NM_000686.5:c.378G>A

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_StrongBP6_ModerateBP7BS2

The NM_000686.5(AGTR2):​c.378G>A​(p.Leu126Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000137 in 1,208,907 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 47 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.00072 ( 0 hom., 23 hem., cov: 23)
Exomes 𝑓: 0.000078 ( 0 hom. 24 hem. )

Consequence

AGTR2
NM_000686.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:2

Conservation

PhyloP100: -0.0210

Publications

0 publications found
Variant links:
Genes affected
AGTR2 (HGNC:338): (angiotensin II receptor type 2) The protein encoded by this gene belongs to the G-protein coupled receptor 1 family, and functions as a receptor for angiotensin II. It is an intergral membrane protein that is highly expressed in fetus and in neonates, but scantily in adult tissues, except brain, adrenal medulla, and atretic ovary. This receptor has been shown to mediate programmed cell death and this apoptotic function may play an important role in developmental biology and pathophysiology. Mutations in this gene are been associated with X-linked cognitive disability. Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) and SARS-CoV-2 infection results in down-regulation of angiotensin converting enzyme-2 (ACE2) receptors, the effects of which, triggers serious inflammatory lesions in the tissues involved, primarily in the lungs. The inflammatory reaction appears to be mediated by angiotensin II derivatives, including the angiotensin AT2 receptor which has been found to be upregulated in bronchoalveolar lavage samples from Coronavirus disease 2019 (COVID19) patients. [provided by RefSeq, Jul 2020]
AGTR2 Gene-Disease associations (from GenCC):
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.54).
BP6
Variant X-116172658-G-A is Benign according to our data. Variant chrX-116172658-G-A is described in ClinVar as Benign. ClinVar VariationId is 738653.Status of the report is criteria_provided_single_submitter, 1 stars.
BP7
Synonymous conserved (PhyloP=-0.021 with no splicing effect.
BS2
High Hemizygotes in GnomAd4 at 23 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000686.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AGTR2
NM_000686.5
MANE Select
c.378G>Ap.Leu126Leu
synonymous
Exon 3 of 3NP_000677.2
AGTR2
NM_001385624.1
c.378G>Ap.Leu126Leu
synonymous
Exon 2 of 2NP_001372553.1P50052

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AGTR2
ENST00000371906.5
TSL:1 MANE Select
c.378G>Ap.Leu126Leu
synonymous
Exon 3 of 3ENSP00000360973.4P50052
AGTR2
ENST00000681852.1
c.378G>Ap.Leu126Leu
synonymous
Exon 2 of 2ENSP00000505750.1P50052
AGTR2
ENST00000971224.1
c.378G>Ap.Leu126Leu
synonymous
Exon 3 of 3ENSP00000641283.1

Frequencies

GnomAD3 genomes
AF:
0.000703
AC:
78
AN:
110981
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00240
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000481
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000251
AC:
46
AN:
183101
AF XY:
0.000192
show subpopulations
Gnomad AFR exome
AF:
0.00289
Gnomad AMR exome
AF:
0.000292
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000783
AC:
86
AN:
1097877
Hom.:
0
Cov.:
31
AF XY:
0.0000660
AC XY:
24
AN XY:
363379
show subpopulations
African (AFR)
AF:
0.00254
AC:
67
AN:
26385
American (AMR)
AF:
0.000284
AC:
10
AN:
35193
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19379
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30197
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54138
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40516
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4136
European-Non Finnish (NFE)
AF:
0.00000119
AC:
1
AN:
841858
Other (OTH)
AF:
0.000174
AC:
8
AN:
46075
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
5
10
15
20
25
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.000721
AC:
80
AN:
111030
Hom.:
0
Cov.:
23
AF XY:
0.000690
AC XY:
23
AN XY:
33312
show subpopulations
African (AFR)
AF:
0.00246
AC:
75
AN:
30520
American (AMR)
AF:
0.000481
AC:
5
AN:
10402
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2630
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3501
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2632
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5944
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
217
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
52988
Other (OTH)
AF:
0.00
AC:
0
AN:
1518
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
4
7
11
14
18
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.000925
Hom.:
3
Bravo
AF:
0.000873

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
AGTR2-related disorder (1)
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.54
CADD
Benign
5.5
DANN
Benign
0.73
PhyloP100
-0.021
Mutation Taster
=100/0
polymorphism

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: rs150381803; hg19: chrX-115303911; API