22-50482647-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The NM_001253845.2(ADM2):​c.191G>A​(p.Arg64Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000262 in 1,556,344 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00034 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00025 ( 0 hom. )

Consequence

ADM2
NM_001253845.2 missense

Scores

19

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.592
Variant links:
Genes affected
ADM2 (HGNC:28898): (adrenomedullin 2) This gene encodes a member of the calcitonin gene-related peptide (CGRP)/calcitonin family of hormones that play a role in the regulation of cardiovascular homeostasis, prolactin release, anti-diuresis, anti-natriuresis, and regulation of food and water intake. The encoded protein is proteolytically processed to generate one or more biologically active peptides. [provided by RefSeq, Jul 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.008013904).
BP6
Variant 22-50482647-G-A is Benign according to our data. Variant chr22-50482647-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 2369839.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADM2NM_001253845.2 linkuse as main transcriptc.191G>A p.Arg64Gln missense_variant 3/3 ENST00000395737.2 NP_001240774.1 Q7Z4H4
ADM2NM_001369882.1 linkuse as main transcriptc.191G>A p.Arg64Gln missense_variant 2/2 NP_001356811.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADM2ENST00000395737.2 linkuse as main transcriptc.191G>A p.Arg64Gln missense_variant 3/31 NM_001253845.2 ENSP00000379086.1 Q7Z4H4
ADM2ENST00000395738.2 linkuse as main transcriptc.191G>A p.Arg64Gln missense_variant 2/21 ENSP00000379087.2 Q7Z4H4
SBF1ENST00000685180.1 linkuse as main transcriptn.131+1146C>T intron_variant

Frequencies

GnomAD3 genomes
AF:
0.000342
AC:
52
AN:
152202
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000893
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000158
AC:
30
AN:
190020
Hom.:
0
AF XY:
0.000200
AC XY:
21
AN XY:
104758
show subpopulations
Gnomad AFR exome
AF:
0.000431
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000129
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000253
AC:
355
AN:
1404024
Hom.:
0
Cov.:
31
AF XY:
0.000270
AC XY:
187
AN XY:
692096
show subpopulations
Gnomad4 AFR exome
AF:
0.000659
Gnomad4 AMR exome
AF:
0.0000266
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000262
Gnomad4 SAS exome
AF:
0.0000882
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000288
Gnomad4 OTH exome
AF:
0.000208
GnomAD4 genome
AF:
0.000341
AC:
52
AN:
152320
Hom.:
0
Cov.:
33
AF XY:
0.000430
AC XY:
32
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.000890
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000147
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000315
Hom.:
0
Bravo
AF:
0.000427
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000237
AC:
2
ExAC
AF:
0.000226
AC:
27
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJul 19, 2022This alteration is classified as likely 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
0.062
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
6.4
DANN
Benign
0.68
DEOGEN2
Benign
0.0025
T;T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.036
N
LIST_S2
Benign
0.37
.;T
M_CAP
Benign
0.0097
T
MetaRNN
Benign
0.0080
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
-0.90
N;N
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.040
N;N
REVEL
Benign
0.012
Sift
Benign
1.0
T;T
Sift4G
Benign
0.54
T;T
Polyphen
0.0010
B;B
Vest4
0.039
MVP
0.040
MPC
0.062
ClinPred
0.0090
T
GERP RS
0.40
Varity_R
0.023
gMVP
0.073

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: rs374822745; hg19: chr22-50921076; COSMIC: COSV53314175; COSMIC: COSV53314175; API