X-44232527-T-C

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The ENST00000420999.2(EFHC2):ā€‹c.1574A>Gā€‹(p.Asn525Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000373 in 1,179,077 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 19 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 (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N525I) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.000045 ( 0 hom., 1 hem., cov: 23)
Exomes š‘“: 0.000037 ( 0 hom. 18 hem. )

Consequence

EFHC2
ENST00000420999.2 missense

Scores

2
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.76
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.040795565).
BS2
High Hemizygotes in GnomAdExome4 at 18 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EFHC2NM_025184.4 linkuse as main transcriptc.1574A>G p.Asn525Ser missense_variant 10/15 ENST00000420999.2 NP_079460.2
EFHC2XM_047442535.1 linkuse as main transcriptc.1574A>G p.Asn525Ser missense_variant 10/14 XP_047298491.1
EFHC2XM_047442536.1 linkuse as main transcriptc.1574A>G p.Asn525Ser missense_variant 10/15 XP_047298492.1
EFHC2XM_006724562.3 linkuse as main transcriptc.986A>G p.Asn329Ser missense_variant 9/14 XP_006724625.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EFHC2ENST00000420999.2 linkuse as main transcriptc.1574A>G p.Asn525Ser missense_variant 10/151 NM_025184.4 ENSP00000404232 P1Q5JST6-1

Frequencies

GnomAD3 genomes
AF:
0.0000446
AC:
5
AN:
112129
Hom.:
0
Cov.:
23
AF XY:
0.0000292
AC XY:
1
AN XY:
34285
show subpopulations
Gnomad AFR
AF:
0.0000974
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000373
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000586
AC:
8
AN:
136577
Hom.:
0
AF XY:
0.0000289
AC XY:
1
AN XY:
34559
show subpopulations
Gnomad AFR exome
AF:
0.000202
Gnomad AMR exome
AF:
0.000139
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:
0.0000507
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000366
AC:
39
AN:
1066895
Hom.:
0
Cov.:
29
AF XY:
0.0000527
AC XY:
18
AN XY:
341371
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000223
Gnomad4 ASJ exome
AF:
0.0000542
Gnomad4 EAS exome
AF:
0.0000340
Gnomad4 SAS exome
AF:
0.0000206
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000291
Gnomad4 OTH exome
AF:
0.0000891
GnomAD4 genome
AF:
0.0000446
AC:
5
AN:
112182
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34348
show subpopulations
Gnomad4 AFR
AF:
0.0000972
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000375
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000604
ESP6500AA
AF:
0.000292
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00000840
AC:
1

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 GeneticsApr 22, 2022The c.1574A>G (p.N525S) alteration is located in exon 10 (coding exon 10) of the EFHC2 gene. This alteration results from a A to G substitution at nucleotide position 1574, causing the asparagine (N) at amino acid position 525 to be replaced by a serine (S). 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
0.079
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
7.6
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0097
T
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.74
T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.041
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
0.49
N
MutationTaster
Benign
0.57
D
PrimateAI
Benign
0.39
T
REVEL
Benign
0.071
Sift4G
Benign
0.091
T
Polyphen
0.0070
B
Vest4
0.057
MVP
0.12
MPC
0.071
ClinPred
0.022
T
GERP RS
2.2
Varity_R
0.091
gMVP
0.31

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: rs376768756; hg19: chrX-44091773; API