20-44118607-C-T

Variant summary

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

The NM_020433.5(JPH2):​c.1186G>A​(p.Ala396Thr) variant causes a missense change. The variant allele was found at a frequency of 0.151 in 1,610,126 control chromosomes in the GnomAD database, including 23,257 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.20 ( 3808 hom., cov: 33)
Exomes 𝑓: 0.15 ( 19449 hom. )

Consequence

JPH2
NM_020433.5 missense

Scores

7
11

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 4.34
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]

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=0.001573354).
BP6
Variant 20-44118607-C-T is Benign according to our data. Variant chr20-44118607-C-T is described in ClinVar as [Benign]. Clinvar id is 137607.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr20-44118607-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.351 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
JPH2NM_020433.5 linkuse as main transcriptc.1186G>A p.Ala396Thr missense_variant 3/6 ENST00000372980.4 NP_065166.2 Q9BR39-1Q86VZ3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
JPH2ENST00000372980.4 linkuse as main transcriptc.1186G>A p.Ala396Thr missense_variant 3/65 NM_020433.5 ENSP00000362071.3 Q9BR39-1

Frequencies

GnomAD3 genomes
AF:
0.201
AC:
30543
AN:
152098
Hom.:
3802
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.337
Gnomad AMI
AF:
0.0888
Gnomad AMR
AF:
0.143
Gnomad ASJ
AF:
0.143
Gnomad EAS
AF:
0.365
Gnomad SAS
AF:
0.280
Gnomad FIN
AF:
0.107
Gnomad MID
AF:
0.152
Gnomad NFE
AF:
0.132
Gnomad OTH
AF:
0.192
GnomAD3 exomes
AF:
0.178
AC:
44187
AN:
248698
Hom.:
5099
AF XY:
0.183
AC XY:
24600
AN XY:
134678
show subpopulations
Gnomad AFR exome
AF:
0.348
Gnomad AMR exome
AF:
0.0969
Gnomad ASJ exome
AF:
0.158
Gnomad EAS exome
AF:
0.363
Gnomad SAS exome
AF:
0.285
Gnomad FIN exome
AF:
0.104
Gnomad NFE exome
AF:
0.134
Gnomad OTH exome
AF:
0.157
GnomAD4 exome
AF:
0.146
AC:
212865
AN:
1457908
Hom.:
19449
Cov.:
33
AF XY:
0.150
AC XY:
109141
AN XY:
725510
show subpopulations
Gnomad4 AFR exome
AF:
0.349
Gnomad4 AMR exome
AF:
0.102
Gnomad4 ASJ exome
AF:
0.153
Gnomad4 EAS exome
AF:
0.411
Gnomad4 SAS exome
AF:
0.282
Gnomad4 FIN exome
AF:
0.102
Gnomad4 NFE exome
AF:
0.123
Gnomad4 OTH exome
AF:
0.156
GnomAD4 genome
AF:
0.201
AC:
30565
AN:
152218
Hom.:
3808
Cov.:
33
AF XY:
0.200
AC XY:
14912
AN XY:
74438
show subpopulations
Gnomad4 AFR
AF:
0.336
Gnomad4 AMR
AF:
0.143
Gnomad4 ASJ
AF:
0.143
Gnomad4 EAS
AF:
0.365
Gnomad4 SAS
AF:
0.280
Gnomad4 FIN
AF:
0.107
Gnomad4 NFE
AF:
0.132
Gnomad4 OTH
AF:
0.198
Alfa
AF:
0.153
Hom.:
4016
Bravo
AF:
0.208
TwinsUK
AF:
0.118
AC:
436
ALSPAC
AF:
0.122
AC:
469
ESP6500AA
AF:
0.330
AC:
1455
ESP6500EA
AF:
0.129
AC:
1109
ExAC
AF:
0.184
AC:
22344
Asia WGS
AF:
0.311
AC:
1082
AN:
3478
EpiCase
AF:
0.142
EpiControl
AF:
0.146

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxDec 10, 2013This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterresearchBiesecker Lab/Clinical Genomics Section, National Institutes of HealthJun 24, 2013- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineNov 24, 2014Ala396Thr in exon 3 of JPH2: This variant is not expected to have clinical signi ficance because it has been identified in 33.0% (1455/4406) of African American chromosomes from a broad population by the NHLBI Exome Sequencing Project (http: //evs.gs.washington.edu/EVS; dbSNP rs3810510). -
Hypertrophic cardiomyopathy 17 Benign:2
Benign, criteria provided, single submitterclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical CenterSep 21, 2015- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 19, 2021- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Long QT syndrome Benign:1
Benign, criteria provided, single submitterclinical testingMolecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart InstituteJun 06, 2016- -
Hypertrophic cardiomyopathy Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Cardiomyopathy, dilated, 2E Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 19, 2021- -
Cardiovascular phenotype Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsJun 15, 2015This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.34
T
Eigen
Uncertain
0.30
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.94
D
MetaRNN
Benign
0.0016
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.7
L
PrimateAI
Uncertain
0.55
T
PROVEAN
Uncertain
-2.5
D
REVEL
Benign
0.17
Sift
Benign
0.12
T
Sift4G
Benign
0.14
T
Polyphen
0.97
D
Vest4
0.17
ClinPred
0.027
T
GERP RS
3.8
Varity_R
0.17
gMVP
0.75

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: rs3810510; hg19: chr20-42747247; COSMIC: COSV65903111; API