4-5625766-G-T

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_ModerateBP6BP7BS1BS2

The NM_147127.5(EVC2):​c.2029C>A​(p.Arg677Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00601 in 1,614,028 control chromosomes in the GnomAD database, including 35 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0036 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0063 ( 32 hom. )

Consequence

EVC2
NM_147127.5 synonymous

Scores

2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:7

Conservation

PhyloP100: 1.64
Variant links:
Genes affected
EVC2 (HGNC:19747): (EvC ciliary complex subunit 2) This gene encodes a protein that functions in bone formation and skeletal development. Mutations in this gene, as well as in a neighboring gene that lies in a head-to-head configuration, cause Ellis-van Creveld syndrome, an autosomal recessive skeletal dysplasia that is also known as chondroectodermal dysplasia. Mutations in this gene also cause acrofacial dysostosis Weyers type, also referred to as Curry-Hall syndrome, a disease that combines limb and facial abnormalities. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.42).
BP6
Variant 4-5625766-G-T is Benign according to our data. Variant chr4-5625766-G-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 235459.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Benign=4, Uncertain_significance=1}. Variant chr4-5625766-G-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=1.64 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00363 (552/152216) while in subpopulation NFE AF= 0.00635 (432/68018). AF 95% confidence interval is 0.00586. There are 3 homozygotes in gnomad4. There are 229 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
EVC2NM_147127.5 linkc.2029C>A p.Arg677Arg synonymous_variant Exon 13 of 22 ENST00000344408.10 NP_667338.3 Q86UK5-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
EVC2ENST00000344408.10 linkc.2029C>A p.Arg677Arg synonymous_variant Exon 13 of 22 1 NM_147127.5 ENSP00000342144.5 Q86UK5-1

Frequencies

GnomAD3 genomes
AF:
0.00364
AC:
553
AN:
152098
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00128
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00262
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.000386
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.000378
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00637
Gnomad OTH
AF:
0.00526
GnomAD3 exomes
AF:
0.00394
AC:
990
AN:
251382
Hom.:
4
AF XY:
0.00379
AC XY:
515
AN XY:
135868
show subpopulations
Gnomad AFR exome
AF:
0.00154
Gnomad AMR exome
AF:
0.00292
Gnomad ASJ exome
AF:
0.000397
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.00170
Gnomad FIN exome
AF:
0.000786
Gnomad NFE exome
AF:
0.00661
Gnomad OTH exome
AF:
0.00603
GnomAD4 exome
AF:
0.00626
AC:
9149
AN:
1461812
Hom.:
32
Cov.:
32
AF XY:
0.00611
AC XY:
4440
AN XY:
727212
show subpopulations
Gnomad4 AFR exome
AF:
0.00105
Gnomad4 AMR exome
AF:
0.00259
Gnomad4 ASJ exome
AF:
0.000536
Gnomad4 EAS exome
AF:
0.000126
Gnomad4 SAS exome
AF:
0.00190
Gnomad4 FIN exome
AF:
0.00109
Gnomad4 NFE exome
AF:
0.00757
Gnomad4 OTH exome
AF:
0.00553
GnomAD4 genome
AF:
0.00363
AC:
552
AN:
152216
Hom.:
3
Cov.:
32
AF XY:
0.00308
AC XY:
229
AN XY:
74418
show subpopulations
Gnomad4 AFR
AF:
0.00128
Gnomad4 AMR
AF:
0.00262
Gnomad4 ASJ
AF:
0.000864
Gnomad4 EAS
AF:
0.000387
Gnomad4 SAS
AF:
0.00145
Gnomad4 FIN
AF:
0.000378
Gnomad4 NFE
AF:
0.00635
Gnomad4 OTH
AF:
0.00521
Alfa
AF:
0.00280
Hom.:
0
Bravo
AF:
0.00408
Asia WGS
AF:
0.0110
AC:
39
AN:
3478
EpiCase
AF:
0.00600
EpiControl
AF:
0.00688

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:4
Feb 27, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

EVC2: BP4, BS2 -

Jan 21, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 23, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Ellis-van Creveld syndrome Uncertain:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

not specified Benign:1
Jun 22, 2015
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Ellis-van Creveld syndrome;C0457013:Curry-Hall syndrome Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

EVC2-related disorder Benign:1
Jan 03, 2020
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.42
CADD
Benign
7.9
DANN
Benign
0.70

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: rs73198165; hg19: chr4-5627493; COSMIC: COSV60392438; API