2-236167550-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The ENST00000306318.5(GBX2):​c.422C>T​(p.Ala141Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000375 in 1,598,958 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00023 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

GBX2
ENST00000306318.5 missense

Scores

2
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.84
Variant links:
Genes affected
GBX2 (HGNC:4186): (gastrulation brain homeobox 2) Enables sequence-specific double-stranded DNA binding activity. Predicted to be involved in regulation of nervous system development and regulation of transcription by RNA polymerase II. Predicted to act upstream of or within several processes, including branching involved in blood vessel morphogenesis; nervous system development; and neural crest cell migration. Predicted to be part of chromatin. Predicted to be active in nucleus. [provided by Alliance of Genome Resources, Apr 2022]
GBX2-AS1 (HGNC:55714): (GBX2 and ASB18 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06999281).
BS2
High AC in GnomAd4 at 35 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GBX2NM_001485.4 linkuse as main transcriptc.422C>T p.Ala141Val missense_variant 1/2 ENST00000306318.5 NP_001476.2
GBX2NM_001301687.2 linkuse as main transcriptc.422C>T p.Ala141Val missense_variant 1/3 NP_001288616.1
GBX2XM_047443907.1 linkuse as main transcriptc.422C>T p.Ala141Val missense_variant 1/4 XP_047299863.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GBX2ENST00000306318.5 linkuse as main transcriptc.422C>T p.Ala141Val missense_variant 1/21 NM_001485.4 ENSP00000302251 P1
GBX2-AS1ENST00000415226.1 linkuse as main transcriptn.104G>A non_coding_transcript_exon_variant 1/44

Frequencies

GnomAD3 genomes
AF:
0.000224
AC:
34
AN:
152072
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000772
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000451
AC:
10
AN:
221518
Hom.:
0
AF XY:
0.0000245
AC XY:
3
AN XY:
122698
show subpopulations
Gnomad AFR exome
AF:
0.000649
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000572
Gnomad NFE exome
AF:
0.0000102
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000173
AC:
25
AN:
1446778
Hom.:
0
Cov.:
34
AF XY:
0.0000153
AC XY:
11
AN XY:
719532
show subpopulations
Gnomad4 AFR exome
AF:
0.000373
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000118
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000813
Gnomad4 OTH exome
AF:
0.0000502
GnomAD4 genome
AF:
0.000230
AC:
35
AN:
152180
Hom.:
0
Cov.:
32
AF XY:
0.000242
AC XY:
18
AN XY:
74396
show subpopulations
Gnomad4 AFR
AF:
0.000794
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000283
Hom.:
0
Bravo
AF:
0.000317
ExAC
AF:
0.0000752
AC:
9

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 GeneticsApr 20, 2023The c.422C>T (p.A141V) alteration is located in exon 1 (coding exon 1) of the GBX2 gene. This alteration results from a C to T substitution at nucleotide position 422, causing the alanine (A) at amino acid position 141 to be replaced by a valine (V). 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
0.097
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T;.
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.067
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Benign
0.67
T;T
M_CAP
Pathogenic
0.38
D
MetaRNN
Benign
0.070
T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
1.6
L;.
MutationTaster
Benign
0.60
N;N
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
-0.83
N;N
REVEL
Benign
0.21
Sift
Benign
0.043
D;D
Sift4G
Benign
0.24
T;T
Polyphen
0.49
P;B
Vest4
0.27
MVP
0.88
ClinPred
0.064
T
GERP RS
4.6
Varity_R
0.14
gMVP
0.40

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs149869981; hg19: chr2-237076193; COSMIC: COSV60444859; COSMIC: COSV60444859; API