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GeneBe

X-44164007-T-C

Variant summary

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

The NM_025184.4(EFHC2):c.2063A>G(p.Gln688Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0000388 in 1,133,357 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 17 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000040 ( 0 hom. 16 hem. )

Consequence

EFHC2
NM_025184.4 missense

Scores

1
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.82
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.07281014).
BS2
High Hemizygotes in GnomAdExome at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EFHC2NM_025184.4 linkuse as main transcriptc.2063A>G p.Gln688Arg missense_variant 14/15 ENST00000420999.2
EFHC2XM_047442535.1 linkuse as main transcriptc.1970A>G p.Gln657Arg missense_variant 13/14
EFHC2XM_006724562.3 linkuse as main transcriptc.1475A>G p.Gln492Arg missense_variant 13/14
EFHC2XM_047442536.1 linkuse as main transcriptc.*52A>G 3_prime_UTR_variant 15/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EFHC2ENST00000420999.2 linkuse as main transcriptc.2063A>G p.Gln688Arg missense_variant 14/151 NM_025184.4 P1Q5JST6-1
EFHC2ENST00000343571.3 linkuse as main transcriptn.384A>G non_coding_transcript_exon_variant 4/52

Frequencies

GnomAD3 genomes
AF:
0.0000267
AC:
3
AN:
112212
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34358
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000755
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000583
AC:
6
AN:
102851
Hom.:
0
AF XY:
0.0000989
AC XY:
3
AN XY:
30331
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000733
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000483
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000402
AC:
41
AN:
1021145
Hom.:
0
Cov.:
25
AF XY:
0.0000504
AC XY:
16
AN XY:
317613
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00117
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000188
Gnomad4 OTH exome
AF:
0.000116
GnomAD4 genome
AF:
0.0000267
AC:
3
AN:
112212
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34358
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.000755
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000869
Hom.:
1
Bravo
AF:
0.0000491
ExAC
AF:
0.0000444
AC:
4

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 GeneticsFeb 06, 2023The c.2063A>G (p.Q688R) alteration is located in exon 14 (coding exon 14) of the EFHC2 gene. This alteration results from a A to G substitution at nucleotide position 2063, causing the glutamine (Q) at amino acid position 688 to be replaced by an arginine (R). 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
0.15
BayesDel_addAF
Benign
-0.019
T
BayesDel_noAF
Benign
-0.21
Cadd
Benign
17
Dann
Benign
0.93
DEOGEN2
Benign
0.010
T
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.50
T
M_CAP
Benign
0.047
D
MetaRNN
Benign
0.073
T
MetaSVM
Benign
-0.64
T
MutationAssessor
Benign
1.1
L
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.39
T
REVEL
Benign
0.21
Sift4G
Benign
0.30
T
Polyphen
0.16
B
Vest4
0.35
MutPred
0.22
Gain of MoRF binding (P = 0.057);
MVP
0.57
MPC
0.093
ClinPred
0.050
T
GERP RS
5.4
Varity_R
0.088
gMVP
0.33

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: rs746544390; hg19: chrX-44023253; API