6-129369966-C-A

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_000426.4(LAMA2):​c.4935C>A​(p.Thr1645=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000681 in 1,613,884 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0029 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00045 ( 3 hom. )

Consequence

LAMA2
NM_000426.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.0290
Variant links:
Genes affected
LAMA2 (HGNC:6482): (laminin subunit alpha 2) Laminin, an extracellular protein, is a major component of the basement membrane. It is thought to mediate the attachment, migration, and organization of cells into tissues during embryonic development by interacting with other extracellular matrix components. It is composed of three subunits, alpha, beta, and gamma, which are bound to each other by disulfide bonds into a cross-shaped molecule. This gene encodes the alpha 2 chain, which constitutes one of the subunits of laminin 2 (merosin) and laminin 4 (s-merosin). Mutations in this gene have been identified as the cause of congenital merosin-deficient muscular dystrophy. Two transcript variants encoding different proteins have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.61).
BP6
Variant 6-129369966-C-A is Benign according to our data. Variant chr6-129369966-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 256072.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-129369966-C-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.029 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00289 (439/152146) while in subpopulation AFR AF= 0.00976 (405/41512). AF 95% confidence interval is 0.00897. There are 1 homozygotes in gnomad4. There are 219 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 3 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAMA2NM_000426.4 linkuse as main transcriptc.4935C>A p.Thr1645= synonymous_variant 34/65 ENST00000421865.3 NP_000417.3
LAMA2NM_001079823.2 linkuse as main transcriptc.4935C>A p.Thr1645= synonymous_variant 34/64 NP_001073291.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LAMA2ENST00000421865.3 linkuse as main transcriptc.4935C>A p.Thr1645= synonymous_variant 34/655 NM_000426.4 ENSP00000400365
LAMA2ENST00000618192.5 linkuse as main transcriptc.5199C>A p.Thr1733= synonymous_variant 35/665 ENSP00000480802 P1
LAMA2ENST00000617695.5 linkuse as main transcriptc.4935C>A p.Thr1645= synonymous_variant 34/645 ENSP00000481744
LAMA2ENST00000687590.1 linkuse as main transcriptn.1355C>A non_coding_transcript_exon_variant 2/5

Frequencies

GnomAD3 genomes
AF:
0.00289
AC:
439
AN:
152028
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00978
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000983
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00479
GnomAD3 exomes
AF:
0.000889
AC:
223
AN:
250750
Hom.:
0
AF XY:
0.000709
AC XY:
96
AN XY:
135496
show subpopulations
Gnomad AFR exome
AF:
0.00905
Gnomad AMR exome
AF:
0.00148
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000141
Gnomad OTH exome
AF:
0.00131
GnomAD4 exome
AF:
0.000452
AC:
660
AN:
1461738
Hom.:
3
Cov.:
31
AF XY:
0.000439
AC XY:
319
AN XY:
727170
show subpopulations
Gnomad4 AFR exome
AF:
0.0115
Gnomad4 AMR exome
AF:
0.00163
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000540
Gnomad4 OTH exome
AF:
0.00172
GnomAD4 genome
AF:
0.00289
AC:
439
AN:
152146
Hom.:
1
Cov.:
32
AF XY:
0.00295
AC XY:
219
AN XY:
74362
show subpopulations
Gnomad4 AFR
AF:
0.00976
Gnomad4 AMR
AF:
0.000982
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00474
Alfa
AF:
0.00157
Hom.:
1
Bravo
AF:
0.00334
Asia WGS
AF:
0.00181
AC:
6
AN:
3332
EpiCase
AF:
0.000164
EpiControl
AF:
0.000237

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Feb 18, 2016- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesApr 01, 2016- -
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoSep 02, 2016- -
not provided Benign:3
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2024LAMA2: BP4, BP7 -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsOct 16, 2018- -
Benign, criteria provided, single submitterclinical testingGeneDxDec 26, 2019- -
LAMA2-related muscular dystrophy Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Congenital muscular dystrophy due to partial LAMA2 deficiency Benign:1
Likely 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 likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.61
CADD
Benign
0.43
DANN
Benign
0.66

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs35579821; hg19: chr6-129691111; API