20-44116189-G-A

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.

The NM_020433.5(JPH2):​c.1486C>T​(p.Arg496Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000935 in 1,390,288 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R496Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000040 ( 0 hom. )

Consequence

JPH2
NM_020433.5 missense

Scores

2
6
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 1.54

Publications

1 publications found
Variant links:
Genes affected
JPH2 (HGNC:14202): (junctophilin 2) Junctional complexes between the plasma membrane and endoplasmic/sarcoplasmic reticulum are a common feature of all excitable cell types and mediate cross talk between cell surface and intracellular ion channels. The protein encoded by this gene is a component of junctional complexes and is composed of a C-terminal hydrophobic segment spanning the endoplasmic/sarcoplasmic reticulum membrane and a remaining cytoplasmic domain that shows specific affinity for the plasma membrane. This gene is a member of the junctophilin gene family. Alternative splicing has been observed at this locus and two variants encoding distinct isoforms are described. [provided by RefSeq, Jul 2008]
JPH2 Gene-Disease associations (from GenCC):
  • hypertrophic cardiomyopathy 17
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • dilated cardiomyopathy
    Inheritance: SD, AR, AD Classification: STRONG, MODERATE, LIMITED Submitted by: ClinGen
  • cardiomyopathy, dilated, 2E
    Inheritance: Unknown, AR Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020433.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
JPH2
NM_020433.5
MANE Select
c.1486C>Tp.Arg496Trp
missense
Exon 4 of 6NP_065166.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
JPH2
ENST00000372980.4
TSL:5 MANE Select
c.1486C>Tp.Arg496Trp
missense
Exon 4 of 6ENSP00000362071.3Q9BR39-1
JPH2
ENST00000900331.1
c.1567C>Tp.Arg523Trp
missense
Exon 5 of 7ENSP00000570390.1
JPH2
ENST00000950207.1
c.1549C>Tp.Arg517Trp
missense
Exon 5 of 7ENSP00000620266.1

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
151986
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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
GnomAD4 exome
AF:
0.00000404
AC:
5
AN:
1238302
Hom.:
0
Cov.:
34
AF XY:
0.00000166
AC XY:
1
AN XY:
603052
show subpopulations
African (AFR)
AF:
0.0000837
AC:
2
AN:
23882
American (AMR)
AF:
0.00
AC:
0
AN:
11650
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17110
East Asian (EAS)
AF:
0.0000344
AC:
1
AN:
29094
South Asian (SAS)
AF:
0.00
AC:
0
AN:
56040
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
29972
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3544
European-Non Finnish (NFE)
AF:
0.00000197
AC:
2
AN:
1015892
Other (OTH)
AF:
0.00
AC:
0
AN:
51118
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.535
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000526
AC:
8
AN:
151986
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74228
show subpopulations
African (AFR)
AF:
0.000193
AC:
8
AN:
41396
American (AMR)
AF:
0.00
AC:
0
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5140
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67966
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.456
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000264

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Cardiovascular phenotype (2)
-
1
-
Hypertrophic cardiomyopathy (1)
-
1
-
Hypertrophic cardiomyopathy 17;C5561970:Cardiomyopathy, dilated, 2E (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.058
T
BayesDel_noAF
Benign
-0.32
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
T
Eigen
Benign
0.17
Eigen_PC
Benign
0.085
FATHMM_MKL
Benign
0.41
N
LIST_S2
Benign
0.61
T
M_CAP
Pathogenic
0.82
D
MetaRNN
Uncertain
0.55
D
MetaSVM
Benign
-0.74
T
MutationAssessor
Uncertain
2.4
M
PhyloP100
1.5
PrimateAI
Pathogenic
0.89
D
PROVEAN
Uncertain
-2.5
N
REVEL
Benign
0.18
Sift
Uncertain
0.0090
D
Sift4G
Uncertain
0.011
D
Polyphen
1.0
D
Vest4
0.40
MutPred
0.22
Gain of ubiquitination at K495 (P = 0.0276)
MVP
0.90
ClinPred
0.94
D
GERP RS
2.1
Varity_R
0.078
gMVP
0.41
Mutation Taster
=83/17
polymorphism

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

Other links and lift over

dbSNP: rs863224775; hg19: chr20-42744829; API