NM_001999.4:c.76A>G

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001999.4(FBN2):​c.76A>G​(p.Thr26Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000123 in 1,583,024 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. T26T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

FBN2
NM_001999.4 missense

Scores

2
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:6

Conservation

PhyloP100: 1.11

Publications

5 publications found
Variant links:
Genes affected
FBN2 (HGNC:3604): (fibrillin 2) The protein encoded by this gene is a component of connective tissue microfibrils and may be involved in elastic fiber assembly. Mutations in this gene cause congenital contractural arachnodactyly. [provided by RefSeq, Jul 2008]
FBN2 Gene-Disease associations (from GenCC):
  • congenital contractural arachnodactyly
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P, Orphanet
  • carpal tunnel syndrome
    Inheritance: AD Classification: LIMITED Submitted by: Franklin by Genoox
  • macular degeneration, early-onset
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • familial thoracic aortic aneurysm and aortic dissection
    Inheritance: Unknown Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00711298).
BP6
Variant 5-128537528-T-C is Benign according to our data. Variant chr5-128537528-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 213260.
BS2
High AC in GnomAd4 at 20 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001999.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FBN2
NM_001999.4
MANE Select
c.76A>Gp.Thr26Ala
missense
Exon 1 of 65NP_001990.2P35556-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FBN2
ENST00000262464.9
TSL:1 MANE Select
c.76A>Gp.Thr26Ala
missense
Exon 1 of 65ENSP00000262464.4P35556-1
FBN2
ENST00000502468.5
TSL:1
c.76A>Gp.Thr26Ala
missense
Exon 1 of 8ENSP00000424753.1E9PHW4
FBN2
ENST00000939405.1
c.76A>Gp.Thr26Ala
missense
Exon 1 of 64ENSP00000609464.1

Frequencies

GnomAD3 genomes
AF:
0.000132
AC:
20
AN:
152050
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00547
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:
0.000250
AC:
49
AN:
195866
AF XY:
0.000271
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00443
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000821
Gnomad OTH exome
AF:
0.000391
GnomAD4 exome
AF:
0.000122
AC:
175
AN:
1430974
Hom.:
0
Cov.:
32
AF XY:
0.000134
AC XY:
95
AN XY:
709568
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32830
American (AMR)
AF:
0.00
AC:
0
AN:
41174
Ashkenazi Jewish (ASJ)
AF:
0.00515
AC:
132
AN:
25608
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37870
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82800
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46118
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5718
European-Non Finnish (NFE)
AF:
0.0000155
AC:
17
AN:
1099586
Other (OTH)
AF:
0.000439
AC:
26
AN:
59270
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
14
28
42
56
70
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000132
AC:
20
AN:
152050
Hom.:
0
Cov.:
33
AF XY:
0.000135
AC XY:
10
AN XY:
74258
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41414
American (AMR)
AF:
0.0000655
AC:
1
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.00547
AC:
19
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67980
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.568
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.000588
Hom.:
0
Bravo
AF:
0.000170
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000236
AC:
2
ExAC
AF:
0.000142
AC:
17

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
Congenital contractural arachnodactyly (2)
-
1
1
not provided (2)
-
-
1
Ehlers-Danlos syndrome (1)
-
-
1
Familial thoracic aortic aneurysm and aortic dissection (1)
-
-
1
FBN2-related disorder (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.055
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
16
DANN
Benign
0.95
DEOGEN2
Benign
0.15
T
Eigen
Benign
-0.34
Eigen_PC
Benign
-0.14
FATHMM_MKL
Benign
0.22
N
LIST_S2
Benign
0.67
T
M_CAP
Pathogenic
0.42
D
MetaRNN
Benign
0.0071
T
MetaSVM
Benign
-0.86
T
MutationAssessor
Benign
0.0
N
PhyloP100
1.1
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
-0.27
N
REVEL
Benign
0.14
Sift
Benign
0.27
T
Sift4G
Benign
1.0
T
Polyphen
0.0
B
Vest4
0.087
MVP
0.20
MPC
0.23
ClinPred
0.022
T
GERP RS
3.4
PromoterAI
0.22
Neutral
Varity_R
0.045
gMVP
0.49
Mutation Taster
=78/22
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: rs374922166; hg19: chr5-127873221; API