4-113355151-T-A

Variant names:

• chr4-113355151-T-A
• rs200115726
• NM_001148.6:c.6533T>A
• ANK2 p.Phe2178Tyr

GermlineCancer (beta)

Variant summary

Our verdict is Uncertain significance.

+1 Uncertain · Cold

-7

-6

-1

0

+5

+6

+9

+10

BenignB

Likely BenignLB

UncertainVUS

Likely PathogenicLP

PathogenicP

The variant received 1 classification points (ACMG Germline Pathogenicity v2019). PM2BP4

The NM_001148.6(ANK2):c.6533T>A (p.Phe2178Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant is absent from the gnomAD population database at sites with sufficient sequencing coverage. In-silico predictor (REVEL) classifies this variant as likely benign. Splicing prediction tools (SpliceAI) predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain Significance (★).

• Frequency: Genomes: not found (cov: 32)
• Consequence: ANK2 NM_001148.6 missense
• Clinical Significance: Uncertain significance criteria provided, single submitter U:1
• Conservation: PhyloP100: 4.25
• Publications: 0 publications found

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]

ANK2 Gene-Disease associations (from GenCC):

• complex neurodevelopmental disorder

  Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, ClinGen, PanelApp Australia
• Brugada syndrome

  Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: ClinGen, G2P, Genomics England PanelApp
• cardiac arrhythmia, ankyrin-B-related

  Inheritance: AD, Unknown Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), PanelApp Australia
• catecholaminergic polymorphic ventricular tachycardia

  Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: ClinGen, G2P, Genomics England PanelApp
• heart conduction disease

  Inheritance: AD Classification: LIMITED Submitted by: Genomics England PanelApp
• neurodevelopmental disorder

  Inheritance: AD Classification: LIMITED Submitted by: G2P
• long QT syndrome

  Inheritance: AD Classification: NO_KNOWN Submitted by: G2P, ClinGen

Classification according to ACMG Germline Pathogenicity v2019

Classification was made for transcript:

Our verdict: Uncertain_significance. The variant received 1 points.

Apply	Criterion Code & Title / Strength	Strength	Rationale / Clinical Context
	PM2Absent/extremely low in population databases		Absent from gnomAD (AD/XL gene) — PM2; Absent from gnomAD at well-covered site (MOI: AD/XL) (threshold 0.0001) — PM2 moderate.
	BP4Computational evidence suggests no impact		Computational evidence supports benign — no pathogenic computational or splicing signal (BP4); Splicing verdict: benign (Strong).; Germline computational verdict: benign (Supporting).

Variant Effect in Transcripts

Automated classification analysis was done for transcript: NM_001148.6. You can select a different transcript below to see updated classification assignments.

RefSeq Transcripts

Sel.	Gene / Transcript	Tags	HGVSc / HGVSp	Effect	Exon rank	Protein / UniProt
	ANK2 NM_001148.6	MANE Select	c.6533T>A p.Phe2178Tyr	missense	Exon 38 of 46	Prot: NP_001139.3
	ANK2 NM_001386174.1		c.6674T>A p.Phe2225Tyr	missense	Exon 40 of 51	Prot: NP_001373103.1 UniProt:
	ANK2 NM_001386175.1		c.6650T>A p.Phe2217Tyr	missense	Exon 39 of 50	Prot: NP_001373104.1

ANK2 NM_001148.6

MANE Select

HGVSc / HGVSpc.6533T>Ap.Phe2178Tyr

Exon rankExon 38 of 46

missense

Prot: NP_001139.3

ANK2 NM_001386174.1

HGVSc / HGVSpc.6674T>Ap.Phe2225Tyr

Exon rankExon 40 of 51

missense

Prot: NP_001373103.1UniProt: H0Y933

ANK2 NM_001386175.1

HGVSc / HGVSpc.6650T>Ap.Phe2217Tyr

Exon rankExon 39 of 50

missense

Prot: NP_001373104.1

Ensembl Transcripts

Sel.	Gene / Transcript	Tags	HGVSc / HGVSp	Effect	Exon rank	Protein / UniProt
	ANK2 ENST00000357077.9	TSL:1MANE Select	c.6533T>A p.Phe2178Tyr	missense	Exon 38 of 46	Prot: ENSP00000349588.4 UniProt:
	ANK2 ENST00000506344.6	TSL:1	c.6674T>A p.Phe2225Tyr	missense	Exon 40 of 51	Prot: ENSP00000422888.2 UniProt:
	ANK2 ENST00000394537.7	TSL:1	c.4426+4902T>A	intron	Intron 37 of 44	Prot: ENSP00000378044.3 UniProt:

