X-116172434-T-G

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_000686.5(AGTR2):ā€‹c.154T>Gā€‹(p.Tyr52Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000365 in 1,096,667 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 13 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 23)
Exomes š‘“: 0.000036 ( 0 hom. 13 hem. )

Consequence

AGTR2
NM_000686.5 missense

Scores

5
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.91
Variant links:
Genes affected
AGTR2 (HGNC:338): (angiotensin II receptor type 2) The protein encoded by this gene belongs to the G-protein coupled receptor 1 family, and functions as a receptor for angiotensin II. It is an intergral membrane protein that is highly expressed in fetus and in neonates, but scantily in adult tissues, except brain, adrenal medulla, and atretic ovary. This receptor has been shown to mediate programmed cell death and this apoptotic function may play an important role in developmental biology and pathophysiology. Mutations in this gene are been associated with X-linked cognitive disability. Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) and SARS-CoV-2 infection results in down-regulation of angiotensin converting enzyme-2 (ACE2) receptors, the effects of which, triggers serious inflammatory lesions in the tissues involved, primarily in the lungs. The inflammatory reaction appears to be mediated by angiotensin II derivatives, including the angiotensin AT2 receptor which has been found to be upregulated in bronchoalveolar lavage samples from Coronavirus disease 2019 (COVID19) patients. [provided by RefSeq, Jul 2020]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.33997238).
BS2
High Hemizygotes in GnomAdExome4 at 13 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AGTR2NM_000686.5 linkuse as main transcriptc.154T>G p.Tyr52Asp missense_variant 3/3 ENST00000371906.5
AGTR2NM_001385624.1 linkuse as main transcriptc.154T>G p.Tyr52Asp missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AGTR2ENST00000371906.5 linkuse as main transcriptc.154T>G p.Tyr52Asp missense_variant 3/31 NM_000686.5 P1
AGTR2ENST00000681852.1 linkuse as main transcriptc.154T>G p.Tyr52Asp missense_variant 2/2 P1
AGTR2ENST00000680409.1 linkuse as main transcriptn.622T>G non_coding_transcript_exon_variant 1/1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000546
AC:
1
AN:
183012
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67626
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000123
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000365
AC:
40
AN:
1096667
Hom.:
0
Cov.:
31
AF XY:
0.0000359
AC XY:
13
AN XY:
362173
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000476
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 26, 2024The c.154T>G (p.Y52D) alteration is located in exon 3 (coding exon 1) of the AGTR2 gene. This alteration results from a T to G substitution at nucleotide position 154, causing the tyrosine (Y) at amino acid position 52 to be replaced by an aspartic acid (D). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.51
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
-0.080
CADD
Benign
19
DANN
Benign
0.97
DEOGEN2
Benign
0.35
T
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.66
T
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.34
T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.3
L
MutationTaster
Benign
0.69
D
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
0.16
N
REVEL
Benign
0.19
Sift
Benign
0.26
T
Sift4G
Benign
0.20
T
Polyphen
0.17
B
Vest4
0.47
MutPred
0.45
Loss of stability (P = 0.2305);
MVP
0.90
MPC
0.29
ClinPred
0.11
T
GERP RS
4.5
Varity_R
0.47
gMVP
0.51

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs782370785; hg19: chrX-115303687; API