20-37944059-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_080607.3(VSTM2L):​c.421G>A​(p.Glu141Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000959 in 1,460,136 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 29)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

VSTM2L
NM_080607.3 missense

Scores

13
4
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.89
Variant links:
Genes affected
VSTM2L (HGNC:16096): (V-set and transmembrane domain containing 2 like) Predicted to enable cell-cell adhesion mediator activity. Involved in negative regulation of neuron apoptotic process. Located in cytoplasm and extracellular region. [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 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.868

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
VSTM2LNM_080607.3 linkuse as main transcriptc.421G>A p.Glu141Lys missense_variant 4/4 ENST00000373461.9 NP_542174.1
VSTM2LXM_011528530.2 linkuse as main transcriptc.370G>A p.Glu124Lys missense_variant 3/3 XP_011526832.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
VSTM2LENST00000373461.9 linkuse as main transcriptc.421G>A p.Glu141Lys missense_variant 4/41 NM_080607.3 ENSP00000362560 P1Q96N03-1
VSTM2LENST00000448944.1 linkuse as main transcriptc.370G>A p.Glu124Lys missense_variant 3/33 ENSP00000406537 Q96N03-2
VSTM2LENST00000373459.4 linkuse as main transcriptc.200G>A p.Arg67Gln missense_variant 2/23 ENSP00000362558 Q96N03-3

Frequencies

GnomAD3 genomes
Cov.:
29
GnomAD3 exomes
AF:
0.00000811
AC:
2
AN:
246624
Hom.:
0
AF XY:
0.00000747
AC XY:
1
AN XY:
133956
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.00
Gnomad NFE exome
AF:
0.0000181
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000959
AC:
14
AN:
1460136
Hom.:
0
Cov.:
45
AF XY:
0.00000826
AC XY:
6
AN XY:
726108
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:
0.0000126
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
29

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 GeneticsOct 12, 2022The c.421G>A (p.E141K) alteration is located in exon 4 (coding exon 4) of the VSTM2L gene. This alteration results from a G to A substitution at nucleotide position 421, causing the glutamic acid (E) at amino acid position 141 to be replaced by a lysine (K). 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
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.34
D
BayesDel_noAF
Pathogenic
0.27
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.27
T;.
Eigen
Uncertain
0.63
Eigen_PC
Pathogenic
0.66
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Pathogenic
0.99
D;D
M_CAP
Pathogenic
0.31
D
MetaRNN
Pathogenic
0.87
D;D
MetaSVM
Uncertain
-0.055
T
MutationAssessor
Pathogenic
3.5
M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.85
D
PROVEAN
Uncertain
-4.0
D;D
REVEL
Pathogenic
0.68
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;.
Vest4
0.83
MutPred
0.79
Gain of methylation at E141 (P = 9e-04);.;
MVP
0.47
MPC
0.79
ClinPred
1.0
D
GERP RS
5.4
Varity_R
0.89
gMVP
0.77

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: rs1451937759; hg19: chr20-36572461; API