ANK2 ENST00000357077.9

TSL:1MANE Select

HGVSc / HGVSpc.6533T>Ap.Phe2178Tyr

Exon rankExon 38 of 46

missense

Prot: ENSP00000349588.4UniProt: Q01484-4

ANK2 ENST00000506344.6

TSL:1

HGVSc / HGVSpc.6674T>Ap.Phe2225Tyr

Exon rankExon 40 of 51

missense

Prot: ENSP00000422888.2UniProt: H0Y933

ANK2 ENST00000394537.7

TSL:1

HGVSc / HGVSpc.4426+4902T>A

Exon rankIntron 37 of 44

intron

Prot: ENSP00000378044.3UniProt: Q01484-2

Frequencies

Allele frequencies (AF), counts (AC/AN), homozygotes and coverage

Common (AF > 0.05 / Hom > 5)

Rare (AF ≤ 0.0001 / Hom ≤ 1)

Source / population	AF	AC	Hom	AN	Coverage
Global population databases 3 sources Large-scale international reference populations
GnomAD3 genomes	AF:	AC:	Hom:	AN:	Cov:32
GnomAD4 exome	AF:	AC:	Hom:	AN:	Cov:35
GnomAD4 genome	AF:	AC:	Hom:	AN:	Cov:32

Showing 3 sources

ClinVar

ClinVar submissions

Significance: Uncertain significance

Revision: criteria provided, single submitter

Pathogenic	VUS	Benign	Condition
-	1	-	not provided (1)

Computational Scores

Algorithm	Calibrated pred.	Score	Prediction
AlphaGenome AVI	Pathogenic	20
AlphaMissense	Benign	0.28
BayesDel_addAF	Uncertain	0.061	T
BayesDel_noAF	Benign	-0.15
CADD	Benign	21
DANN	Uncertain	0.99
DEOGEN2	Benign	0.32	T
Eigen	Benign	0.078
Eigen_PC	Benign	0.048
FATHMM_MKL	Uncertain	0.79	D
FuncVEP CTI	Benign	0.17
GPN-Star LLR	N/A	-5.9
GPN-Star score	N/A	5.9
LIST_S2	Benign	0.78	T
M_CAP	Uncertain	0.13	D
MetaRNN	Benign	0.34	T
MetaSVM	Uncertain	-0.20	T
Mutation Taster	N/A	87/13	polymorphism
MutationAssessor	Uncertain	2.3	M
PhyloP100	Uncertain	4.3
PrimateAI	Uncertain	0.52	T
PROVEAN	Benign	-0.93	N
REVEL	Benign	0.28
Sift	Pathogenic	0.0	D
Sift4G	Benign	0.89	T
Varity_R	N/A	0.44
VESM-3B	Benign	-3.6

Showing 27 of 27 scores

Splicing Scores

Algorithm	Calibrated pred.	Score	Prediction
Pangolin (max)	Benign	0.0
SpliceAI score (max)	Benign	0.0	Details are displayed if max score is > 0.2

Showing 2 of 2 scores

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

MaveDB functional evidence

MaveDB is a public repository of laboratory assays that test the effect of thousands of variants at once — treat this as supporting research data and interpret it with great caution; it is not a clinical classification.

No MaveDB functional evidence found for this variant.

Other links and lift over

dbSNP: rs200115726;

hg19: chr4-114276307;

ACMG debug oncogenicity

ACGS debug oncogenicity

ACMG debug germline

Submit to ClinVar