NM_005506.4:c.1186G>A

Variant summary

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

The NM_005506.4(SCARB2):​c.1186G>A​(p.Val396Ile) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0043 in 1,613,768 control chromosomes in the GnomAD database, including 266 homozygotes. In-silico tool predicts a benign outcome for this variant. 18/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.023 ( 120 hom., cov: 32)
Exomes 𝑓: 0.0024 ( 146 hom. )

Consequence

SCARB2
NM_005506.4 missense, splice_region

Scores

17
Splicing: ADA: 0.0001160
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.333

Publications

4 publications found
Variant links:
Genes affected
SCARB2 (HGNC:1665): (scavenger receptor class B member 2) The protein encoded by this gene is a type III glycoprotein that is located primarily in limiting membranes of lysosomes and endosomes. Earlier studies in mice and rat suggested that this protein may participate in membrane transportation and the reorganization of endosomal/lysosomal compartment. The protein deficiency in mice was reported to impair cell membrane transport processes and cause pelvic junction obstruction, deafness, and peripheral neuropathy. Further studies in human showed that this protein is a ubiquitously expressed protein and that it is involved in the pathogenesis of HFMD (hand, foot, and mouth disease) caused by enterovirus-71 and possibly by coxsackievirus A16. Mutations in this gene caused an autosomal recessive progressive myoclonic epilepsy-4 (EPM4), also known as action myoclonus-renal failure syndrome (AMRF). Alternatively spliced transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Feb 2011]
SCARB2 Gene-Disease associations (from GenCC):
  • action myoclonus-renal failure syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
  • progressive myoclonus epilepsy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Unverricht-Lundborg syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0021950305).
BP6
Variant 4-76168404-C-T is Benign according to our data. Variant chr4-76168404-C-T is described in ClinVar as Benign. ClinVar VariationId is 259780.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0776 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005506.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SCARB2
NM_005506.4
MANE Select
c.1186G>Ap.Val396Ile
missense splice_region
Exon 9 of 12NP_005497.1
SCARB2
NM_001204255.2
c.757G>Ap.Val253Ile
missense splice_region
Exon 6 of 9NP_001191184.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SCARB2
ENST00000264896.8
TSL:1 MANE Select
c.1186G>Ap.Val396Ile
missense splice_region
Exon 9 of 12ENSP00000264896.2
SCARB2
ENST00000640634.1
TSL:5
c.1306G>Ap.Val436Ile
missense splice_region
Exon 10 of 13ENSP00000492737.1
SCARB2
ENST00000639145.1
TSL:5
c.1177G>Ap.Val393Ile
missense splice_region
Exon 9 of 12ENSP00000492831.1

Frequencies

GnomAD3 genomes
AF:
0.0230
AC:
3505
AN:
152190
Hom.:
120
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0800
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00772
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000367
Gnomad OTH
AF:
0.0215
GnomAD2 exomes
AF:
0.00607
AC:
1526
AN:
251368
AF XY:
0.00425
show subpopulations
Gnomad AFR exome
AF:
0.0829
Gnomad AMR exome
AF:
0.00387
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000202
Gnomad OTH exome
AF:
0.00293
GnomAD4 exome
AF:
0.00235
AC:
3435
AN:
1461460
Hom.:
146
Cov.:
30
AF XY:
0.00199
AC XY:
1446
AN XY:
727086
show subpopulations
African (AFR)
AF:
0.0829
AC:
2774
AN:
33444
American (AMR)
AF:
0.00474
AC:
212
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000209
AC:
18
AN:
86254
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53396
Middle Eastern (MID)
AF:
0.00486
AC:
28
AN:
5766
European-Non Finnish (NFE)
AF:
0.0000999
AC:
111
AN:
1111664
Other (OTH)
AF:
0.00484
AC:
292
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.453
Heterozygous variant carriers
0
164
328
492
656
820
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
90
180
270
360
450
<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:
0.0230
AC:
3508
AN:
152308
Hom.:
120
Cov.:
32
AF XY:
0.0224
AC XY:
1666
AN XY:
74464
show subpopulations
African (AFR)
AF:
0.0799
AC:
3318
AN:
41546
American (AMR)
AF:
0.00771
AC:
118
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000367
AC:
25
AN:
68030
Other (OTH)
AF:
0.0213
AC:
45
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
172
344
516
688
860
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
36
72
108
144
180
<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:
0.00841
Hom.:
84
Bravo
AF:
0.0264
ESP6500AA
AF:
0.0747
AC:
329
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00753
AC:
914
Asia WGS
AF:
0.00318
AC:
11
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000119

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Oct 25, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:1
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Inborn genetic diseases Benign:1
Jun 21, 2016
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity.

Focal segmental glomerulosclerosis Benign:1
Jun 04, 2021
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Progressive myoclonic epilepsy Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
0.26
DANN
Benign
0.60
DEOGEN2
Benign
0.11
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.014
N
LIST_S2
Benign
0.71
T
MetaRNN
Benign
0.0022
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.29
N
PhyloP100
-0.33
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-0.29
N
REVEL
Benign
0.052
Sift
Benign
0.41
T
Sift4G
Benign
0.41
T
Polyphen
0.0
B
Vest4
0.059
MVP
0.17
MPC
0.19
ClinPred
0.00047
T
GERP RS
-2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.047
gMVP
0.33
Mutation Taster
=97/3
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00012
dbscSNV1_RF
Benign
0.010
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: rs2228380; hg19: chr4-77089557; COSMIC: COSV99069600; COSMIC: COSV99069600; API