8-39755898-C-T

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001464.5(ADAM2):​c.1627G>A​(p.Gly543Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000216 in 1,527,934 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000022 ( 0 hom. )

Consequence

ADAM2
NM_001464.5 missense

Scores

6
8
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.08

Publications

0 publications found
Variant links:
Genes affected
ADAM2 (HGNC:198): (ADAM metallopeptidase domain 2) This gene encodes a member of the ADAM (a disintegrin and metalloprotease domain) family. Members of this family are membrane-anchored proteins structurally related to snake venom disintegrins, and have been implicated in a variety of biological processes involving cell-cell and cell-matrix interactions, including fertilization, muscle development, and neurogenesis. The encoded protein is a subunit of an integral sperm membrane glycoprotein called fertilin, which plays an important role in sperm-egg interactions. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, May 2013]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.985

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ADAM2NM_001464.5 linkc.1627G>A p.Gly543Arg missense_variant Exon 16 of 21 ENST00000265708.9 NP_001455.3 Q99965-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ADAM2ENST00000265708.9 linkc.1627G>A p.Gly543Arg missense_variant Exon 16 of 21 1 NM_001464.5 ENSP00000265708.4 Q99965-1
ADAM2ENST00000347580.8 linkc.1570G>A p.Gly524Arg missense_variant Exon 15 of 20 1 ENSP00000343854.4 Q99965-2
ADAM2ENST00000379853.6 linkc.1236-77G>A intron_variant Intron 11 of 16 1 ENSP00000369182.2 Q6P2G0
ADAM2ENST00000521880.5 linkc.1608+5283G>A intron_variant Intron 15 of 19 2 ENSP00000429352.1 B4DWY7

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
151906
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000249
AC:
6
AN:
241200
AF XY:
0.0000383
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000567
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000271
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000218
AC:
30
AN:
1376028
Hom.:
0
Cov.:
24
AF XY:
0.0000247
AC XY:
17
AN XY:
687878
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31358
American (AMR)
AF:
0.0000468
AC:
2
AN:
42756
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25484
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38776
South Asian (SAS)
AF:
0.0000498
AC:
4
AN:
80302
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53140
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4512
European-Non Finnish (NFE)
AF:
0.0000201
AC:
21
AN:
1042282
Other (OTH)
AF:
0.0000522
AC:
3
AN:
57418
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
151906
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74188
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41376
American (AMR)
AF:
0.00
AC:
0
AN:
15224
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4790
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10542
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
67998
Other (OTH)
AF:
0.00
AC:
0
AN:
2084
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.558
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000412
AC:
5

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Dec 28, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.1627G>A (p.G543R) alteration is located in exon 16 (coding exon 16) of the ADAM2 gene. This alteration results from a G to A substitution at nucleotide position 1627, causing the glycine (G) at amino acid position 543 to be replaced by an arginine (R). 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
Pathogenic
0.94
BayesDel_addAF
Benign
0.0026
T
BayesDel_noAF
Uncertain
-0.050
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.39
.;T
Eigen
Uncertain
0.63
Eigen_PC
Uncertain
0.48
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.80
T;T
M_CAP
Benign
0.046
D
MetaRNN
Pathogenic
0.99
D;D
MetaSVM
Uncertain
0.38
D
MutationAssessor
Pathogenic
3.4
.;M
PhyloP100
3.1
PrimateAI
Uncertain
0.50
T
PROVEAN
Pathogenic
-6.6
D;D
REVEL
Uncertain
0.53
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.67
MutPred
0.92
.;Gain of MoRF binding (P = 0.0455);
MVP
0.88
MPC
0.21
ClinPred
0.98
D
GERP RS
4.8
Varity_R
0.70
gMVP
0.99
Mutation Taster
=83/17
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs761884012; hg19: chr8-39613417; COSMIC: COSV55870337; API