2-199272252-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 1P and 7B. PP2BP4_ModerateBS1_SupportingBS2

The NM_001172509.2(SATB2):​c.2161G>A​(p.Asp721Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00000342 in 1,461,846 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

SATB2
NM_001172509.2 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.40
Variant links:
Genes affected
SATB2 (HGNC:21637): (SATB homeobox 2) This gene encodes a DNA binding protein that specifically binds nuclear matrix attachment regions. The encoded protein is involved in transcription regulation and chromatin remodeling. Defects in this gene are associated with isolated cleft palate and cognitive disability. Alternate splicing results in multiple transcript variants that encode the same protein. [provided by RefSeq, Feb 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), SATB2. . Gene score misZ 4.0511 (greater than the threshold 3.09). Trascript score misZ 5.5168 (greater than threshold 3.09). GenCC has associacion of gene with chromosome 2q32-q33 deletion syndrome, SATB2 associated disorder.
BP4
Computational evidence support a benign effect (MetaRNN=0.1646738).
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.00000342 (5/1461846) while in subpopulation MID AF= 0.00052 (3/5768). AF 95% confidence interval is 0.000141. There are 0 homozygotes in gnomad4_exome. There are 3 alleles in male gnomad4_exome subpopulation. Median coverage is 31. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SATB2NM_001172509.2 linkuse as main transcriptc.2161G>A p.Asp721Asn missense_variant 11/11 ENST00000417098.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SATB2ENST00000417098.6 linkuse as main transcriptc.2161G>A p.Asp721Asn missense_variant 11/112 NM_001172509.2 P1Q9UPW6-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461846
Hom.:
0
Cov.:
31
AF XY:
0.00000413
AC XY:
3
AN XY:
727226
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 29, 2022The c.2161G>A (p.D721N) alteration is located in exon 12 (coding exon 10) of the SATB2 gene. This alteration results from a G to A substitution at nucleotide position 2161, causing the aspartic acid (D) at amino acid position 721 to be replaced by an asparagine (N). 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
Benign
0.071
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.12
T;.;T;T;.;T
Eigen
Benign
-0.35
Eigen_PC
Benign
-0.22
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.91
.;D;D;.;.;D
M_CAP
Benign
0.0039
T
MetaRNN
Benign
0.16
T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N;.;.;N;.;N
MutationTaster
Benign
0.80
D;D;D;D;D
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-0.84
N;.;N;N;N;N
REVEL
Benign
0.064
Sift
Benign
0.049
D;.;T;D;D;D
Sift4G
Benign
0.85
T;T;T;T;T;T
Polyphen
0.0040
B;.;.;B;.;B
Vest4
0.11
MutPred
0.30
Loss of stability (P = 0.0308);.;.;Loss of stability (P = 0.0308);.;Loss of stability (P = 0.0308);
MVP
0.54
MPC
1.0
ClinPred
0.26
T
GERP RS
5.6
Varity_R
0.083
gMVP
0.095

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr2-200136975; API