NM_014694.4:c.340G>A

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PM1PP3_ModeratePP5

The NM_014694.4(ADAMTSL2):​c.340G>A​(p.Glu114Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000011 in 1,545,872 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000010 ( 0 hom. )

Consequence

ADAMTSL2
NM_014694.4 missense

Scores

6
8
3

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:5U:1O:1

Conservation

PhyloP100: 7.33

Publications

6 publications found
Variant links:
Genes affected
ADAMTSL2 (HGNC:14631): (ADAMTS like 2) This gene encodes a member of the ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs) and ADAMTS-like protein family. Members of the family share several distinct protein modules, including a propeptide region, a metalloproteinase domain, a disintegrin-like domain, and a thrombospondin type 1 (TS) motif. Individual members of this family differ in the number of C-terminal TS motifs, and some have unique C-terminal domains. The protein encoded by this gene lacks the protease domain, and is therefore of a member of the the ADAMTS-like protein subfamily. It is a secreted glycoprotein that binds the cell surface and extracellular matrix; it also interacts with latent transforming growth factor beta binding protein 1. Mutations in this gene have been associated with geleophysic dysplasia. [provided by RefSeq, Feb 2009]
ADAMTSL2 Gene-Disease associations (from GenCC):
  • geleophysic dysplasia 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • Ehlers-Danlos syndrome
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 3 uncertain in NM_014694.4
PP3
MetaRNN computational evidence supports a deleterious effect, 0.907
PP5
Variant 9-133539801-G-A is Pathogenic according to our data. Variant chr9-133539801-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 695.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_014694.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADAMTSL2
NM_014694.4
MANE Select
c.340G>Ap.Glu114Lys
missense
Exon 5 of 19NP_055509.2
ADAMTSL2
NM_001145320.2
c.340G>Ap.Glu114Lys
missense
Exon 5 of 19NP_001138792.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADAMTSL2
ENST00000651351.2
MANE Select
c.340G>Ap.Glu114Lys
missense
Exon 5 of 19ENSP00000498961.2
ADAMTSL2
ENST00000393061.7
TSL:1
c.667G>Ap.Glu223Lys
missense
Exon 5 of 19ENSP00000376781.3
ADAMTSL2
ENST00000354484.8
TSL:1
c.340G>Ap.Glu114Lys
missense
Exon 5 of 19ENSP00000346478.4

Frequencies

GnomAD3 genomes
AF:
0.0000204
AC:
3
AN:
147210
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000501
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:
0.0000150
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000641
AC:
1
AN:
155966
AF XY:
0.0000122
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000100
AC:
14
AN:
1398662
Hom.:
0
Cov.:
33
AF XY:
0.0000101
AC XY:
7
AN XY:
689854
show subpopulations
African (AFR)
AF:
0.0000633
AC:
2
AN:
31598
American (AMR)
AF:
0.00
AC:
0
AN:
35698
Ashkenazi Jewish (ASJ)
AF:
0.0000397
AC:
1
AN:
25182
East Asian (EAS)
AF:
0.0000280
AC:
1
AN:
35736
South Asian (SAS)
AF:
0.0000126
AC:
1
AN:
79236
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48602
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5696
European-Non Finnish (NFE)
AF:
0.00000834
AC:
9
AN:
1078922
Other (OTH)
AF:
0.00
AC:
0
AN:
57992
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000204
AC:
3
AN:
147210
Hom.:
0
Cov.:
34
AF XY:
0.0000140
AC XY:
1
AN XY:
71662
show subpopulations
African (AFR)
AF:
0.0000501
AC:
2
AN:
39950
American (AMR)
AF:
0.00
AC:
0
AN:
14688
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3382
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4932
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4564
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10048
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
308
European-Non Finnish (NFE)
AF:
0.0000150
AC:
1
AN:
66456
Other (OTH)
AF:
0.00
AC:
0
AN:
1994
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.542
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:
0.000144
Hom.:
0
Bravo
AF:
0.0000189

ClinVar

ClinVar submissions as Germline
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
3
-
-
Geleophysic dysplasia 1 (4)
1
1
-
not provided (2)
1
-
-
Geleophysic dysplasia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.36
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Pathogenic
0.22
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.072
T
Eigen
Uncertain
0.67
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.93
D
M_CAP
Uncertain
0.085
D
MetaRNN
Pathogenic
0.91
D
MetaSVM
Benign
-0.53
T
PhyloP100
7.3
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-2.2
N
REVEL
Uncertain
0.50
Sift
Uncertain
0.0070
D
Sift4G
Uncertain
0.013
D
Polyphen
1.0
D
Vest4
0.92
MutPred
0.78
Gain of ubiquitination at E114 (P = 0.0177)
MVP
0.80
MPC
1.1
ClinPred
0.99
D
GERP RS
5.5
Varity_R
0.38
gMVP
0.86
Mutation Taster
=2/98
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: rs113994123; hg19: chr9-136404923; API