NM_000836.4:c.2765C>T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000836.4(GRIN2D):​c.2765C>T​(p.Ala922Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000171 in 1,184,806 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A922E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00089 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000068 ( 2 hom. )

Consequence

GRIN2D
NM_000836.4 missense

Scores

1
2
15

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 1.32

Publications

0 publications found
Variant links:
Genes affected
GRIN2D (HGNC:4588): (glutamate ionotropic receptor NMDA type subunit 2D) N-methyl-D-aspartate (NMDA) receptors are a class of ionotropic glutamate receptors. NMDA channel has been shown to be involved in long-term potentiation, an activity-dependent increase in the efficiency of synaptic transmission thought to underlie certain kinds of memory and learning. NMDA receptor channels are heteromers composed of the key receptor subunit NMDAR1 (GRIN1) and 1 or more of the 4 NMDAR2 subunits: NMDAR2A (GRIN2A), NMDAR2B (GRIN2B), NMDAR2C (GRIN2C), and NMDAR2D (GRIN2D). [provided by RefSeq, Mar 2010]
GRIN2D Gene-Disease associations (from GenCC):
  • complex neurodevelopmental disorder
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • developmental and epileptic encephalopathy, 46
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P
  • undetermined early-onset epileptic encephalopathy
    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=0.0069673657).
BP6
Variant 19-48442691-C-T is Benign according to our data. Variant chr19-48442691-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 445447.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000895 (133/148668) while in subpopulation AFR AF = 0.00301 (124/41142). AF 95% confidence interval is 0.00258. There are 0 homozygotes in GnomAd4. There are 66 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 133 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000836.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GRIN2D
NM_000836.4
MANE Select
c.2765C>Tp.Ala922Val
missense
Exon 14 of 14NP_000827.2O15399

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GRIN2D
ENST00000263269.4
TSL:1 MANE Select
c.2765C>Tp.Ala922Val
missense
Exon 14 of 14ENSP00000263269.2O15399
GRIN2D
ENST00000911262.1
c.2765C>Tp.Ala922Val
missense
Exon 13 of 13ENSP00000581321.1

Frequencies

GnomAD3 genomes
AF:
0.000895
AC:
133
AN:
148558
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00302
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000468
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:
0.0000300
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000729
AC:
2
AN:
2742
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00420
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:
0.0000676
AC:
70
AN:
1036138
Hom.:
2
Cov.:
31
AF XY:
0.0000604
AC XY:
30
AN XY:
496378
show subpopulations
African (AFR)
AF:
0.00299
AC:
61
AN:
20408
American (AMR)
AF:
0.000312
AC:
2
AN:
6408
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
10940
East Asian (EAS)
AF:
0.00
AC:
0
AN:
19624
South Asian (SAS)
AF:
0.00
AC:
0
AN:
24994
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
18852
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2594
European-Non Finnish (NFE)
AF:
0.00000112
AC:
1
AN:
892888
Other (OTH)
AF:
0.000152
AC:
6
AN:
39430
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.530
Heterozygous variant carriers
0
4
8
11
15
19
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.000895
AC:
133
AN:
148668
Hom.:
0
Cov.:
32
AF XY:
0.000911
AC XY:
66
AN XY:
72484
show subpopulations
African (AFR)
AF:
0.00301
AC:
124
AN:
41142
American (AMR)
AF:
0.000467
AC:
7
AN:
14976
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3410
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5086
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9336
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000300
AC:
2
AN:
66630
Other (OTH)
AF:
0.00
AC:
0
AN:
2070
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
6
13
19
26
32
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:
0.000783
Hom.:
0
Bravo
AF:
0.000967

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
-
1
GRIN2D-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.051
T
Eigen
Benign
-0.64
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.026
N
LIST_S2
Benign
0.43
T
M_CAP
Benign
0.074
D
MetaRNN
Benign
0.0070
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.34
N
PhyloP100
1.3
PrimateAI
Pathogenic
0.90
D
PROVEAN
Benign
0.49
N
REVEL
Benign
0.059
Sift
Uncertain
0.019
D
Sift4G
Benign
0.45
T
Polyphen
0.62
P
Vest4
0.13
MVP
0.32
ClinPred
0.046
T
GERP RS
2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.2
Varity_R
0.12
gMVP
0.30
Mutation Taster
=97/3
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: rs571334598; hg19: chr19-48945948; COSMIC: COSV105840175; COSMIC: COSV105840175; API