9-110048735-TCCCCCGGAGTCTCCTGGA-TCCCCCGGAGTCTCCTGGACCCCCGGAGTCTCCTGGA

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM4

The NM_001198656.1(PALM2AKAP2):​c.64_81dupTCTCCTGGACCCCCGGAG​(p.Ser22_Glu27dup) variant causes a conservative inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000338 in 1,538,936 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type INS_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000033 ( 0 hom. )

Consequence

PALM2AKAP2
NM_001198656.1 conservative_inframe_insertion

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.690

Publications

1 publications found
Variant links:
Genes affected
PALM2AKAP2 (HGNC:33529): (PALM2 and AKAP2 fusion) This gene belongs to the paralemmin downstream gene (PDG) family defined in PMID:22855693. Paralemmin downstream genes may have evolved contiguously with the paralemmin genes and are associated with other paralemmin paralogs in humans and several other taxa. The gene encodes three distinct protein isoforms, the PALM2 isoform, the AKAP2 isoform and the PALM2-AKAP2 isoform. The biological significance of the PALM2-AKAP2 isoforms is yet unknown. Earlier, PALM2 and AKAP2 were annotated as separate genes and PALM2-AKAP2 was annotated as a readthrough gene. [provided by RefSeq, May 2019]

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ACMG classification

Classification was made for transcript

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

PM4
Nonframeshift variant in NON repetitive region in NM_001198656.1.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001198656.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PALM2AKAP2
NM_007203.5
MANE Select
c.582+32724_582+32741dupTCTCCTGGACCCCCGGAG
intron
N/ANP_009134.1Q9Y2D5-4
PALM2AKAP2
NM_001198656.1
c.64_81dupTCTCCTGGACCCCCGGAGp.Ser22_Glu27dup
conservative_inframe_insertion
Exon 1 of 5NP_001185585.1Q9Y2D5-7
PALM2AKAP2
NM_001004065.4
c.64_81dupTCTCCTGGACCCCCGGAGp.Ser22_Glu27dup
conservative_inframe_insertion
Exon 1 of 4NP_001004065.2Q9Y2D5-5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PALM2AKAP2
ENST00000434623.6
TSL:1
c.64_81dupTCTCCTGGACCCCCGGAGp.Ser22_Glu27dup
conservative_inframe_insertion
Exon 1 of 5ENSP00000404782.2Q9Y2D5-7
PALM2AKAP2
ENST00000374525.5
TSL:1
c.64_81dupTCTCCTGGACCCCCGGAGp.Ser22_Glu27dup
conservative_inframe_insertion
Exon 1 of 4ENSP00000363649.1Q9Y2D5-5
PALM2AKAP2
ENST00000374530.8
TSL:2 MANE Select
c.582+32724_582+32741dupTCTCCTGGACCCCCGGAG
intron
N/AENSP00000363654.3Q9Y2D5-4

Frequencies

GnomAD3 genomes
AF:
0.0000396
AC:
6
AN:
151342
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000285
AC:
4
AN:
140564
AF XY:
0.0000512
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000750
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000900
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000332
AC:
46
AN:
1387594
Hom.:
0
Cov.:
31
AF XY:
0.0000408
AC XY:
28
AN XY:
686610
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31024
American (AMR)
AF:
0.000104
AC:
4
AN:
38482
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25042
East Asian (EAS)
AF:
0.000502
AC:
18
AN:
35874
South Asian (SAS)
AF:
0.0000753
AC:
6
AN:
79688
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34846
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4190
European-Non Finnish (NFE)
AF:
0.0000139
AC:
15
AN:
1080614
Other (OTH)
AF:
0.0000519
AC:
3
AN:
57834
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
3
5
8
10
13
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:
0.0000396
AC:
6
AN:
151342
Hom.:
0
Cov.:
31
AF XY:
0.0000541
AC XY:
4
AN XY:
73926
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41256
American (AMR)
AF:
0.000197
AC:
3
AN:
15208
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5096
South Asian (SAS)
AF:
0.000208
AC:
1
AN:
4800
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10578
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67636
Other (OTH)
AF:
0.00
AC:
0
AN:
2080
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.00
Hom.:
15

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
-0.69
Mutation Taster
=87/13
polymorphism

Splicing

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

Publications

Other links and lift over

dbSNP: rs879255366; hg19: chr9-112811015; API