22-32191118-C-T

Variant summary

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

The NM_001394555.1(RFPL2):​c.791G>A​(p.Arg264His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000463 in 1,613,970 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00031 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00048 ( 0 hom. )

Consequence

RFPL2
NM_001394555.1 missense

Scores

2
4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.98
Variant links:
Genes affected
RFPL2 (HGNC:9979): (ret finger protein like 2) Predicted to enable ubiquitin-protein transferase activity. Predicted to be involved in positive regulation of transcription, DNA-templated. Predicted to be active in chromatin and nucleoplasm. [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 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.15076607).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RFPL2NM_001394555.1 linkuse as main transcriptc.791G>A p.Arg264His missense_variant 5/5 ENST00000652607.2 NP_001381484.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RFPL2ENST00000652607.2 linkuse as main transcriptc.791G>A p.Arg264His missense_variant 5/5 NM_001394555.1 ENSP00000498332.1 O75678-1

Frequencies

GnomAD3 genomes
AF:
0.000309
AC:
47
AN:
152180
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000441
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000326
AC:
82
AN:
251172
Hom.:
0
AF XY:
0.000339
AC XY:
46
AN XY:
135738
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.000318
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000229
Gnomad FIN exome
AF:
0.000139
Gnomad NFE exome
AF:
0.000458
Gnomad OTH exome
AF:
0.000816
GnomAD4 exome
AF:
0.000480
AC:
701
AN:
1461672
Hom.:
0
Cov.:
34
AF XY:
0.000451
AC XY:
328
AN XY:
727146
show subpopulations
Gnomad4 AFR exome
AF:
0.000209
Gnomad4 AMR exome
AF:
0.000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000313
Gnomad4 FIN exome
AF:
0.0000562
Gnomad4 NFE exome
AF:
0.000554
Gnomad4 OTH exome
AF:
0.000431
GnomAD4 genome
AF:
0.000309
AC:
47
AN:
152298
Hom.:
0
Cov.:
32
AF XY:
0.000255
AC XY:
19
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.000458
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.000441
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.000371
Hom.:
0
Bravo
AF:
0.000321
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000280
AC:
34
EpiCase
AF:
0.000436
EpiControl
AF:
0.000533

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 01, 2024The c.791G>A (p.R264H) alteration is located in exon 5 (coding exon 4) of the RFPL2 gene. This alteration results from a G to A substitution at nucleotide position 791, causing the arginine (R) at amino acid position 264 to be replaced by a histidine (H). 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
Uncertain
0.42
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
.;T;T
Eigen
Benign
0.016
Eigen_PC
Benign
-0.34
FATHMM_MKL
Benign
0.55
D
LIST_S2
Benign
0.78
T;T;.
M_CAP
Benign
0.0020
T
MetaRNN
Benign
0.15
T;T;T
MetaSVM
Benign
-0.52
T
MutationAssessor
Pathogenic
3.6
.;H;H
PrimateAI
Benign
0.46
T
PROVEAN
Pathogenic
-4.6
D;.;D
REVEL
Benign
0.18
Sift
Uncertain
0.0010
D;.;D
Sift4G
Uncertain
0.0020
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.40
MVP
0.74
MPC
0.71
ClinPred
0.40
T
GERP RS
0.31
Varity_R
0.36
gMVP
0.33

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: rs201619870; hg19: chr22-32587105; COSMIC: COSV50714734; COSMIC: COSV50714734; API