19-49010528-G-A

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PP3_ModerateBS2

The NM_006666.3(RUVBL2):​c.704G>A​(p.Arg235His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000108 in 1,392,078 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000030 ( 0 hom., cov: 29)
Exomes 𝑓: 0.0000087 ( 0 hom. )

Consequence

RUVBL2
NM_006666.3 missense

Scores

8
7
1

Clinical Significance

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

Conservation

PhyloP100: 9.10

Publications

2 publications found
Variant links:
Genes affected
RUVBL2 (HGNC:10475): (RuvB like AAA ATPase 2) This gene encodes the second human homologue of the bacterial RuvB gene. Bacterial RuvB protein is a DNA helicase essential for homologous recombination and DNA double-strand break repair. Functional analysis showed that this gene product has both ATPase and DNA helicase activities. This gene is physically linked to the CGB/LHB gene cluster on chromosome 19q13.3, and is very close (55 nt) to the LHB gene, in the opposite orientation. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PP3
MetaRNN computational evidence supports a deleterious effect, 0.851
BS2
High AC in GnomAdExome4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RUVBL2NM_006666.3 linkc.704G>A p.Arg235His missense_variant Exon 9 of 15 ENST00000595090.6 NP_006657.1 Q9Y230-1
RUVBL2NM_001321190.2 linkc.602G>A p.Arg201His missense_variant Exon 9 of 15 NP_001308119.1 B3KNL2
RUVBL2NM_001321191.1 linkc.569G>A p.Arg190His missense_variant Exon 9 of 15 NP_001308120.1 Q9Y230-2
RUVBL2NR_135578.2 linkn.718G>A non_coding_transcript_exon_variant Exon 9 of 15

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RUVBL2ENST00000595090.6 linkc.704G>A p.Arg235His missense_variant Exon 9 of 15 1 NM_006666.3 ENSP00000473172.1 Q9Y230-1

Frequencies

GnomAD3 genomes
AF:
0.0000298
AC:
4
AN:
134068
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.0000277
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000167
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000155
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000802
AC:
2
AN:
249408
AF XY:
0.00000739
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000177
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000874
AC:
11
AN:
1257924
Hom.:
0
Cov.:
39
AF XY:
0.00000481
AC XY:
3
AN XY:
624282
show subpopulations
African (AFR)
AF:
0.0000362
AC:
1
AN:
27648
American (AMR)
AF:
0.00
AC:
0
AN:
38802
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18868
East Asian (EAS)
AF:
0.00
AC:
0
AN:
22014
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84276
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37476
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4716
European-Non Finnish (NFE)
AF:
0.00000819
AC:
8
AN:
976964
Other (OTH)
AF:
0.0000424
AC:
2
AN:
47160
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.443
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
AF:
0.0000298
AC:
4
AN:
134154
Hom.:
0
Cov.:
29
AF XY:
0.0000156
AC XY:
1
AN XY:
63956
show subpopulations
African (AFR)
AF:
0.0000276
AC:
1
AN:
36190
American (AMR)
AF:
0.000167
AC:
2
AN:
11990
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3344
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3886
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3910
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
7346
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
240
European-Non Finnish (NFE)
AF:
0.0000155
AC:
1
AN:
64468
Other (OTH)
AF:
0.00
AC:
0
AN:
1910
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000225
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.00000826
AC:
1
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Oct 29, 2021
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.704G>A (p.R235H) alteration is located in exon 9 (coding exon 9) of the RUVBL2 gene. This alteration results from a G to A substitution at nucleotide position 704, causing the arginine (R) at amino acid position 235 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

not provided Uncertain:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.85
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Uncertain
-0.050
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.72
D;T;T
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.89
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Pathogenic
1.0
D;.;D
M_CAP
Uncertain
0.093
D
MetaRNN
Pathogenic
0.85
D;D;D
MetaSVM
Uncertain
0.23
D
MutationAssessor
Pathogenic
3.5
M;.;.
PhyloP100
9.1
PrimateAI
Pathogenic
0.84
D
Sift4G
Uncertain
0.0050
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.78
MutPred
0.65
Loss of methylation at K234 (P = 0.0616);.;.;
MVP
0.79
MPC
2.3
ClinPred
1.0
D
GERP RS
4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.88
gMVP
0.91
Mutation Taster
=28/72
disease causing

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: rs757826960; hg19: chr19-49513785; COSMIC: COSV99669243; COSMIC: COSV99669243; API