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.
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]
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.