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GeneBe

X-44242253-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_025184.4(EFHC2):c.1148C>T(p.Pro383Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000108 in 1,206,325 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. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.000010 ( 0 hom. 1 hem. )

Consequence

EFHC2
NM_025184.4 missense

Scores

5
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.03
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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EFHC2NM_025184.4 linkuse as main transcriptc.1148C>T p.Pro383Leu missense_variant 8/15 ENST00000420999.2
EFHC2XM_047442535.1 linkuse as main transcriptc.1148C>T p.Pro383Leu missense_variant 8/14
EFHC2XM_047442536.1 linkuse as main transcriptc.1148C>T p.Pro383Leu missense_variant 8/15
EFHC2XM_006724562.3 linkuse as main transcriptc.560C>T p.Pro187Leu missense_variant 7/14

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EFHC2ENST00000420999.2 linkuse as main transcriptc.1148C>T p.Pro383Leu missense_variant 8/151 NM_025184.4 P1Q5JST6-1

Frequencies

GnomAD3 genomes
AF:
0.0000179
AC:
2
AN:
111494
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33674
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:
0.0000377
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000115
AC:
2
AN:
173959
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
60499
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000256
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000100
AC:
11
AN:
1094831
Hom.:
0
Cov.:
30
AF XY:
0.00000277
AC XY:
1
AN XY:
360657
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.0000119
Gnomad4 OTH exome
AF:
0.0000218
GnomAD4 genome
AF:
0.0000179
AC:
2
AN:
111494
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33674
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:
0.0000377
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756

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 05, 2024The c.1148C>T (p.P383L) alteration is located in exon 8 (coding exon 8) of the EFHC2 gene. This alteration results from a C to T substitution at nucleotide position 1148, causing the proline (P) at amino acid position 383 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
0.070
BayesDel_addAF
Benign
-0.083
T
BayesDel_noAF
Benign
-0.36
Cadd
Uncertain
23
Dann
Uncertain
0.99
DEOGEN2
Benign
0.045
T
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.64
T
M_CAP
Uncertain
0.091
D
MetaRNN
Benign
0.17
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Uncertain
2.7
M
MutationTaster
Benign
1.0
D
PrimateAI
Benign
0.29
T
REVEL
Benign
0.082
Sift4G
Uncertain
0.055
T
Polyphen
0.38
B
Vest4
0.25
MutPred
0.29
Loss of glycosylation at P383 (P = 0.0113);
MVP
0.14
MPC
0.11
ClinPred
0.64
D
GERP RS
4.1
Varity_R
0.14
gMVP
0.72

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.39
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.39
Position offset: -15

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: rs1260869341; hg19: chrX-44101499; API