5-174724682-A-G

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBS1BS2

The NM_002449.5(MSX2):ā€‹c.23A>Gā€‹(p.Asn8Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000504 in 1,587,650 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N8H) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.00027 ( 0 hom., cov: 32)
Exomes š‘“: 0.000028 ( 0 hom. )

Consequence

MSX2
NM_002449.5 missense

Scores

1
18

Clinical Significance

Likely benign criteria provided, single submitter B:2

Conservation

PhyloP100: 0.333
Variant links:
Genes affected
MSX2 (HGNC:7392): (msh homeobox 2) This gene encodes a member of the muscle segment homeobox gene family. The encoded protein is a transcriptional repressor whose normal activity may establish a balance between survival and apoptosis of neural crest-derived cells required for proper craniofacial morphogenesis. The encoded protein may also have a role in promoting cell growth under certain conditions and may be an important target for the RAS signaling pathways. Mutations in this gene are associated with parietal foramina 1 and craniosynostosis type 2. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011775404).
BP6
Variant 5-174724682-A-G is Benign according to our data. Variant chr5-174724682-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 2026310.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000265 (40/150866) while in subpopulation AFR AF= 0.00092 (38/41312). AF 95% confidence interval is 0.000689. There are 0 homozygotes in gnomad4. There are 15 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 40 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MSX2NM_002449.5 linkuse as main transcriptc.23A>G p.Asn8Ser missense_variant 1/2 ENST00000239243.7
MSX2NM_001363626.2 linkuse as main transcriptc.23A>G p.Asn8Ser missense_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MSX2ENST00000239243.7 linkuse as main transcriptc.23A>G p.Asn8Ser missense_variant 1/21 NM_002449.5 P1
MSX2ENST00000507785.2 linkuse as main transcriptc.23A>G p.Asn8Ser missense_variant 1/22

Frequencies

GnomAD3 genomes
AF:
0.000265
AC:
40
AN:
150740
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000922
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000434
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000561
AC:
12
AN:
213940
Hom.:
0
AF XY:
0.0000427
AC XY:
5
AN XY:
117128
show subpopulations
Gnomad AFR exome
AF:
0.000846
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000727
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000278
AC:
40
AN:
1436784
Hom.:
0
Cov.:
32
AF XY:
0.0000196
AC XY:
14
AN XY:
713220
show subpopulations
Gnomad4 AFR exome
AF:
0.00109
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000120
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.09e-7
Gnomad4 OTH exome
AF:
0.0000338
GnomAD4 genome
AF:
0.000265
AC:
40
AN:
150866
Hom.:
0
Cov.:
32
AF XY:
0.000203
AC XY:
15
AN XY:
73730
show subpopulations
Gnomad4 AFR
AF:
0.000920
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000434
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000151
Hom.:
0
Bravo
AF:
0.000261
ESP6500AA
AF:
0.000700
AC:
3
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000585
AC:
7

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

MSX2-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 08, 2024This 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). -
Cranium bifidum occultum Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 24, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.065
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
4.5
DANN
Benign
0.24
DEOGEN2
Benign
0.24
T;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.64
D
LIST_S2
Benign
0.61
T;T
M_CAP
Uncertain
0.15
D
MetaRNN
Benign
0.012
T;T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
-0.34
N;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.40
T
PROVEAN
Benign
0.17
N;N
REVEL
Benign
0.17
Sift
Benign
0.49
T;T
Sift4G
Benign
0.68
T;T
Polyphen
0.0
B;.
Vest4
0.081
MVP
0.62
MPC
0.31
ClinPred
0.0083
T
GERP RS
-4.1
Varity_R
0.021
gMVP
0.22

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: rs367636705; hg19: chr5-174151685; API