2-241735388-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_152783.5(D2HGDH):​c.164G>A​(p.Arg55Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.298 in 1,589,620 control chromosomes in the GnomAD database, including 72,410 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.27 ( 6006 hom., cov: 35)
Exomes 𝑓: 0.30 ( 66404 hom. )

Consequence

D2HGDH
NM_152783.5 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.906
Variant links:
Genes affected
D2HGDH (HGNC:28358): (D-2-hydroxyglutarate dehydrogenase) This gene encodes D-2hydroxyglutarate dehydrogenase, a mitochondrial enzyme belonging to the FAD-binding oxidoreductase/transferase type 4 family. This enzyme, which is most active in liver and kidney but also active in heart and brain, converts D-2-hydroxyglutarate to 2-ketoglutarate. Mutations in this gene are present in D-2-hydroxyglutaric aciduria, a rare recessive neurometabolic disorder causing developmental delay, epilepsy, hypotonia, and dysmorphic features. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0021398067).
BP6
Variant 2-241735388-G-A is Benign according to our data. Variant chr2-241735388-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 158414.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.316 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
D2HGDHNM_152783.5 linkuse as main transcriptc.164G>A p.Arg55Gln missense_variant 2/10 ENST00000321264.9 NP_689996.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
D2HGDHENST00000321264.9 linkuse as main transcriptc.164G>A p.Arg55Gln missense_variant 2/101 NM_152783.5 ENSP00000315351 P1Q8N465-1
ENST00000400768.2 linkuse as main transcriptn.111C>T non_coding_transcript_exon_variant 1/24

Frequencies

GnomAD3 genomes
AF:
0.273
AC:
41593
AN:
152144
Hom.:
6005
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.207
Gnomad AMI
AF:
0.444
Gnomad AMR
AF:
0.229
Gnomad ASJ
AF:
0.382
Gnomad EAS
AF:
0.152
Gnomad SAS
AF:
0.298
Gnomad FIN
AF:
0.298
Gnomad MID
AF:
0.316
Gnomad NFE
AF:
0.320
Gnomad OTH
AF:
0.273
GnomAD3 exomes
AF:
0.278
AC:
55268
AN:
198738
Hom.:
7955
AF XY:
0.286
AC XY:
31319
AN XY:
109552
show subpopulations
Gnomad AFR exome
AF:
0.203
Gnomad AMR exome
AF:
0.197
Gnomad ASJ exome
AF:
0.374
Gnomad EAS exome
AF:
0.155
Gnomad SAS exome
AF:
0.296
Gnomad FIN exome
AF:
0.283
Gnomad NFE exome
AF:
0.319
Gnomad OTH exome
AF:
0.293
GnomAD4 exome
AF:
0.300
AC:
431924
AN:
1437358
Hom.:
66404
Cov.:
43
AF XY:
0.302
AC XY:
215402
AN XY:
713498
show subpopulations
Gnomad4 AFR exome
AF:
0.198
Gnomad4 AMR exome
AF:
0.198
Gnomad4 ASJ exome
AF:
0.377
Gnomad4 EAS exome
AF:
0.162
Gnomad4 SAS exome
AF:
0.297
Gnomad4 FIN exome
AF:
0.294
Gnomad4 NFE exome
AF:
0.311
Gnomad4 OTH exome
AF:
0.295
GnomAD4 genome
AF:
0.273
AC:
41597
AN:
152262
Hom.:
6006
Cov.:
35
AF XY:
0.271
AC XY:
20205
AN XY:
74442
show subpopulations
Gnomad4 AFR
AF:
0.206
Gnomad4 AMR
AF:
0.229
Gnomad4 ASJ
AF:
0.382
Gnomad4 EAS
AF:
0.151
Gnomad4 SAS
AF:
0.298
Gnomad4 FIN
AF:
0.298
Gnomad4 NFE
AF:
0.320
Gnomad4 OTH
AF:
0.273
Alfa
AF:
0.313
Hom.:
7520
Bravo
AF:
0.261
TwinsUK
AF:
0.316
AC:
1172
ALSPAC
AF:
0.300
AC:
1158
ESP6500AA
AF:
0.192
AC:
788
ESP6500EA
AF:
0.313
AC:
2638
ExAC
AF:
0.258
AC:
30457
Asia WGS
AF:
0.214
AC:
745
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

D-2-hydroxyglutaric aciduria 1 Benign:3
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 30, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxMay 04, 2021- -
Benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo ClinicFeb 15, 2016- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoOct 31, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.062
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
5.2
DANN
Benign
0.97
DEOGEN2
Benign
0.043
T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.56
T
MetaRNN
Benign
0.0021
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.86
N
MutationTaster
Benign
1.0
P;P;P;P
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.090
N
REVEL
Benign
0.14
Sift
Benign
0.64
T
Sift4G
Benign
0.57
T
Polyphen
0.032
B
Vest4
0.032
MPC
0.43
ClinPred
0.0048
T
GERP RS
-6.4
Varity_R
0.036
gMVP
0.48

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.13
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: rs77940364; hg19: chr2-242674803; COSMIC: COSV58319692; API