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GeneBe

7-16794986-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PP3PP5

The NM_006408.4(AGR2):​c.428G>A​(p.Gly143Glu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000103 in 1,461,808 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000010 ( 0 hom. )

Consequence

AGR2
NM_006408.4 missense

Scores

7
11
1

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 7.32
Variant links:
Genes affected
AGR2 (HGNC:328): (anterior gradient 2, protein disulphide isomerase family member) This gene encodes a member of the disulfide isomerase (PDI) family of endoplasmic reticulum (ER) proteins that catalyze protein folding and thiol-disulfide interchange reactions. The encoded protein has an N-terminal ER-signal sequence, a catalytically active thioredoxin domain, and a C-terminal ER-retention sequence. This protein plays a role in cell migration, cellular transformation and metastasis and is as a p53 inhibitor. As an ER-localized molecular chaperone, it plays a role in the folding, trafficking, and assembly of cysteine-rich transmembrane receptors and the cysteine-rich intestinal gylcoprotein mucin. This gene has been implicated in inflammatory bowel disease and cancer progression. [provided by RefSeq, Mar 2017]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM1
In a chain Anterior gradient protein 2 homolog (size 154) in uniprot entity AGR2_HUMAN there are 8 pathogenic changes around while only 1 benign (89%) in NM_006408.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.821
PP5
Variant 7-16794986-C-T is Pathogenic according to our data. Variant chr7-16794986-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 2443888.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr7-16794986-C-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AGR2NM_006408.4 linkuse as main transcriptc.428G>A p.Gly143Glu missense_variant 7/8 ENST00000419304.7
AGR2XM_005249581.5 linkuse as main transcriptc.428G>A p.Gly143Glu missense_variant 7/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AGR2ENST00000419304.7 linkuse as main transcriptc.428G>A p.Gly143Glu missense_variant 7/81 NM_006408.4 P1
AGR2ENST00000401412.5 linkuse as main transcriptc.428G>A p.Gly143Glu missense_variant 7/72
AGR2ENST00000450569.5 linkuse as main transcriptc.218G>A p.Gly73Glu missense_variant 4/55

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.0000103
AC:
15
AN:
1461808
Hom.:
0
Cov.:
34
AF XY:
0.00000825
AC XY:
6
AN XY:
727214
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000117
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Respiratory infections, recurrent, and failure to thrive with or without diarrhea Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJan 31, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.30
D
BayesDel_noAF
Pathogenic
0.19
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.73
D;.;T
Eigen
Pathogenic
0.84
Eigen_PC
Pathogenic
0.84
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.97
D;D;D
M_CAP
Uncertain
0.099
D
MetaRNN
Pathogenic
0.82
D;D;D
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Uncertain
2.7
M;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.88
D
PROVEAN
Uncertain
-3.1
D;D;D
REVEL
Uncertain
0.47
Sift
Uncertain
0.0040
D;D;D
Sift4G
Uncertain
0.0030
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.92
MutPred
0.66
Loss of methylation at R144 (P = 0.0515);.;Loss of methylation at R144 (P = 0.0515);
MVP
0.87
MPC
0.82
ClinPred
0.99
D
GERP RS
5.8
Varity_R
0.75
gMVP
0.94

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.18
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: rs923936131; hg19: chr7-16834610; API