8-85465289-A-G

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 3P and 1B. PM2PP5BP4

The NM_000067.3(CA2):​c.52A>G​(p.Lys18Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,734 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. K18Q) has been classified as Benign.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

CA2
NM_000067.3 missense

Scores

18

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 0.252

Publications

8 publications found
Variant links:
Genes affected
CA2 (HGNC:1373): (carbonic anhydrase 2) The protein encoded by this gene is one of several isozymes of carbonic anhydrase, which catalyzes reversible hydration of carbon dioxide. Defects in this enzyme are associated with osteopetrosis and renal tubular acidosis. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jun 2014]
CA3-AS1 (HGNC:51657): (CA3 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 8-85465289-A-G is Pathogenic according to our data. Variant chr8-85465289-A-G is described in ClinVar as Pathogenic. ClinVar VariationId is 914.Status of the report is no_assertion_criteria_provided, 0 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.28768873). . Strength limited to SUPPORTING due to the PP5.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000067.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CA2
NM_000067.3
MANE Select
c.52A>Gp.Lys18Glu
missense
Exon 2 of 7NP_000058.1
CA2
NM_001293675.2
c.-133A>G
5_prime_UTR_premature_start_codon_gain
Exon 2 of 6NP_001280604.1
CA2
NM_001293675.2
c.-133A>G
5_prime_UTR
Exon 2 of 6NP_001280604.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CA2
ENST00000285379.10
TSL:1 MANE Select
c.52A>Gp.Lys18Glu
missense
Exon 2 of 7ENSP00000285379.4
CA2
ENST00000518231.1
TSL:2
n.123A>G
non_coding_transcript_exon
Exon 2 of 3
CA2
ENST00000520127.5
TSL:3
n.52A>G
non_coding_transcript_exon
Exon 2 of 6ENSP00000428443.1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD2 exomes
AF:
0.00000398
AC:
1
AN:
251464
AF XY:
0.00000736
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461734
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727188
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26134
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111862
Other (OTH)
AF:
0.00
AC:
0
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
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

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
Cov.:
31

ClinVar

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

Submissions by phenotype

CARBONIC ANHYDRASE II VARIANT Pathogenic:1
Oct 01, 1982
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
15
DANN
Benign
0.72
DEOGEN2
Benign
0.12
T
Eigen
Benign
-1.0
Eigen_PC
Benign
-0.93
FATHMM_MKL
Benign
0.095
N
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.044
D
MetaRNN
Benign
0.29
T
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
-0.27
N
PhyloP100
0.25
PrimateAI
Benign
0.30
T
PROVEAN
Benign
0.090
N
REVEL
Benign
0.11
Sift
Benign
0.81
T
Sift4G
Benign
0.87
T
Polyphen
0.0
B
Vest4
0.15
MutPred
0.44
Loss of ubiquitination at K18 (P = 0.0081)
MVP
0.63
MPC
0.36
ClinPred
0.031
T
GERP RS
1.6
Varity_R
0.58
gMVP
0.59
Mutation Taster
=37/63
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs118203931; hg19: chr8-86377518; API