NM_006554.5:c.295_296delCT

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_006554.5(MTX2):​c.295_296delCT​(p.Leu99fs) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000142 in 1,410,568 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

MTX2
NM_006554.5 frameshift

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 8.01

Publications

2 publications found
Variant links:
Genes affected
MTX2 (HGNC:7506): (metaxin 2) The protein encoded by this gene is highly similar to the metaxin 2 protein from mouse, which has been shown to interact with the mitochondrial membrane protein metaxin 1. Because of this similarity, it is thought that the encoded protein is peripherally associated with the cytosolic face of the outer mitochondrial membrane, and that it is involved in the import of proteins into the mitochondrion. Alternative splicing results in multiple transcript variants. A related pseudogene has been identified on chromosome 7. [provided by RefSeq, Jun 2009]
MTX2 Gene-Disease associations (from GenCC):
  • mandibuloacral dysplasia progeroid syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen
  • mandibuloacral dysplasia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-176328298-TTC-T is Pathogenic according to our data. Variant chr2-176328298-TTC-T is described in ClinVar as Pathogenic. ClinVar VariationId is 827676.Status of the report is no_assertion_criteria_provided, 0 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_006554.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MTX2
NM_006554.5
MANE Select
c.295_296delCTp.Leu99fs
frameshift
Exon 6 of 10NP_006545.1O75431-1
MTX2
NM_001006635.3
c.265_266delCTp.Leu89fs
frameshift
Exon 7 of 11NP_001006636.1O75431-2
MTX2
NM_001319097.2
c.295_296delCTp.Leu99fs
frameshift
Exon 6 of 10NP_001306026.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MTX2
ENST00000249442.11
TSL:1 MANE Select
c.295_296delCTp.Leu99fs
frameshift
Exon 6 of 10ENSP00000249442.6O75431-1
MTX2
ENST00000420864.5
TSL:1
n.*385_*386delCT
non_coding_transcript_exon
Exon 7 of 11ENSP00000403545.1F8WCW1
MTX2
ENST00000420864.5
TSL:1
n.*385_*386delCT
3_prime_UTR
Exon 7 of 11ENSP00000403545.1F8WCW1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD2 exomes
AF:
0.00000458
AC:
1
AN:
218512
AF XY:
0.00000839
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:
0.00000961
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000142
AC:
2
AN:
1410568
Hom.:
0
AF XY:
0.00000143
AC XY:
1
AN XY:
701674
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30768
American (AMR)
AF:
0.00
AC:
0
AN:
34560
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24064
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38226
South Asian (SAS)
AF:
0.00
AC:
0
AN:
76754
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52220
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5414
European-Non Finnish (NFE)
AF:
0.00000183
AC:
2
AN:
1090816
Other (OTH)
AF:
0.00
AC:
0
AN:
57746
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
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
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
Cov.:
31

ClinVar

ClinVar submissions
Significance:Pathogenic
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Hypertensive disorder;C0025990:Micrognathia;C0040433:Dental crowding;C1260926:Abnormality of skin pigmentation;C1857710:Progeroid facial appearance;C1859778:Postnatal growth retardation;C4021159:Facial shape deformation;C4025739:Acroosteolysis of distal phalanges (feet);C4025870:Abnormal mandible morphology;C4025901:Abnormality of body height (1)
1
-
-
Mandibuloacral dysplasia progeroid syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
8.0
Mutation Taster
=5/195
disease causing (ClinVar)

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: rs768727228; hg19: chr2-177193026; API