6-55263803-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001384272.1(HCRTR2):​c.743G>T​(p.Arg248Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000517 in 1,605,468 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000054 ( 0 hom. )

Consequence

HCRTR2
NM_001384272.1 missense

Scores

8
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.06
Variant links:
Genes affected
HCRTR2 (HGNC:4849): (hypocretin receptor 2) The protein encoded by this gene is a G-protein coupled receptor involved in the regulation of feeding behavior. The encoded protein binds the hypothalamic neuropeptides orexin A and orexin B. A related gene (HCRTR1) encodes a G-protein coupled receptor that selectively binds orexin A. [provided by RefSeq, Jan 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HCRTR2NM_001384272.1 linkuse as main transcriptc.743G>T p.Arg248Leu missense_variant 4/7 ENST00000370862.4
HCRTR2NM_001526.5 linkuse as main transcriptc.743G>T p.Arg248Leu missense_variant 5/8
HCRTR2XM_017010798.2 linkuse as main transcriptc.743G>T p.Arg248Leu missense_variant 5/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HCRTR2ENST00000370862.4 linkuse as main transcriptc.743G>T p.Arg248Leu missense_variant 4/71 NM_001384272.1 P1
HCRTR2ENST00000615358.4 linkuse as main transcriptc.743G>T p.Arg248Leu missense_variant 5/81 P1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
151968
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000589
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000280
AC:
7
AN:
249576
Hom.:
0
AF XY:
0.0000371
AC XY:
5
AN XY:
134900
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000291
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000444
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.0000544
AC:
79
AN:
1453500
Hom.:
0
Cov.:
28
AF XY:
0.0000580
AC XY:
42
AN XY:
723720
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000706
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
151968
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74218
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000589
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151
ExAC
AF:
0.0000330
AC:
4
EpiCase
AF:
0.000109
EpiControl
AF:
0.000178

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 16, 2021The c.743G>T (p.R248L) alteration is located in exon 4 (coding exon 4) of the HCRTR2 gene. This alteration results from a G to T substitution at nucleotide position 743, causing the arginine (R) at amino acid position 248 to be replaced by a leucine (L). 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
Benign
0.26
BayesDel_addAF
Benign
-0.049
T
BayesDel_noAF
Benign
-0.18
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Benign
0.097
T;T
Eigen
Uncertain
0.30
Eigen_PC
Uncertain
0.40
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.96
D;.
M_CAP
Benign
0.016
T
MetaRNN
Uncertain
0.62
D;D
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.3
L;L
MutationTaster
Benign
1.0
D
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-2.5
.;N
REVEL
Benign
0.17
Sift
Uncertain
0.0070
.;D
Sift4G
Benign
0.38
T;T
Polyphen
0.74
P;P
Vest4
0.67
MutPred
0.65
Loss of MoRF binding (P = 0.0346);Loss of MoRF binding (P = 0.0346);
MVP
0.72
MPC
0.82
ClinPred
0.34
T
GERP RS
5.8
Varity_R
0.27
gMVP
0.62

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: rs199660644; hg19: chr6-55128601; API