X-70042303-C-T

Variant summary

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

The NM_001002254.1(AWAT2):​c.731G>A​(p.Arg244His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000019 in 1,209,688 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000062 ( 0 hom., 3 hem., cov: 23)
Exomes 𝑓: 0.000015 ( 0 hom. 5 hem. )

Consequence

AWAT2
NM_001002254.1 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0500
Variant links:
Genes affected
AWAT2 (HGNC:23251): (acyl-CoA wax alcohol acyltransferase 2) This gene encodes an enzyme belonging to the diacylglycerol acyltransferase family. This enzyme produces wax esters by the esterification of long chain (or wax) alcohols with acyl-CoA-derived fatty acids. It functions in lipid metabolism in the skin, mostly in undifferentiated peripheral sebocytes. This enzyme may also have acyl-CoA:retinol acyltransferase activities, where it catalyzes the synthesis of diacylglycerols and retinyl esters. [provided by RefSeq, May 2010]

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=0.028020829).
BS2
High Hemizygotes in GnomAd4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AWAT2NM_001002254.1 linkuse as main transcriptc.731G>A p.Arg244His missense_variant 6/8 ENST00000276101.7 NP_001002254.1
AWAT2XM_011530876.3 linkuse as main transcriptc.731G>A p.Arg244His missense_variant 6/8 XP_011529178.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AWAT2ENST00000276101.7 linkuse as main transcriptc.731G>A p.Arg244His missense_variant 6/85 NM_001002254.1 ENSP00000421172 P1
AWAT2ENST00000440401.1 linkuse as main transcriptc.*36G>A 3_prime_UTR_variant, NMD_transcript_variant 3/55 ENSP00000427523

Frequencies

GnomAD3 genomes
AF:
0.0000623
AC:
7
AN:
112298
Hom.:
0
Cov.:
23
AF XY:
0.0000871
AC XY:
3
AN XY:
34456
show subpopulations
Gnomad AFR
AF:
0.000162
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000938
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000273
AC:
5
AN:
183185
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67659
show subpopulations
Gnomad AFR exome
AF:
0.000228
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:
0.0000245
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000146
AC:
16
AN:
1097390
Hom.:
0
Cov.:
31
AF XY:
0.0000138
AC XY:
5
AN XY:
362768
show subpopulations
Gnomad4 AFR exome
AF:
0.000303
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.0000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000357
Gnomad4 OTH exome
AF:
0.0000434
GnomAD4 genome
AF:
0.0000623
AC:
7
AN:
112298
Hom.:
0
Cov.:
23
AF XY:
0.0000871
AC XY:
3
AN XY:
34456
show subpopulations
Gnomad4 AFR
AF:
0.000162
Gnomad4 AMR
AF:
0.0000938
Gnomad4 ASJ
AF:
0.00
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
Bravo
AF:
0.0000529
ExAC
AF:
0.0000412
AC:
5

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 GeneticsDec 17, 2023The c.731G>A (p.R244H) alteration is located in exon 6 (coding exon 6) of the AWAT2 gene. This alteration results from a G to A substitution at nucleotide position 731, causing the arginine (R) at amino acid position 244 to be replaced by a histidine (H). 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
-0.69
T
BayesDel_noAF
Benign
-0.93
CADD
Benign
13
DANN
Benign
0.73
DEOGEN2
Benign
0.034
T
FATHMM_MKL
Benign
0.055
N
LIST_S2
Benign
0.26
T
M_CAP
Benign
0.061
D
MetaRNN
Benign
0.028
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.7
L
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.20
T
PROVEAN
Benign
-1.2
N
REVEL
Benign
0.042
Sift
Benign
0.54
T
Sift4G
Benign
0.57
T
Polyphen
0.0030
B
Vest4
0.066
MutPred
0.46
Loss of MoRF binding (P = 0.0432);
MVP
0.093
MPC
0.42
ClinPred
0.023
T
GERP RS
-0.24
Varity_R
0.082
gMVP
0.67

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs776963283; hg19: chrX-69262153; COSMIC: COSV52143081; COSMIC: COSV52143081; API