20-32019087-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_001365692.1(CCM2L):​c.611G>A​(p.Arg204Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00002 in 1,201,034 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000080 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000011 ( 0 hom. )

Consequence

CCM2L
NM_001365692.1 missense

Scores

2
2
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.04
Variant links:
Genes affected
CCM2L (HGNC:16153): (CCM2 like scaffold protein) Predicted to act upstream of or within several processes, including heart development; negative regulation of homotypic cell-cell adhesion; and positive regulation of fibroblast growth factor production. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.28321064).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CCM2LNM_001365692.1 linkuse as main transcriptc.611G>A p.Arg204Gln missense_variant 5/10 ENST00000452892.3 NP_001352621.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CCM2LENST00000452892.3 linkuse as main transcriptc.611G>A p.Arg204Gln missense_variant 5/102 NM_001365692.1 ENSP00000392448.2 Q9NUG4-1
CCM2LENST00000262659.12 linkuse as main transcriptc.611G>A p.Arg204Gln missense_variant 5/91 ENSP00000262659.8 Q9NUG4-2
ENSG00000226239ENST00000653258.1 linkuse as main transcriptn.704+9841C>T intron_variant
ENSG00000226239ENST00000662576.1 linkuse as main transcriptn.815+9841C>T intron_variant

Frequencies

GnomAD3 genomes
AF:
0.0000797
AC:
12
AN:
150614
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00233
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
GnomAD4 exome
AF:
0.0000114
AC:
12
AN:
1050314
Hom.:
0
Cov.:
30
AF XY:
0.0000161
AC XY:
8
AN XY:
497306
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000476
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000244
GnomAD4 genome
AF:
0.0000796
AC:
12
AN:
150720
Hom.:
0
Cov.:
33
AF XY:
0.0000544
AC XY:
4
AN XY:
73586
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00234
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000642

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 GeneticsFeb 27, 2023The c.611G>A (p.R204Q) alteration is located in exon 5 (coding exon 5) of the CCM2L gene. This alteration results from a G to A substitution at nucleotide position 611, causing the arginine (R) at amino acid position 204 to be replaced by a glutamine (Q). 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
0.23
BayesDel_addAF
Benign
-0.016
T
BayesDel_noAF
Benign
-0.26
CADD
Pathogenic
28
DANN
Uncertain
1.0
Eigen
Benign
-0.011
Eigen_PC
Benign
-0.086
FATHMM_MKL
Benign
0.48
N
LIST_S2
Benign
0.66
T
M_CAP
Pathogenic
0.90
D
MetaRNN
Benign
0.28
T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
1.6
L
PrimateAI
Pathogenic
0.96
D
PROVEAN
Benign
-0.88
N
REVEL
Benign
0.20
Sift
Uncertain
0.0070
D
Sift4G
Benign
0.080
T
Polyphen
0.98
D
Vest4
0.20
MutPred
0.34
Loss of MoRF binding (P = 0.0284);
MVP
0.63
MPC
1.5
ClinPred
0.91
D
GERP RS
2.3
gMVP
0.20

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: rs1488225563; hg19: chr20-30606890; COSMIC: COSV105008761; COSMIC: COSV105008761; API