NM_000054.7:c.19A>T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000054.7(AVPR2):​c.19A>T​(p.Thr7Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00544 in 1,209,863 control chromosomes in the GnomAD database, including 172 homozygotes. There are 1,795 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.025 ( 81 hom., 730 hem., cov: 25)
Exomes 𝑓: 0.0034 ( 91 hom. 1065 hem. )

Consequence

AVPR2
NM_000054.7 missense

Scores

15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -0.473

Publications

7 publications found
Variant links:
Genes affected
AVPR2 (HGNC:897): (arginine vasopressin receptor 2) This gene encodes the vasopressin receptor, type 2, also known as the V2 receptor, which belongs to the seven-transmembrane-domain G protein-coupled receptor (GPCR) superfamily, and couples to Gs thus stimulating adenylate cyclase. The subfamily that includes the V2 receptor, the V1a and V1b vasopressin receptors, the oxytocin receptor, and isotocin and mesotocin receptors in non-mammals, is well conserved, though several members signal via other G proteins. All bind similar cyclic nonapeptide hormones. The V2 receptor is expressed in the kidney tubule, predominantly in the distal convoluted tubule and collecting ducts, where its primary property is to respond to the pituitary hormone arginine vasopressin (AVP) by stimulating mechanisms that concentrate the urine and maintain water homeostasis in the organism. When the function of this gene is lost, the disease Nephrogenic Diabetes Insipidus (NDI) results. The V2 receptor is also expressed outside the kidney although its tissue localization is uncertain. When these 'extrarenal receptors' are stimulated by infusion of a V2 selective agonist (dDAVP), a variety of clotting factors are released into the bloodstream. The physiologic importance of this property is not known - its absence does not appear to be detrimental in NDI patients. The gene expression has also been described in fetal lung tissue and lung cancer associated with alternative splicing. [provided by RefSeq, Jul 2008]
AVPR2 Gene-Disease associations (from GenCC):
  • diabetes insipidus, nephrogenic, X-linked
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • nephrogenic syndrome of inappropriate antidiuresis
    Inheritance: XL Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
  • nephrogenic diabetes insipidus
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0018894374).
BP6
Variant X-153905164-A-T is Benign according to our data. Variant chrX-153905164-A-T is described in ClinVar as Benign. ClinVar VariationId is 368071.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.08 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000054.7. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AVPR2
NM_000054.7
MANE Select
c.19A>Tp.Thr7Ser
missense
Exon 2 of 4NP_000045.1P30518-1
AVPR2
NM_001146151.3
c.19A>Tp.Thr7Ser
missense
Exon 2 of 3NP_001139623.1P30518-2
AVPR2
NR_027419.2
n.459A>T
non_coding_transcript_exon
Exon 2 of 4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AVPR2
ENST00000646375.2
MANE Select
c.19A>Tp.Thr7Ser
missense
Exon 2 of 4ENSP00000496396.1P30518-1
AVPR2
ENST00000337474.5
TSL:1
c.19A>Tp.Thr7Ser
missense
Exon 1 of 3ENSP00000338072.5P30518-1
AVPR2
ENST00000370049.1
TSL:1
c.19A>Tp.Thr7Ser
missense
Exon 1 of 2ENSP00000359066.1P30518-2

Frequencies

GnomAD3 genomes
AF:
0.0249
AC:
2787
AN:
111784
Hom.:
80
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.0825
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0109
Gnomad ASJ
AF:
0.00758
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000372
Gnomad FIN
AF:
0.000161
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00145
Gnomad OTH
AF:
0.0287
GnomAD2 exomes
AF:
0.00773
AC:
1415
AN:
183017
AF XY:
0.00547
show subpopulations
Gnomad AFR exome
AF:
0.0845
Gnomad AMR exome
AF:
0.00463
Gnomad ASJ exome
AF:
0.00829
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00113
Gnomad OTH exome
AF:
0.00354
GnomAD4 exome
AF:
0.00345
AC:
3783
AN:
1098025
Hom.:
91
Cov.:
32
AF XY:
0.00293
AC XY:
1065
AN XY:
363461
show subpopulations
African (AFR)
AF:
0.0814
AC:
2148
AN:
26396
American (AMR)
AF:
0.00517
AC:
182
AN:
35197
Ashkenazi Jewish (ASJ)
AF:
0.00841
AC:
163
AN:
19384
East Asian (EAS)
AF:
0.0000662
AC:
2
AN:
30204
South Asian (SAS)
AF:
0.000240
AC:
13
AN:
54142
European-Finnish (FIN)
AF:
0.000123
AC:
5
AN:
40528
Middle Eastern (MID)
AF:
0.00244
AC:
10
AN:
4102
European-Non Finnish (NFE)
AF:
0.00111
AC:
931
AN:
841996
Other (OTH)
AF:
0.00714
AC:
329
AN:
46076
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
183
366
550
733
916
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
86
172
258
344
430
<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:
0.0250
AC:
2799
AN:
111838
Hom.:
81
Cov.:
25
AF XY:
0.0214
AC XY:
730
AN XY:
34134
show subpopulations
African (AFR)
AF:
0.0827
AC:
2541
AN:
30738
American (AMR)
AF:
0.0109
AC:
116
AN:
10687
Ashkenazi Jewish (ASJ)
AF:
0.00758
AC:
20
AN:
2639
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3520
South Asian (SAS)
AF:
0.000373
AC:
1
AN:
2680
European-Finnish (FIN)
AF:
0.000161
AC:
1
AN:
6212
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
217
European-Non Finnish (NFE)
AF:
0.00145
AC:
77
AN:
52944
Other (OTH)
AF:
0.0283
AC:
43
AN:
1517
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
103
207
310
414
517
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
32
64
96
128
160
<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:
0.00532
Hom.:
107
Bravo
AF:
0.0283
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00104
AC:
3
ESP6500AA
AF:
0.0834
AC:
320
ESP6500EA
AF:
0.00282
AC:
19
ExAC
AF:
0.00832
AC:
1010
EpiCase
AF:
0.00120
EpiControl
AF:
0.00101

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
-
1
AVPR2-related disorder (1)
-
-
1
Diabetes insipidus, nephrogenic, X-linked (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.083
BayesDel_addAF
Benign
-0.69
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
0.45
DANN
Benign
0.75
DEOGEN2
Benign
0.29
T
FATHMM_MKL
Benign
0.076
N
LIST_S2
Benign
0.41
T
MetaRNN
Benign
0.0019
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.8
L
PhyloP100
-0.47
PrimateAI
Benign
0.35
T
PROVEAN
Benign
0.46
N
REVEL
Benign
0.086
Sift
Benign
0.46
T
Sift4G
Benign
0.52
T
Polyphen
0.043
B
Vest4
0.028
MutPred
0.64
Gain of phosphorylation at T7 (P = 0.0696)
MVP
0.69
MPC
0.46
ClinPred
0.0045
T
GERP RS
-0.99
PromoterAI
-0.0079
Neutral
Varity_R
0.072
gMVP
0.56
Mutation Taster
=100/0
polymorphism (auto)

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: rs5196; hg19: chrX-153170618; API