19-42326311-C-T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001271938.2(MEGF8):​c.68C>T​(p.Pro23Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000567 in 1,411,184 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000057 ( 0 hom. )

Consequence

MEGF8
NM_001271938.2 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.768

Publications

0 publications found
Variant links:
Genes affected
MEGF8 (HGNC:3233): (multiple EGF like domains 8) The protein encoded by this gene is a single-pass type I membrane protein of unknown function that contains several EGF-like domains, Kelch repeats, and PSI domains. Defects in this gene are a cause of Carpenter syndrome 2. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2012]
MEGF8 Gene-Disease associations (from GenCC):
  • MEGF8-related Carpenter syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: PanelApp Australia, G2P, Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae)
  • Carpenter syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06867224).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MEGF8NM_001271938.2 linkc.68C>T p.Pro23Leu missense_variant Exon 1 of 42 ENST00000251268.11 NP_001258867.1 Q7Z7M0-1
MEGF8NM_001410.3 linkc.68C>T p.Pro23Leu missense_variant Exon 1 of 41 NP_001401.2 Q7Z7M0-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MEGF8ENST00000251268.11 linkc.68C>T p.Pro23Leu missense_variant Exon 1 of 42 5 NM_001271938.2 ENSP00000251268.5 Q7Z7M0-1
MEGF8ENST00000334370.8 linkc.68C>T p.Pro23Leu missense_variant Exon 1 of 41 1 ENSP00000334219.4 Q7Z7M0-2
MEGF8ENST00000378073.5 linkc.-7018C>T 5_prime_UTR_premature_start_codon_gain_variant Exon 1 of 41 5 ENSP00000367313.4 F5GZG7
MEGF8ENST00000378073.5 linkc.-7018C>T 5_prime_UTR_variant Exon 1 of 41 5 ENSP00000367313.4 F5GZG7

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000359
AC:
7
AN:
194944
AF XY:
0.00000918
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000327
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000567
AC:
8
AN:
1411184
Hom.:
0
Cov.:
30
AF XY:
0.00000285
AC XY:
2
AN XY:
702170
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
29260
American (AMR)
AF:
0.000218
AC:
7
AN:
32058
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24218
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35700
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79546
European-Finnish (FIN)
AF:
0.0000190
AC:
1
AN:
52700
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5574
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1093850
Other (OTH)
AF:
0.00
AC:
0
AN:
58278
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000332
AC:
4

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

MEGF8-related Carpenter syndrome Uncertain:1
Sep 28, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 23 of the MEGF8 protein (p.Pro23Leu). This variant is present in population databases (rs774347513, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with MEGF8-related conditions. Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Not Available"; Align-GVGD: "Class C0". The leucine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Inborn genetic diseases Uncertain:1
May 01, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.68C>T (p.P23L) alteration is located in exon 1 (coding exon 1) of the MEGF8 gene. This alteration results from a C to T substitution at nucleotide position 68, causing the proline (P) at amino acid position 23 to be replaced by a leucine (L). 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
0.082
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
14
DANN
Uncertain
0.99
DEOGEN2
Benign
0.18
.;T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.47
FATHMM_MKL
Benign
0.055
N
LIST_S2
Benign
0.74
T;T
M_CAP
Benign
0.021
T
MetaRNN
Benign
0.069
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.69
N;N
PhyloP100
0.77
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-1.5
N;N
REVEL
Benign
0.064
Sift
Benign
0.18
T;T
Sift4G
Benign
0.43
T;T
Polyphen
0.78
P;.
Vest4
0.10
MutPred
0.48
Loss of relative solvent accessibility (P = 0.0186);Loss of relative solvent accessibility (P = 0.0186);
MVP
0.093
MPC
0.39
ClinPred
0.12
T
GERP RS
3.3
Varity_R
0.046
gMVP
0.21
Mutation Taster
=95/5
polymorphism

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

Other links and lift over

dbSNP: rs774347513; hg19: chr19-42830463; API