NM_002294.3:c.443A>G

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4BP6BS2

The NM_002294.3(LAMP2):​c.443A>G​(p.Asn148Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000116 in 1,202,195 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.0000073 ( 0 hom. 3 hem. )

Consequence

LAMP2
NM_002294.3 missense

Scores

1
4
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 2.19

Publications

0 publications found
Variant links:
Genes affected
LAMP2 (HGNC:6501): (lysosomal associated membrane protein 2) The protein encoded by this gene is a member of a family of membrane glycoproteins. This glycoprotein provides selectins with carbohydrate ligands. It may play a role in tumor cell metastasis. It may also function in the protection, maintenance, and adhesion of the lysosome. Alternative splicing of this gene results in multiple transcript variants encoding distinct proteins. [provided by RefSeq, Jul 2008]
LAMP2 Gene-Disease associations (from GenCC):
  • Danon disease
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Orphanet, ClinGen, Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.31337184).
BP6
Variant X-120449083-T-C is Benign according to our data. Variant chrX-120449083-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 578311.
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002294.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LAMP2
NM_002294.3
MANE Select
c.443A>Gp.Asn148Ser
missense
Exon 4 of 9NP_002285.1P13473-1
LAMP2
NM_001122606.1
c.443A>Gp.Asn148Ser
missense
Exon 4 of 9NP_001116078.1P13473-3
LAMP2
NM_013995.2
c.443A>Gp.Asn148Ser
missense
Exon 4 of 9NP_054701.1P13473-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LAMP2
ENST00000200639.9
TSL:1 MANE Select
c.443A>Gp.Asn148Ser
missense
Exon 4 of 9ENSP00000200639.4P13473-1
LAMP2
ENST00000434600.6
TSL:1
c.443A>Gp.Asn148Ser
missense
Exon 4 of 9ENSP00000408411.2P13473-3
LAMP2
ENST00000371335.4
TSL:1
c.443A>Gp.Asn148Ser
missense
Exon 4 of 9ENSP00000360386.4P13473-2

Frequencies

GnomAD3 genomes
AF:
0.0000533
AC:
6
AN:
112554
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.000112
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000164
AC:
3
AN:
182411
AF XY:
0.0000149
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000368
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000734
AC:
8
AN:
1089641
Hom.:
0
Cov.:
28
AF XY:
0.00000845
AC XY:
3
AN XY:
355229
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26249
American (AMR)
AF:
0.00
AC:
0
AN:
35132
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19326
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30152
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53740
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40520
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4062
European-Non Finnish (NFE)
AF:
0.00000959
AC:
8
AN:
834633
Other (OTH)
AF:
0.00
AC:
0
AN:
45827
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.515
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.0000533
AC:
6
AN:
112554
Hom.:
0
Cov.:
23
AF XY:
0.0000288
AC XY:
1
AN XY:
34686
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30988
American (AMR)
AF:
0.00
AC:
0
AN:
10582
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2658
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3634
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2767
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6128
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.000112
AC:
6
AN:
53348
Other (OTH)
AF:
0.00
AC:
0
AN:
1521
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.00
Hom.:
0
Bravo
AF:
0.0000453
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Danon disease (2)
-
-
1
Cardiovascular phenotype (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
CardioboostCm
Benign
0.053
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.81
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.34
T
FATHMM_MKL
Benign
0.40
N
LIST_S2
Benign
0.79
T
M_CAP
Benign
0.033
D
MetaRNN
Benign
0.31
T
MetaSVM
Benign
-0.96
T
MutationAssessor
Pathogenic
3.0
M
PhyloP100
2.2
PrimateAI
Benign
0.44
T
PROVEAN
Uncertain
-2.9
D
REVEL
Benign
0.083
Sift
Uncertain
0.010
D
Sift4G
Uncertain
0.023
D
Polyphen
0.93
P
Vest4
0.32
MutPred
0.66
Loss of stability (P = 0.0641)
MVP
0.60
MPC
0.50
ClinPred
0.65
D
GERP RS
1.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.13
gMVP
0.41
Mutation Taster
=99/1
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: rs766491800; hg19: chrX-119582938; API