22-37373622-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_052906.5(ELFN2):ā€‹c.1913A>Gā€‹(p.Lys638Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000599 in 1,601,834 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 (ā˜…).

Frequency

Genomes: š‘“ 0.00039 ( 0 hom., cov: 33)
Exomes š‘“: 0.000026 ( 0 hom. )

Consequence

ELFN2
NM_052906.5 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.33
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 Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.010115743).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELFN2NM_052906.5 linkc.1913A>G p.Lys638Arg missense_variant 3/3 ENST00000402918.7 NP_443138.2 Q5R3F8
ELFN2NR_110512.2 linkn.183-30919A>G intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELFN2ENST00000402918.7 linkc.1913A>G p.Lys638Arg missense_variant 3/34 NM_052906.5 ENSP00000385277.1 Q5R3F8
ELFN2ENST00000430883.5 linkn.434+11228A>G intron_variant 2
ELFN2ENST00000452946.1 linkn.149-30919A>G intron_variant 4

Frequencies

GnomAD3 genomes
AF:
0.000394
AC:
60
AN:
152218
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00133
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
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:
0.000955
GnomAD3 exomes
AF:
0.000104
AC:
24
AN:
230894
Hom.:
0
AF XY:
0.0000867
AC XY:
11
AN XY:
126908
show subpopulations
Gnomad AFR exome
AF:
0.00158
Gnomad AMR exome
AF:
0.0000317
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000255
AC:
37
AN:
1449498
Hom.:
0
Cov.:
30
AF XY:
0.0000236
AC XY:
17
AN XY:
720474
show subpopulations
Gnomad4 AFR exome
AF:
0.000973
Gnomad4 AMR exome
AF:
0.0000712
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000118
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
AF:
0.000387
AC:
59
AN:
152336
Hom.:
0
Cov.:
33
AF XY:
0.000349
AC XY:
26
AN XY:
74488
show subpopulations
Gnomad4 AFR
AF:
0.00130
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.000158
Hom.:
0
Bravo
AF:
0.000525
ESP6500AA
AF:
0.000919
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000133
AC:
16
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

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 GeneticsJul 30, 2024The c.1913A>G (p.K638R) alteration is located in exon 3 (coding exon 1) of the ELFN2 gene. This alteration results from a A to G substitution at nucleotide position 1913, causing the lysine (K) at amino acid position 638 to be replaced by an arginine (R). 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
0.097
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
18
DANN
Benign
0.79
DEOGEN2
Benign
0.033
T;T
Eigen
Benign
-0.38
Eigen_PC
Benign
-0.15
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.83
.;T
M_CAP
Benign
0.0023
T
MetaRNN
Benign
0.010
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.65
N;N
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-0.17
N;.
REVEL
Benign
0.094
Sift
Benign
1.0
T;.
Sift4G
Benign
1.0
T;T
Polyphen
0.027
B;B
Vest4
0.090
MVP
0.57
MPC
0.53
ClinPred
0.019
T
GERP RS
4.8
Varity_R
0.14
gMVP
0.20

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: rs148946952; hg19: chr22-37769662; API