X-44163941-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_025184.4(EFHC2):​c.2129C>T​(p.Pro710Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000172 in 1,163,749 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 9.5e-7 ( 0 hom. 0 hem. )

Consequence

EFHC2
NM_025184.4 missense

Scores

15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.777
Variant links:
Genes affected
EFHC2 (HGNC:26233): (EF-hand domain containing 2) This gene encodes a protein which contains three DM10 domains and three calcium-binding EF-hand motifs. A related protein is encoded by a gene on chromosome 6. It has been suggested that both proteins are involved in the development of epilepsy (PMID: 15258581, 16112844) and that this gene may be associated with fear recognition in individuals with Turner syndrome. [provided by RefSeq, Aug 2011]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.08970535).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EFHC2NM_025184.4 linkuse as main transcriptc.2129C>T p.Pro710Leu missense_variant 14/15 ENST00000420999.2 NP_079460.2 Q5JST6-1
EFHC2XM_047442535.1 linkuse as main transcriptc.2036C>T p.Pro679Leu missense_variant 13/14 XP_047298491.1
EFHC2XM_006724562.3 linkuse as main transcriptc.1541C>T p.Pro514Leu missense_variant 13/14 XP_006724625.1
EFHC2XM_047442536.1 linkuse as main transcriptc.*118C>T downstream_gene_variant XP_047298492.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EFHC2ENST00000420999.2 linkuse as main transcriptc.2129C>T p.Pro710Leu missense_variant 14/151 NM_025184.4 ENSP00000404232.2 Q5JST6-1
EFHC2ENST00000343571.3 linkuse as main transcriptn.450C>T non_coding_transcript_exon_variant 4/52

Frequencies

GnomAD3 genomes
AF:
0.00000894
AC:
1
AN:
111848
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34044
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.000658
GnomAD4 exome
AF:
9.51e-7
AC:
1
AN:
1051901
Hom.:
0
Cov.:
27
AF XY:
0.00
AC XY:
0
AN XY:
339905
show subpopulations
Gnomad4 AFR exome
AF:
0.0000399
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000894
AC:
1
AN:
111848
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34044
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000658
Bravo
AF:
0.0000227

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 GeneticsJan 29, 2024The c.2129C>T (p.P710L) alteration is located in exon 14 (coding exon 14) of the EFHC2 gene. This alteration results from a C to T substitution at nucleotide position 2129, causing the proline (P) at amino acid position 710 to be replaced by a leucine (L). 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
Benign
0.089
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
11
DANN
Benign
0.59
DEOGEN2
Benign
0.049
T
FATHMM_MKL
Benign
0.039
N
LIST_S2
Benign
0.59
T
M_CAP
Benign
0.050
D
MetaRNN
Benign
0.090
T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
0.55
N
PrimateAI
Benign
0.26
T
REVEL
Benign
0.12
Sift4G
Benign
0.088
T
Polyphen
0.18
B
Vest4
0.055
MutPred
0.60
Loss of disorder (P = 0.0377);
MVP
0.14
MPC
0.085
ClinPred
0.13
T
GERP RS
3.3
Varity_R
0.049
gMVP
0.45

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: rs941658385; hg19: chrX-44023187; API