NM_000063.6:c.954G>C

Variant summary

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

The NM_000063.6(C2):​c.954G>C​(p.Glu318Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.042 in 1,612,940 control chromosomes in the GnomAD database, including 1,540 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. E318E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.034 ( 108 hom., cov: 31)
Exomes 𝑓: 0.043 ( 1432 hom. )

Consequence

C2
NM_000063.6 missense

Scores

2
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts P:1B:11

Conservation

PhyloP100: 0.346

Publications

171 publications found
Variant links:
Genes affected
C2 (HGNC:1248): (complement C2) Component C2 is a serum glycoprotein that functions as part of the classical pathway of the complement system. Activated C1 cleaves C2 into C2a and C2b. The serine proteinase C2a then combines with complement factor 4b to create the C3 or C5 convertase. Deficiency of C2 has been reported to associated with certain autoimmune diseases and SNPs in this gene have been associated with altered susceptibility to age-related macular degeneration. This gene localizes within the class III region of the MHC on the short arm of chromosome 6. Alternative splicing results in multiple transcript variants encoding distinct isoforms. Additional transcript variants have been described in publications but their full-length sequence has not been determined.[provided by RefSeq, Mar 2009]
C2-AS1 (HGNC:49464): (C2 antisense RNA 1)

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=0.0063239336).
BP6
Variant 6-31936027-G-C is Benign according to our data. Variant chr6-31936027-G-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 12130.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAdExome4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0508 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000063.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
C2
NM_000063.6
MANE Select
c.954G>Cp.Glu318Asp
missense
Exon 7 of 18NP_000054.2
C2
NM_001282458.2
c.867G>Cp.Glu289Asp
missense
Exon 7 of 18NP_001269387.1
C2
NM_001145903.3
c.558G>Cp.Glu186Asp
missense
Exon 5 of 16NP_001139375.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
C2
ENST00000299367.10
TSL:1 MANE Select
c.954G>Cp.Glu318Asp
missense
Exon 7 of 18ENSP00000299367.5
ENSG00000244255
ENST00000456570.5
TSL:2
c.530-1292G>C
intron
N/AENSP00000410815.1
C2
ENST00000447952.7
TSL:3
c.768G>Cp.Glu256Asp
missense
Exon 6 of 17ENSP00000391354.3

Frequencies

GnomAD3 genomes
AF:
0.0338
AC:
5147
AN:
152144
Hom.:
107
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0120
Gnomad AMI
AF:
0.0132
Gnomad AMR
AF:
0.0250
Gnomad ASJ
AF:
0.0251
Gnomad EAS
AF:
0.0225
Gnomad SAS
AF:
0.0558
Gnomad FIN
AF:
0.0551
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.0460
Gnomad OTH
AF:
0.0311
GnomAD2 exomes
AF:
0.0386
AC:
9529
AN:
246608
AF XY:
0.0404
show subpopulations
Gnomad AFR exome
AF:
0.0112
Gnomad AMR exome
AF:
0.0215
Gnomad ASJ exome
AF:
0.0249
Gnomad EAS exome
AF:
0.0184
Gnomad FIN exome
AF:
0.0547
Gnomad NFE exome
AF:
0.0452
Gnomad OTH exome
AF:
0.0377
GnomAD4 exome
AF:
0.0428
AC:
62553
AN:
1460678
Hom.:
1432
Cov.:
32
AF XY:
0.0434
AC XY:
31549
AN XY:
726664
show subpopulations
African (AFR)
AF:
0.0120
AC:
403
AN:
33478
American (AMR)
AF:
0.0224
AC:
1004
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0257
AC:
671
AN:
26136
East Asian (EAS)
AF:
0.0221
AC:
877
AN:
39698
South Asian (SAS)
AF:
0.0521
AC:
4495
AN:
86256
European-Finnish (FIN)
AF:
0.0549
AC:
2871
AN:
52306
Middle Eastern (MID)
AF:
0.0276
AC:
159
AN:
5768
European-Non Finnish (NFE)
AF:
0.0448
AC:
49769
AN:
1111928
Other (OTH)
AF:
0.0382
AC:
2304
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
3340
6680
10021
13361
16701
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1842
3684
5526
7368
9210
<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:
0.0338
AC:
5152
AN:
152262
Hom.:
108
Cov.:
31
AF XY:
0.0347
AC XY:
2582
AN XY:
74442
show subpopulations
African (AFR)
AF:
0.0119
AC:
496
AN:
41536
American (AMR)
AF:
0.0254
AC:
388
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.0251
AC:
87
AN:
3472
East Asian (EAS)
AF:
0.0228
AC:
118
AN:
5182
South Asian (SAS)
AF:
0.0552
AC:
266
AN:
4820
European-Finnish (FIN)
AF:
0.0551
AC:
585
AN:
10614
Middle Eastern (MID)
AF:
0.0238
AC:
7
AN:
294
European-Non Finnish (NFE)
AF:
0.0460
AC:
3128
AN:
68024
Other (OTH)
AF:
0.0307
AC:
65
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
259
518
777
1036
1295
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
66
132
198
264
330
<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:
0.0331
Hom.:
78
Bravo
AF:
0.0291
TwinsUK
AF:
0.0440
AC:
163
ALSPAC
AF:
0.0376
AC:
145
ESP6500AA
AF:
0.00960
AC:
29
ESP6500EA
AF:
0.0425
AC:
230
ExAC
AF:
0.0385
AC:
4554
Asia WGS
AF:
0.0400
AC:
139
AN:
3478
EpiCase
AF:
0.0427
EpiControl
AF:
0.0431

ClinVar

Significance: Benign/Likely benign
Submissions summary: Pathogenic:1Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: MAF

Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Jul 20, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 9670930, 22610944, 25525159, 32113979, 16936732, 16518403)

Age related macular degeneration 14 Pathogenic:1Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.

Sep 01, 2006
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

Complement component 2 deficiency Benign:2
May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.

Complement component 2 deficiency;C3809653:Age related macular degeneration 14 Benign:1
Apr 09, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.21
CADD
Benign
13
DANN
Uncertain
0.99
DEOGEN2
Benign
0.056
T
Eigen
Benign
-0.50
Eigen_PC
Benign
-0.53
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.62
T
MetaRNN
Benign
0.0063
T
MetaSVM
Benign
-0.42
T
MutationAssessor
Benign
1.8
L
PhyloP100
0.35
PROVEAN
Benign
-0.59
N
REVEL
Uncertain
0.46
Sift
Benign
0.28
T
Sift4G
Benign
0.34
T
Polyphen
0.60
P
Vest4
0.30
MutPred
0.16
Loss of disorder (P = 0.1773)
MPC
0.92
ClinPred
0.032
T
GERP RS
-0.74
Varity_R
0.080
gMVP
0.46
Mutation Taster
=97/3
polymorphism (auto)

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

Other links and lift over

dbSNP: rs9332739; hg19: chr6-31903804; COSMIC: COSV54960858; COSMIC: COSV54960858; API