4-113336045-C-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001148.6(ANK2):​c.3579C>T​(p.Arg1193Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.124 in 1,613,414 control chromosomes in the GnomAD database, including 20,512 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.23 ( 6971 hom., cov: 32)
Exomes 𝑓: 0.11 ( 13541 hom. )

Consequence

ANK2
NM_001148.6 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -3.97
Variant links:
Genes affected
ANK2 (HGNC:493): (ankyrin 2) This gene encodes a member of the ankyrin family of proteins that link the integral membrane proteins to the underlying spectrin-actin cytoskeleton. Ankyrins play key roles in activities such as cell motility, activation, proliferation, contact and the maintenance of specialized membrane domains. Most ankyrins are typically composed of three structural domains: an amino-terminal domain containing multiple ankyrin repeats; a central region with a highly conserved spectrin binding domain; and a carboxy-terminal regulatory domain which is the least conserved and subject to variation. The protein encoded by this gene is required for targeting and stability of Na/Ca exchanger 1 in cardiomyocytes. Mutations in this gene cause long QT syndrome 4 and cardiac arrhythmia syndrome. Multiple transcript variants encoding different isoforms have been described. [provided by RefSeq, Dec 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.65).
BP6
Variant 4-113336045-C-T is Benign according to our data. Variant chr4-113336045-C-T is described in ClinVar as [Benign]. Clinvar id is 136390.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr4-113336045-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-3.97 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.54 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ANK2NM_001148.6 linkuse as main transcriptc.3579C>T p.Arg1193Arg synonymous_variant 30/46 ENST00000357077.9 NP_001139.3 Q01484-4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ANK2ENST00000357077.9 linkuse as main transcriptc.3579C>T p.Arg1193Arg synonymous_variant 30/461 NM_001148.6 ENSP00000349588.4 Q01484-4

Frequencies

GnomAD3 genomes
AF:
0.227
AC:
34420
AN:
151914
Hom.:
6943
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.545
Gnomad AMI
AF:
0.0340
Gnomad AMR
AF:
0.157
Gnomad ASJ
AF:
0.0968
Gnomad EAS
AF:
0.116
Gnomad SAS
AF:
0.123
Gnomad FIN
AF:
0.0621
Gnomad MID
AF:
0.139
Gnomad NFE
AF:
0.101
Gnomad OTH
AF:
0.199
GnomAD3 exomes
AF:
0.137
AC:
34303
AN:
249536
Hom.:
4046
AF XY:
0.129
AC XY:
17419
AN XY:
135036
show subpopulations
Gnomad AFR exome
AF:
0.563
Gnomad AMR exome
AF:
0.139
Gnomad ASJ exome
AF:
0.0990
Gnomad EAS exome
AF:
0.120
Gnomad SAS exome
AF:
0.130
Gnomad FIN exome
AF:
0.0616
Gnomad NFE exome
AF:
0.0990
Gnomad OTH exome
AF:
0.133
GnomAD4 exome
AF:
0.113
AC:
165864
AN:
1461382
Hom.:
13541
Cov.:
32
AF XY:
0.113
AC XY:
82132
AN XY:
726986
show subpopulations
Gnomad4 AFR exome
AF:
0.567
Gnomad4 AMR exome
AF:
0.142
Gnomad4 ASJ exome
AF:
0.102
Gnomad4 EAS exome
AF:
0.125
Gnomad4 SAS exome
AF:
0.130
Gnomad4 FIN exome
AF:
0.0658
Gnomad4 NFE exome
AF:
0.0980
Gnomad4 OTH exome
AF:
0.135
GnomAD4 genome
AF:
0.227
AC:
34501
AN:
152032
Hom.:
6971
Cov.:
32
AF XY:
0.222
AC XY:
16486
AN XY:
74306
show subpopulations
Gnomad4 AFR
AF:
0.546
Gnomad4 AMR
AF:
0.157
Gnomad4 ASJ
AF:
0.0968
Gnomad4 EAS
AF:
0.117
Gnomad4 SAS
AF:
0.122
Gnomad4 FIN
AF:
0.0621
Gnomad4 NFE
AF:
0.101
Gnomad4 OTH
AF:
0.196
Alfa
AF:
0.133
Hom.:
2845
Bravo
AF:
0.249
Asia WGS
AF:
0.149
AC:
517
AN:
3478
EpiCase
AF:
0.103
EpiControl
AF:
0.0988

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 10, 2011This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Cardiac arrhythmia, ankyrin-B-related Benign:2
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Long QT syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Cardiovascular phenotype Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsJun 26, 2015This alteration is classified as 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
BayesDel_noAF
Benign
-0.65
CADD
Benign
0.65
DANN
Benign
0.83

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: rs3736575; hg19: chr4-114257201; COSMIC: COSV52190796; COSMIC: COSV52190796; API