22-37373304-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_052906.5(ELFN2):​c.2231C>T​(p.Ser744Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000341 in 1,613,624 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000032 ( 0 hom. )

Consequence

ELFN2
NM_052906.5 missense

Scores

3
11
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.55
Variant links:
Genes affected
ELFN2 (HGNC:29396): (extracellular leucine rich repeat and fibronectin type III domain containing 2) Predicted to enable protein phosphatase inhibitor activity. Predicted to be involved in negative regulation of catalytic activity. Located in extracellular space. [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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELFN2NM_052906.5 linkc.2231C>T p.Ser744Leu missense_variant 3/3 ENST00000402918.7 NP_443138.2 Q5R3F8
ELFN2NR_110512.2 linkn.183-30601C>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELFN2ENST00000402918.7 linkc.2231C>T p.Ser744Leu missense_variant 3/34 NM_052906.5 ENSP00000385277.1 Q5R3F8
ELFN2ENST00000430883.5 linkn.434+11546C>T intron_variant 2
ELFN2ENST00000452946.1 linkn.149-30601C>T intron_variant 4

Frequencies

GnomAD3 genomes
AF:
0.0000525
AC:
8
AN:
152246
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.0000735
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.0000439
AC:
11
AN:
250402
Hom.:
0
AF XY:
0.0000516
AC XY:
7
AN XY:
135638
show subpopulations
Gnomad AFR exome
AF:
0.000124
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:
0.0000708
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.0000322
AC:
47
AN:
1461378
Hom.:
0
Cov.:
30
AF XY:
0.0000371
AC XY:
27
AN XY:
727002
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
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:
0.0000378
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.0000525
AC:
8
AN:
152246
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74378
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000735
Gnomad4 OTH
AF:
0.000478
Bravo
AF:
0.0000718
ExAC
AF:
0.0000577
AC:
7
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

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 GeneticsNov 20, 2024The c.2231C>T (p.S744L) alteration is located in exon 3 (coding exon 1) of the ELFN2 gene. This alteration results from a C to T substitution at nucleotide position 2231, causing the serine (S) at amino acid position 744 to be replaced by a leucine (L). 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
0.43
BayesDel_addAF
Benign
-0.089
T
BayesDel_noAF
Benign
-0.13
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T;T
Eigen
Uncertain
0.66
Eigen_PC
Uncertain
0.60
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
.;D
M_CAP
Benign
0.076
D
MetaRNN
Uncertain
0.46
T;T
MetaSVM
Uncertain
-0.12
T
MutationAssessor
Uncertain
2.4
M;M
PrimateAI
Uncertain
0.69
T
PROVEAN
Uncertain
-2.7
D;.
REVEL
Uncertain
0.32
Sift
Pathogenic
0.0
D;.
Sift4G
Uncertain
0.0020
D;D
Polyphen
1.0
D;D
Vest4
0.58
MutPred
0.25
Gain of sheet (P = 0.0101);Gain of sheet (P = 0.0101);
MVP
0.71
MPC
1.5
ClinPred
0.54
D
GERP RS
3.6
Varity_R
0.60
gMVP
0.41

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: rs766741566; hg19: chr22-37769344; API