediction	Score	Prediction
dbscSNV1_ADA	Pathogenic	1.0
dbscSNV1_RF	Pathogenic	0.93
SpliceAI score (max)		0.90		Details are displayed if max score is > 0.2
DS_AL_spliceai		0.90		Position offset: 2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-34929548;