9-114330476-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_000608.4(ORM2):​c.157G>A​(p.Glu53Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000118 in 1,610,044 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000080 ( 0 hom., cov: 29)
Exomes 𝑓: 0.00012 ( 1 hom. )

Consequence

ORM2
NM_000608.4 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.540
Variant links:
Genes affected
ORM2 (HGNC:8499): (orosomucoid 2) This gene encodes a key acute phase plasma protein. Because of its increase due to acute inflammation, this protein is classified as an acute-phase reactant. The specific function of this protein has not yet been determined; however, it may be involved in aspects of immunosuppression. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.051913857).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ORM2NM_000608.4 linkuse as main transcriptc.157G>A p.Glu53Lys missense_variant 2/6 ENST00000431067.4 NP_000599.1
AKNAXR_929844.4 linkuse as main transcript downstream_gene_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ORM2ENST00000431067.4 linkuse as main transcriptc.157G>A p.Glu53Lys missense_variant 2/61 NM_000608.4 ENSP00000394936 P1

Frequencies

GnomAD3 genomes
AF:
0.0000801
AC:
12
AN:
149878
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.0000760
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000209
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.000483
GnomAD3 exomes
AF:
0.0000917
AC:
23
AN:
250732
Hom.:
0
AF XY:
0.000103
AC XY:
14
AN XY:
135572
show subpopulations
Gnomad AFR exome
AF:
0.000253
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000115
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000122
AC:
178
AN:
1460166
Hom.:
1
Cov.:
32
AF XY:
0.000124
AC XY:
90
AN XY:
726500
show subpopulations
Gnomad4 AFR exome
AF:
0.0000925
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.0000580
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.000145
Gnomad4 OTH exome
AF:
0.0000829
GnomAD4 genome
AF:
0.0000801
AC:
12
AN:
149878
Hom.:
0
Cov.:
29
AF XY:
0.0000547
AC XY:
4
AN XY:
73184
show subpopulations
Gnomad4 AFR
AF:
0.0000760
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000209
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.000483
Alfa
AF:
0.0000901
Hom.:
0
Bravo
AF:
0.0000529
ExAC
AF:
0.000115
AC:
14
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 GeneticsJan 26, 2022The c.157G>A (p.E53K) alteration is located in exon 2 (coding exon 2) of the ORM2 gene. This alteration results from a G to A substitution at nucleotide position 157, causing the glutamic acid (E) at amino acid position 53 to be replaced by a lysine (K). 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
0.068
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
18
DANN
Benign
0.62
DEOGEN2
Benign
0.0055
T
Eigen
Benign
-0.78
Eigen_PC
Benign
-0.94
FATHMM_MKL
Benign
0.0098
N
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.0053
T
MetaRNN
Benign
0.052
T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
1.4
L
MutationTaster
Benign
1.0
N;N
PROVEAN
Benign
-0.090
N
REVEL
Benign
0.022
Sift
Benign
0.13
T
Sift4G
Uncertain
0.040
D
Polyphen
0.40
B
Vest4
0.25
MVP
0.31
MPC
1.9
ClinPred
0.010
T
GERP RS
1.2
Varity_R
0.14
gMVP
0.59

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: rs201562247; hg19: chr9-117092756; COSMIC: COSV52280060; COSMIC: COSV52280060; API