4-173529013-C-G

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_021973.3(HAND2):ā€‹c.277G>Cā€‹(p.Gly93Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000555 in 1,440,916 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000056 ( 0 hom. )

Consequence

HAND2
NM_021973.3 missense

Scores

3
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.73
Variant links:
Genes affected
HAND2 (HGNC:4808): (heart and neural crest derivatives expressed 2) The protein encoded by this gene belongs to the basic helix-loop-helix family of transcription factors. This gene product is one of two closely related family members, the HAND proteins, which are asymmetrically expressed in the developing ventricular chambers and play an essential role in cardiac morphogenesis. Working in a complementary fashion, they function in the formation of the right ventricle and aortic arch arteries, implicating them as mediators of congenital heart disease. In addition, this transcription factor plays an important role in limb and branchial arch development. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3100419).
BS2
High AC in GnomAdExome4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HAND2NM_021973.3 linkuse as main transcriptc.277G>C p.Gly93Arg missense_variant 1/2 ENST00000359562.4 NP_068808.1 P61296-1
HAND2-AS1NR_136197.1 linkuse as main transcriptn.240+174C>G intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HAND2ENST00000359562.4 linkuse as main transcriptc.277G>C p.Gly93Arg missense_variant 1/21 NM_021973.3 ENSP00000352565.4 P61296-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000137
AC:
3
AN:
219268
Hom.:
0
AF XY:
0.0000166
AC XY:
2
AN XY:
120720
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000326
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000739
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000555
AC:
8
AN:
1440916
Hom.:
0
Cov.:
32
AF XY:
0.00000698
AC XY:
5
AN XY:
715992
show subpopulations
Gnomad4 AFR exome
AF:
0.0000312
Gnomad4 AMR exome
AF:
0.0000245
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000603
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378
ExAC
AF:
0.0000253
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 09, 2022The c.277G>C (p.G93R) alteration is located in exon 1 (coding exon 1) of the HAND2 gene. This alteration results from a G to C substitution at nucleotide position 277, causing the glycine (G) at amino acid position 93 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
Pathogenic
0.60
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
25
DANN
Benign
0.95
DEOGEN2
Benign
0.37
T
Eigen
Benign
-0.42
Eigen_PC
Benign
-0.24
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.67
T
M_CAP
Pathogenic
0.58
D
MetaRNN
Benign
0.31
T
MetaSVM
Uncertain
0.016
D
MutationAssessor
Benign
1.1
L
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
-0.96
N
REVEL
Benign
0.27
Sift
Benign
0.12
T
Sift4G
Uncertain
0.028
D
Polyphen
0.0
B
Vest4
0.27
MutPred
0.31
Gain of solvent accessibility (P = 0.0097);
MVP
0.98
MPC
1.1
ClinPred
0.071
T
GERP RS
4.0
Varity_R
0.20
gMVP
0.50

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: rs529197560; hg19: chr4-174450164; API