21-41168486-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_012105.5(BACE2):​c.223G>A​(p.Ala75Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000653 in 1,377,580 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000065 ( 0 hom. )

Consequence

BACE2
NM_012105.5 missense

Scores

1
2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.80
Variant links:
Genes affected
BACE2 (HGNC:934): (beta-secretase 2) This gene encodes an integral membrane glycoprotein that functions as an aspartic protease. The encoded protein cleaves amyloid precursor protein into amyloid beta peptide, which is a critical step in the etiology of Alzheimer's disease and Down syndrome. The protein precursor is further processed into an active mature peptide. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.18168342).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BACE2NM_012105.5 linkuse as main transcriptc.223G>A p.Ala75Thr missense_variant 1/9 ENST00000330333.11 NP_036237.2
BACE2NM_138991.3 linkuse as main transcriptc.223G>A p.Ala75Thr missense_variant 1/8 NP_620476.1
BACE2NM_138992.3 linkuse as main transcriptc.223G>A p.Ala75Thr missense_variant 1/8 NP_620477.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BACE2ENST00000330333.11 linkuse as main transcriptc.223G>A p.Ala75Thr missense_variant 1/91 NM_012105.5 ENSP00000332979 P1Q9Y5Z0-1
BACE2ENST00000347667.5 linkuse as main transcriptc.223G>A p.Ala75Thr missense_variant 1/81 ENSP00000327528 Q9Y5Z0-2
BACE2ENST00000328735.10 linkuse as main transcriptc.223G>A p.Ala75Thr missense_variant 1/81 ENSP00000333854 Q9Y5Z0-3

Frequencies

GnomAD3 genomes
AF:
0.00000659
AC:
1
AN:
151636
Hom.:
0
Cov.:
31
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000653
AC:
8
AN:
1225944
Hom.:
0
Cov.:
31
AF XY:
0.00000999
AC XY:
6
AN XY:
600558
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:
0.0000616
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000403
Gnomad4 OTH exome
AF:
0.0000207
GnomAD4 genome
AF:
0.00000659
AC:
1
AN:
151636
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74024
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000264

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 GeneticsMar 19, 2024The c.223G>A (p.A75T) alteration is located in exon 1 (coding exon 1) of the BACE2 gene. This alteration results from a G to A substitution at nucleotide position 223, causing the alanine (A) at amino acid position 75 to be replaced by a threonine (T). 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
0.085
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
22
DANN
Benign
0.94
DEOGEN2
Benign
0.13
T;.;.
Eigen
Benign
-0.66
Eigen_PC
Benign
-0.65
FATHMM_MKL
Benign
0.42
N
LIST_S2
Uncertain
0.87
D;D;D
M_CAP
Uncertain
0.28
D
MetaRNN
Benign
0.18
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.040
N;N;N
MutationTaster
Benign
0.99
N;N;N
PrimateAI
Pathogenic
0.90
D
PROVEAN
Benign
-0.31
N;N;N
REVEL
Benign
0.073
Sift
Benign
0.29
T;T;T
Sift4G
Benign
0.78
T;T;T
Polyphen
0.80
P;P;P
Vest4
0.052
MutPred
0.36
Gain of loop (P = 0.0045);Gain of loop (P = 0.0045);Gain of loop (P = 0.0045);
MVP
0.33
MPC
0.64
ClinPred
0.19
T
GERP RS
3.0
Varity_R
0.11
gMVP
0.32

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: rs1425742266; hg19: chr21-42540413; API