19-7690507-A-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001220500.2(FCER2):​c.520T>A​(p.Cys174Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,804 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: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

FCER2
NM_001220500.2 missense

Scores

5
10
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.25
Variant links:
Genes affected
FCER2 (HGNC:3612): (Fc epsilon receptor II) The protein encoded by this gene is a B-cell specific antigen, and a low-affinity receptor for IgE. It has essential roles in B cell growth and differentiation, and the regulation of IgE production. This protein also exists as a soluble secreted form, then functioning as a potent mitogenic growth factor. Alternatively spliced transcript variants encoding different isoforms have been described for this gene.[provided by RefSeq, Jul 2011]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.972

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FCER2NM_001220500.2 linkuse as main transcriptc.520T>A p.Cys174Ser missense_variant 9/11 ENST00000597921.6 NP_001207429.1
FCER2NM_002002.5 linkuse as main transcriptc.520T>A p.Cys174Ser missense_variant 9/11 NP_001993.2
FCER2NM_001207019.3 linkuse as main transcriptc.517T>A p.Cys173Ser missense_variant 8/10 NP_001193948.2
FCER2XM_005272462.5 linkuse as main transcriptc.520T>A p.Cys174Ser missense_variant 9/11 XP_005272519.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FCER2ENST00000597921.6 linkuse as main transcriptc.520T>A p.Cys174Ser missense_variant 9/111 NM_001220500.2 ENSP00000471974 P2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251344
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135842
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
0.00000205
AC:
3
AN:
1461804
Hom.:
0
Cov.:
36
AF XY:
0.00000138
AC XY:
1
AN XY:
727218
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

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 GeneticsAug 12, 2021The c.520T>A (p.C174S) alteration is located in exon 9 (coding exon 8) of the FCER2 gene. This alteration results from a T to A substitution at nucleotide position 520, causing the cysteine (C) at amino acid position 174 to be replaced by a serine (S). 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
Pathogenic
0.99
BayesDel_addAF
Uncertain
0.076
D
BayesDel_noAF
Uncertain
-0.050
CADD
Uncertain
25
DANN
Benign
0.96
DEOGEN2
Uncertain
0.59
.;D;D;.
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.52
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Benign
0.71
T;.;T;T
M_CAP
Benign
0.032
D
MetaRNN
Pathogenic
0.97
D;D;D;D
MetaSVM
Uncertain
-0.041
T
MutationAssessor
Pathogenic
3.6
.;H;H;.
MutationTaster
Benign
0.98
D;D
PrimateAI
Uncertain
0.53
T
PROVEAN
Pathogenic
-9.7
D;D;.;.
REVEL
Uncertain
0.36
Sift
Pathogenic
0.0
D;D;.;.
Sift4G
Uncertain
0.0060
D;D;D;D
Polyphen
1.0
.;D;D;.
Vest4
0.63
MutPred
0.92
.;Loss of stability (P = 0.0633);Loss of stability (P = 0.0633);.;
MVP
0.58
MPC
0.32
ClinPred
1.0
D
GERP RS
4.6
Varity_R
0.95
gMVP
0.88

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1400063852; hg19: chr19-7755393; API