2-177234082-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 9 ACMG points: 9P and 0B. PS1_ModeratePM1PM2PM5PP5

The NM_006164.5(NFE2L2):​c.235G>A​(p.Glu79Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Likely pathogenic (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin UniProt. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E79D) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)

Consequence

NFE2L2
NM_006164.5 missense

Scores

9
6
4

Clinical Significance

Pathogenic/Likely pathogenic no assertion criteria provided P:7

Conservation

PhyloP100: 7.57
Variant links:
Genes affected
NFE2L2 (HGNC:7782): (NFE2 like bZIP transcription factor 2) This gene encodes a transcription factor which is a member of a small family of basic leucine zipper (bZIP) proteins. The encoded transcription factor regulates genes which contain antioxidant response elements (ARE) in their promoters; many of these genes encode proteins involved in response to injury and inflammation which includes the production of free radicals. Multiple transcript variants encoding different isoforms have been characterized for this gene. [provided by RefSeq, Sep 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 9 ACMG points.

PS1
Transcript NM_006164.5 (NFE2L2) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 5 uncertain in NM_006164.5
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-177234080-C-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 376468.Status of the report is no_assertion_criteria_provided, 0 stars.
PP5
Variant 2-177234082-C-T is Pathogenic according to our data. Variant chr2-177234082-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 376466.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NFE2L2NM_006164.5 linkuse as main transcriptc.235G>A p.Glu79Lys missense_variant 2/5 ENST00000397062.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NFE2L2ENST00000397062.8 linkuse as main transcriptc.235G>A p.Glu79Lys missense_variant 2/51 NM_006164.5 A1Q16236-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:7
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Immunodeficiency, developmental delay, and hypohomocysteinemia Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMAug 28, 2018- -
Squamous cell lung carcinoma Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyDatabase of Curated Mutations (DoCM)May 31, 2016- -
Lung adenocarcinoma Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyDatabase of Curated Mutations (DoCM)May 31, 2016- -
Neoplasm of uterine cervix Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyDatabase of Curated Mutations (DoCM)May 31, 2016- -
Transitional cell carcinoma of the bladder Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyDatabase of Curated Mutations (DoCM)May 31, 2016- -
Hepatocellular carcinoma Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyDatabase of Curated Mutations (DoCM)May 31, 2016- -
Squamous cell carcinoma of the head and neck Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyDatabase of Curated Mutations (DoCM)May 31, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.83
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Pathogenic
0.14
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Benign
0.40
.;T;.;.;.;T;T;.;.;.
Eigen
Pathogenic
0.92
Eigen_PC
Pathogenic
0.89
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.97
.;D;D;D;D;D;D;D;D;D
M_CAP
Benign
0.041
D
MetaRNN
Uncertain
0.57
D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.53
T
MutationAssessor
Pathogenic
3.1
.;M;.;.;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-2.6
D;D;D;.;N;D;.;D;D;.
REVEL
Uncertain
0.36
Sift
Pathogenic
0.0
D;D;D;.;T;D;.;D;D;.
Sift4G
Pathogenic
0.0
D;D;D;D;.;.;D;.;D;.
Polyphen
1.0
.;D;.;.;.;.;.;.;D;.
Vest4
0.76
MutPred
0.39
.;Gain of ubiquitination at E79 (P = 0.0042);.;.;.;.;.;.;.;.;
MVP
0.63
MPC
0.69
ClinPred
0.99
D
GERP RS
5.8
Varity_R
0.97
gMVP
0.57

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs1057519922; hg19: chr2-178098810; COSMIC: COSV67959999; COSMIC: COSV67959999; API