19-42375658-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001271938.2(MEGF8):​c.7421G>A​(p.Arg2474His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00493 in 1,610,068 control chromosomes in the GnomAD database, including 24 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0032 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0051 ( 22 hom. )

Consequence

MEGF8
NM_001271938.2 missense

Scores

4
5
10

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 7.40
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0077979267).
BP6
Variant 19-42375658-G-A is Benign according to our data. Variant chr19-42375658-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 473346.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-42375658-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00322 (490/152230) while in subpopulation SAS AF= 0.00642 (31/4828). AF 95% confidence interval is 0.00465. There are 2 homozygotes in gnomad4. There are 220 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MEGF8NM_001271938.2 linkuse as main transcriptc.7421G>A p.Arg2474His missense_variant 42/42 ENST00000251268.11 NP_001258867.1 Q7Z7M0-1
MEGF8NM_001410.3 linkuse as main transcriptc.7220G>A p.Arg2407His missense_variant 41/41 NP_001401.2 Q7Z7M0-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MEGF8ENST00000251268.11 linkuse as main transcriptc.7421G>A p.Arg2474His missense_variant 42/425 NM_001271938.2 ENSP00000251268.5 Q7Z7M0-1

Frequencies

GnomAD3 genomes
AF:
0.00321
AC:
489
AN:
152112
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00138
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00321
Gnomad ASJ
AF:
0.00259
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00621
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.00491
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00395
AC:
959
AN:
242648
Hom.:
5
AF XY:
0.00417
AC XY:
550
AN XY:
131860
show subpopulations
Gnomad AFR exome
AF:
0.00100
Gnomad AMR exome
AF:
0.00363
Gnomad ASJ exome
AF:
0.00717
Gnomad EAS exome
AF:
0.0000555
Gnomad SAS exome
AF:
0.00551
Gnomad FIN exome
AF:
0.000236
Gnomad NFE exome
AF:
0.00505
Gnomad OTH exome
AF:
0.00503
GnomAD4 exome
AF:
0.00510
AC:
7442
AN:
1457838
Hom.:
22
Cov.:
31
AF XY:
0.00524
AC XY:
3800
AN XY:
724860
show subpopulations
Gnomad4 AFR exome
AF:
0.00120
Gnomad4 AMR exome
AF:
0.00398
Gnomad4 ASJ exome
AF:
0.00667
Gnomad4 EAS exome
AF:
0.0000758
Gnomad4 SAS exome
AF:
0.00528
Gnomad4 FIN exome
AF:
0.000342
Gnomad4 NFE exome
AF:
0.00561
Gnomad4 OTH exome
AF:
0.00518
GnomAD4 genome
AF:
0.00322
AC:
490
AN:
152230
Hom.:
2
Cov.:
32
AF XY:
0.00296
AC XY:
220
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.00137
Gnomad4 AMR
AF:
0.00320
Gnomad4 ASJ
AF:
0.00259
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00642
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.00491
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00491
Hom.:
2
Bravo
AF:
0.00354
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00623
AC:
24
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00454
AC:
39
ExAC
AF:
0.00377
AC:
457

ClinVar

Significance: Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2024MEGF8: BS2 -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
MEGF8-related Carpenter syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
MEGF8-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 24, 2020This 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

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.11
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.20
.;.;T
Eigen
Uncertain
0.68
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.91
D;D;D
M_CAP
Benign
0.028
D
MetaRNN
Benign
0.0078
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.4
.;.;M
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-2.3
N;D;N
REVEL
Benign
0.28
Sift
Uncertain
0.0080
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.36
MVP
0.13
MPC
1.6
ClinPred
0.020
T
GERP RS
4.9
Varity_R
0.24
gMVP
0.74

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs45623135; hg19: chr19-42879810; COSMIC: COSV99236728; API