X-116172511-G-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_000686.5(AGTR2):​c.231G>T​(p.Lys77Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00032 in 1,209,433 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 115 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., 4 hem., cov: 23)
Exomes 𝑓: 0.00033 ( 0 hom. 111 hem. )

Consequence

AGTR2
NM_000686.5 missense

Scores

4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.177
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.14683387).
BS2
High Hemizygotes in GnomAd4 at 4 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AGTR2NM_000686.5 linkuse as main transcriptc.231G>T p.Lys77Asn missense_variant 3/3 ENST00000371906.5
AGTR2NM_001385624.1 linkuse as main transcriptc.231G>T p.Lys77Asn missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AGTR2ENST00000371906.5 linkuse as main transcriptc.231G>T p.Lys77Asn missense_variant 3/31 NM_000686.5 P1
AGTR2ENST00000681852.1 linkuse as main transcriptc.231G>T p.Lys77Asn missense_variant 2/2 P1
AGTR2ENST00000680409.1 linkuse as main transcriptn.699G>T non_coding_transcript_exon_variant 1/1

Frequencies

GnomAD3 genomes
AF:
0.000242
AC:
27
AN:
111428
Hom.:
0
Cov.:
23
AF XY:
0.000119
AC XY:
4
AN XY:
33658
show subpopulations
Gnomad AFR
AF:
0.000195
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000960
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:
0.000377
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000219
AC:
40
AN:
182847
Hom.:
0
AF XY:
0.000267
AC XY:
18
AN XY:
67535
show subpopulations
Gnomad AFR exome
AF:
0.000304
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000625
Gnomad NFE exome
AF:
0.000418
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000328
AC:
360
AN:
1098005
Hom.:
0
Cov.:
31
AF XY:
0.000305
AC XY:
111
AN XY:
363445
show subpopulations
Gnomad4 AFR exome
AF:
0.0000758
Gnomad4 AMR exome
AF:
0.0000852
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000247
Gnomad4 NFE exome
AF:
0.000406
Gnomad4 OTH exome
AF:
0.000260
GnomAD4 genome
AF:
0.000242
AC:
27
AN:
111428
Hom.:
0
Cov.:
23
AF XY:
0.000119
AC XY:
4
AN XY:
33658
show subpopulations
Gnomad4 AFR
AF:
0.000195
Gnomad4 AMR
AF:
0.0000960
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000377
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000406
Hom.:
13
Bravo
AF:
0.000272
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000297
AC:
2
ExAC
AF:
0.000222
AC:
27
EpiCase
AF:
0.000546
EpiControl
AF:
0.000771

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Apr 22, 2014- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.39
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.74
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Benign
0.14
T
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.74
T
M_CAP
Benign
0.0084
T
MetaRNN
Benign
0.15
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.23
N
MutationTaster
Benign
0.92
D
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
0.17
N
REVEL
Benign
0.14
Sift
Benign
0.072
T
Sift4G
Benign
0.14
T
Polyphen
0.81
P
Vest4
0.20
MutPred
0.60
Loss of methylation at K77 (P = 0.0075);
MVP
0.79
MPC
0.45
ClinPred
0.067
T
GERP RS
2.5
Varity_R
0.42
gMVP
0.28

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: rs138706948; hg19: chrX-115303764; API