X-120455540-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_002294.3(LAMP2):​c.214G>A​(p.Val72Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000456 in 1,095,662 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 21)
Exomes 𝑓: 0.0000046 ( 0 hom. 1 hem. )

Consequence

LAMP2
NM_002294.3 missense

Scores

6
12

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.644

Publications

0 publications found
Variant links:
Genes affected
LAMP2 (HGNC:6501): (lysosomal associated membrane protein 2) The protein encoded by this gene is a member of a family of membrane glycoproteins. This glycoprotein provides selectins with carbohydrate ligands. It may play a role in tumor cell metastasis. It may also function in the protection, maintenance, and adhesion of the lysosome. Alternative splicing of this gene results in multiple transcript variants encoding distinct proteins. [provided by RefSeq, Jul 2008]
LAMP2 Gene-Disease associations (from GenCC):
  • Danon disease
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, G2P, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2451089).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LAMP2NM_002294.3 linkc.214G>A p.Val72Met missense_variant Exon 3 of 9 ENST00000200639.9 NP_002285.1 P13473-1
LAMP2NM_001122606.1 linkc.214G>A p.Val72Met missense_variant Exon 3 of 9 NP_001116078.1 P13473-3
LAMP2NM_013995.2 linkc.214G>A p.Val72Met missense_variant Exon 3 of 9 NP_054701.1 P13473-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LAMP2ENST00000200639.9 linkc.214G>A p.Val72Met missense_variant Exon 3 of 9 1 NM_002294.3 ENSP00000200639.4 P13473-1
LAMP2ENST00000434600.6 linkc.214G>A p.Val72Met missense_variant Exon 3 of 9 1 ENSP00000408411.2 P13473-3
LAMP2ENST00000371335.4 linkc.214G>A p.Val72Met missense_variant Exon 3 of 9 1 ENSP00000360386.4 P13473-2
LAMP2ENST00000706600.1 linkc.214G>A p.Val72Met missense_variant Exon 3 of 9 ENSP00000516464.1 A0A9L9PXQ4

Frequencies

GnomAD3 genomes
Cov.:
21
GnomAD2 exomes
AF:
0.00000545
AC:
1
AN:
183403
AF XY:
0.0000147
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:
0.00000456
AC:
5
AN:
1095662
Hom.:
0
Cov.:
30
AF XY:
0.00000277
AC XY:
1
AN XY:
361048
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26353
American (AMR)
AF:
0.00
AC:
0
AN:
35200
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19366
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30194
South Asian (SAS)
AF:
0.0000370
AC:
2
AN:
54073
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40533
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4131
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
839783
Other (OTH)
AF:
0.0000652
AC:
3
AN:
46029
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.413
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.:
21
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
May 02, 2017
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.Val72Met variant in LAMP2 has not been previously reported in individuals with cardiomyopathy, but has been identified in 1/19131 South Asian chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org/; d bSNP rs778193991). Computational prediction tools and conservation analysis do n ot provide strong support for or against an impact to the protein. In summary, t he clinical significance of the p.Val72Met variant is uncertain. -

Danon disease Uncertain:1
Dec 15, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt LAMP2 protein function. This sequence change replaces valine, which is neutral and non-polar, with methionine, which is neutral and non-polar, at codon 72 of the LAMP2 protein (p.Val72Met). This variant is present in population databases (rs778193991, gnomAD 0.005%), including at least one homozygous and/or hemizygous individual. This variant has not been reported in the literature in individuals affected with LAMP2-related conditions. ClinVar contains an entry for this variant (Variation ID: 505795). -

Primary dilated cardiomyopathy Uncertain:1
-
Genetics and Genomics Program, Sidra Medicine
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
CardioboostCm
Benign
0.056
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.81
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.62
.;D;.
FATHMM_MKL
Benign
0.049
N
LIST_S2
Uncertain
0.89
D;D;D
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.25
T;T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
1.8
L;L;L
PhyloP100
0.64
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-2.0
N;N;N
REVEL
Benign
0.062
Sift
Uncertain
0.011
D;D;D
Sift4G
Uncertain
0.013
D;D;D
Polyphen
1.0, 1.0
.;D;D
Vest4
0.064
MutPred
0.48
Loss of catalytic residue at V72 (P = 0.0055);Loss of catalytic residue at V72 (P = 0.0055);Loss of catalytic residue at V72 (P = 0.0055);
MVP
0.55
MPC
0.77
ClinPred
0.63
D
GERP RS
2.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.11
gMVP
0.68
Mutation Taster
=99/1
polymorphism

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: rs778193991; hg19: chrX-119589395; API