6-145501856-A-G

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBA1

The ENST00000450221.6(EPM2A):​c.395-9T>C variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.47 in 470,816 control chromosomes in the GnomAD database, including 52,840 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.45 ( 15454 hom., cov: 32)
Exomes 𝑓: 0.48 ( 37386 hom. )

Consequence

EPM2A
ENST00000450221.6 splice_polypyrimidine_tract, intron

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.307
Variant links:
Genes affected
EPM2A (HGNC:3413): (EPM2A glucan phosphatase, laforin) This gene encodes a dual-specificity phosphatase and may be involved in the regulation of glycogen metabolism. The protein acts on complex carbohydrates to prevent glycogen hyperphosphorylation, thus avoiding the formation of insoluble aggregates. Loss-of-function mutations in this gene have been associated with Lafora disease, a rare, adult-onset recessive neurodegenerative disease, which results in myoclonus epilepsy and usually results in death several years after the onset of symptoms. The disease is characterized by the accumulation of insoluble particles called Lafora bodies, which are derived from glycogen. [provided by RefSeq, Jan 2018]

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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 (BayesDel_noAF=-0.97).
BP6
Variant 6-145501856-A-G is Benign according to our data. Variant chr6-145501856-A-G is described in ClinVar as [Benign]. Clinvar id is 3255258.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-145501856-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.566 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPM2AXM_011536113.3 linkuse as main transcriptc.772+666T>C intron_variant XP_011534415.1
EPM2AXM_024446550.2 linkuse as main transcriptc.772+666T>C intron_variant XP_024302318.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPM2AENST00000450221.6 linkuse as main transcriptc.395-9T>C splice_polypyrimidine_tract_variant, intron_variant 3 ENSP00000414900
EPM2AENST00000638717.1 linkuse as main transcriptc.555+666T>C intron_variant 5 ENSP00000491330

Frequencies

GnomAD3 genomes
AF:
0.450
AC:
68398
AN:
151940
Hom.:
15431
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.413
Gnomad AMI
AF:
0.438
Gnomad AMR
AF:
0.413
Gnomad ASJ
AF:
0.455
Gnomad EAS
AF:
0.428
Gnomad SAS
AF:
0.584
Gnomad FIN
AF:
0.517
Gnomad MID
AF:
0.522
Gnomad NFE
AF:
0.463
Gnomad OTH
AF:
0.440
GnomAD3 exomes
AF:
0.470
AC:
70051
AN:
148992
Hom.:
16848
AF XY:
0.480
AC XY:
38502
AN XY:
80256
show subpopulations
Gnomad AFR exome
AF:
0.417
Gnomad AMR exome
AF:
0.401
Gnomad ASJ exome
AF:
0.450
Gnomad EAS exome
AF:
0.413
Gnomad SAS exome
AF:
0.584
Gnomad FIN exome
AF:
0.512
Gnomad NFE exome
AF:
0.463
Gnomad OTH exome
AF:
0.463
GnomAD4 exome
AF:
0.479
AC:
152807
AN:
318758
Hom.:
37386
Cov.:
0
AF XY:
0.490
AC XY:
88182
AN XY:
180078
show subpopulations
Gnomad4 AFR exome
AF:
0.421
Gnomad4 AMR exome
AF:
0.402
Gnomad4 ASJ exome
AF:
0.451
Gnomad4 EAS exome
AF:
0.417
Gnomad4 SAS exome
AF:
0.577
Gnomad4 FIN exome
AF:
0.512
Gnomad4 NFE exome
AF:
0.460
Gnomad4 OTH exome
AF:
0.472
GnomAD4 genome
AF:
0.450
AC:
68465
AN:
152058
Hom.:
15454
Cov.:
32
AF XY:
0.456
AC XY:
33870
AN XY:
74334
show subpopulations
Gnomad4 AFR
AF:
0.413
Gnomad4 AMR
AF:
0.413
Gnomad4 ASJ
AF:
0.455
Gnomad4 EAS
AF:
0.428
Gnomad4 SAS
AF:
0.584
Gnomad4 FIN
AF:
0.517
Gnomad4 NFE
AF:
0.463
Gnomad4 OTH
AF:
0.446
Alfa
AF:
0.441
Hom.:
4923
Bravo
AF:
0.438
Asia WGS
AF:
0.532
AC:
1850
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJul 15, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 62% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 58. Only high quality variants are reported. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.97
CADD
Benign
1.5
DANN
Benign
0.42

Splicing

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: rs380883; hg19: chr6-145822992; API