NM_020433.5:c.2073T>C

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_020433.5(JPH2):​c.2073T>C​(p.Phe691Phe) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.296 in 1,604,238 control chromosomes in the GnomAD database, including 75,081 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.32 ( 8569 hom., cov: 30)
Exomes 𝑓: 0.29 ( 66512 hom. )

Consequence

JPH2
NM_020433.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.322

Publications

19 publications found
Variant links:
Genes affected
JPH2 (HGNC:14202): (junctophilin 2) Junctional complexes between the plasma membrane and endoplasmic/sarcoplasmic reticulum are a common feature of all excitable cell types and mediate cross talk between cell surface and intracellular ion channels. The protein encoded by this gene is a component of junctional complexes and is composed of a C-terminal hydrophobic segment spanning the endoplasmic/sarcoplasmic reticulum membrane and a remaining cytoplasmic domain that shows specific affinity for the plasma membrane. This gene is a member of the junctophilin gene family. Alternative splicing has been observed at this locus and two variants encoding distinct isoforms are described. [provided by RefSeq, Jul 2008]
JPH2 Gene-Disease associations (from GenCC):
  • hypertrophic cardiomyopathy 17
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • cardiomyopathy, dilated, 2E
    Inheritance: Unknown, AR Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen
  • dilated cardiomyopathy
    Inheritance: SD Classification: MODERATE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.66).
BP6
Variant 20-44114814-A-G is Benign according to our data. Variant chr20-44114814-A-G is described in ClinVar as [Benign]. Clinvar id is 137611.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.322 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.453 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
JPH2NM_020433.5 linkc.2073T>C p.Phe691Phe synonymous_variant Exon 5 of 6 ENST00000372980.4 NP_065166.2 Q9BR39-1Q86VZ3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
JPH2ENST00000372980.4 linkc.2073T>C p.Phe691Phe synonymous_variant Exon 5 of 6 5 NM_020433.5 ENSP00000362071.3 Q9BR39-1

Frequencies

GnomAD3 genomes
AF:
0.324
AC:
49063
AN:
151558
Hom.:
8541
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.457
Gnomad AMI
AF:
0.411
Gnomad AMR
AF:
0.219
Gnomad ASJ
AF:
0.325
Gnomad EAS
AF:
0.0921
Gnomad SAS
AF:
0.117
Gnomad FIN
AF:
0.281
Gnomad MID
AF:
0.190
Gnomad NFE
AF:
0.305
Gnomad OTH
AF:
0.316
GnomAD2 exomes
AF:
0.248
AC:
58346
AN:
235182
AF XY:
0.242
show subpopulations
Gnomad AFR exome
AF:
0.450
Gnomad AMR exome
AF:
0.150
Gnomad ASJ exome
AF:
0.320
Gnomad EAS exome
AF:
0.0877
Gnomad FIN exome
AF:
0.280
Gnomad NFE exome
AF:
0.297
Gnomad OTH exome
AF:
0.275
GnomAD4 exome
AF:
0.293
AC:
426299
AN:
1452562
Hom.:
66512
Cov.:
35
AF XY:
0.288
AC XY:
207531
AN XY:
721336
show subpopulations
African (AFR)
AF:
0.459
AC:
15342
AN:
33414
American (AMR)
AF:
0.159
AC:
6919
AN:
43456
Ashkenazi Jewish (ASJ)
AF:
0.324
AC:
8369
AN:
25814
East Asian (EAS)
AF:
0.0705
AC:
2783
AN:
39480
South Asian (SAS)
AF:
0.124
AC:
10381
AN:
83998
European-Finnish (FIN)
AF:
0.284
AC:
14981
AN:
52708
Middle Eastern (MID)
AF:
0.222
AC:
1272
AN:
5742
European-Non Finnish (NFE)
AF:
0.315
AC:
348681
AN:
1107848
Other (OTH)
AF:
0.292
AC:
17571
AN:
60102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
15318
30636
45953
61271
76589
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
11324
22648
33972
45296
56620
<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:
0.324
AC:
49133
AN:
151676
Hom.:
8569
Cov.:
30
AF XY:
0.316
AC XY:
23400
AN XY:
74126
show subpopulations
African (AFR)
AF:
0.458
AC:
18919
AN:
41308
American (AMR)
AF:
0.219
AC:
3337
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.325
AC:
1127
AN:
3466
East Asian (EAS)
AF:
0.0917
AC:
472
AN:
5148
South Asian (SAS)
AF:
0.117
AC:
560
AN:
4784
European-Finnish (FIN)
AF:
0.281
AC:
2954
AN:
10528
Middle Eastern (MID)
AF:
0.190
AC:
56
AN:
294
European-Non Finnish (NFE)
AF:
0.305
AC:
20682
AN:
67876
Other (OTH)
AF:
0.311
AC:
655
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
1625
3250
4875
6500
8125
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
470
940
1410
1880
2350
<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:
0.306
Hom.:
11281
Bravo
AF:
0.327
Asia WGS
AF:
0.130
AC:
454
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Apr 09, 2025
Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 08, 2014
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Nov 24, 2014
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Phe691Phe in exon 5 of JPH2: This variant is not expected to have clinical signi ficance because it does not alter an amino acid residue and is not located withi n the splice consensus sequence. It has been identified in 44.8% (1973/4404) of African American chromosomes from a broad population by the NHLBI Exome Sequenci ng Project (http://evs.gs.washington.edu/EVS; dbSNP rs6093935). -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Hypertrophic cardiomyopathy 17 Benign:1
Sep 21, 2015
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hypertrophic cardiomyopathy Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Jun 15, 2015
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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.66
CADD
Benign
5.9
DANN
Benign
0.68
PhyloP100
0.32
Mutation Taster
=100/0
polymorphism (auto)

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: rs6093935; hg19: chr20-42743454; COSMIC: COSV65902426; API