chr1-109621109-T-C

Variant summary

Our verdict is Likely pathogenic. The variant received 8 ACMG points: 10P and 2B. PVS1PM2BP6_Moderate

The NM_001308170.1(AMPD2):​c.2T>C​(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000567 in 1,603,814 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000060 ( 0 hom. )

Consequence

AMPD2
NM_001308170.1 start_lost

Scores

4
3
6

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.224

Publications

0 publications found
Variant links:
Genes affected
AMPD2 (HGNC:469): (adenosine monophosphate deaminase 2) The protein encoded by this gene is important in purine metabolism by converting AMP to IMP. The encoded protein, which acts as a homotetramer, is one of three AMP deaminases found in mammals. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2012]
AMPD2 Gene-Disease associations (from GenCC):
  • pontocerebellar hypoplasia type 9
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • hereditary spastic paraplegia 63
    Inheritance: Unknown, AR Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 8 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 12 pathogenic variants. Next in-frame start position is after 180 codons. Genomic position: 109626795. Lost 0.223 part of the original CDS.
PM2
Very rare variant in population databases, with high coverage;
BP6
Variant 1-109621109-T-C is Benign according to our data. Variant chr1-109621109-T-C is described in ClinVar as Likely_benign. ClinVar VariationId is 1135001.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001308170.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AMPD2
NM_001368809.2
MANE Select
c.-67T>C
5_prime_UTR
Exon 2 of 19NP_001355738.1Q01433-1
AMPD2
NM_001308170.1
c.2T>Cp.Met1?
start_lost
Exon 1 of 17NP_001295099.1Q01433-4
AMPD2
NM_139156.4
c.10+831T>C
intron
N/ANP_631895.1Q01433-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AMPD2
ENST00000528667.7
TSL:1 MANE Select
c.-67T>C
5_prime_UTR
Exon 2 of 19ENSP00000436541.2Q01433-1
AMPD2
ENST00000342115.8
TSL:1
c.10+831T>C
intron
N/AENSP00000345498.4Q01433-2
AMPD2
ENST00000369840.7
TSL:5
c.-67T>C
5_prime_UTR
Exon 1 of 18ENSP00000358855.3H0Y360

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152188
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000222
AC:
5
AN:
225184
AF XY:
0.0000323
show subpopulations
Gnomad AFR exome
AF:
0.0000784
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000408
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000599
AC:
87
AN:
1451626
Hom.:
0
Cov.:
34
AF XY:
0.0000665
AC XY:
48
AN XY:
721592
show subpopulations
African (AFR)
AF:
0.0000302
AC:
1
AN:
33096
American (AMR)
AF:
0.00
AC:
0
AN:
44188
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25946
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39160
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85012
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51822
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4994
European-Non Finnish (NFE)
AF:
0.0000776
AC:
86
AN:
1107628
Other (OTH)
AF:
0.00
AC:
0
AN:
59780
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
7
13
20
26
33
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152188
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74356
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41456
American (AMR)
AF:
0.00
AC:
0
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68014
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000330
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.0000165
AC:
2

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Hereditary spastic paraplegia 63;C4014354:Pontocerebellar hypoplasia type 9 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
0.0091
T
BayesDel_noAF
Uncertain
0.030
CADD
Benign
18
DANN
Benign
0.86
Eigen
Benign
-0.27
Eigen_PC
Benign
-0.13
FATHMM_MKL
Benign
0.66
D
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.80
D
MetaRNN
Pathogenic
0.93
D
MetaSVM
Benign
-0.52
T
PhyloP100
0.22
PROVEAN
Pathogenic
-5.0
D
REVEL
Uncertain
0.37
Sift
Pathogenic
0.0
D
Polyphen
0.0010
B
Vest4
0.85
MutPred
0.98
Gain of glycosylation at M1 (P = 0.0156)
MVP
0.74
ClinPred
0.13
T
GERP RS
4.0
PromoterAI
0.30
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Mutation Taster
=51/149
disease causing

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

Other links and lift over

dbSNP: rs745646206; hg19: chr1-110163731; API