chr1-236755171-C-T
Variant names: 
Variant summary
Our verdict is Benign. The variant received -15 ACMG points: 0P and 15B. BP4_ModerateBP6_Very_StrongBP7BS2
The NM_001103.4(ACTN2):c.2127C>T(p.Asp709Asp) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000279 in 1,614,154 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
 Genomes: 𝑓 0.000020   (  0   hom.,  cov: 32) 
 Exomes 𝑓:  0.000029   (  0   hom.  ) 
Consequence
 ACTN2
NM_001103.4 synonymous
NM_001103.4 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  1.19  
Publications
0 publications found 
Genes affected
 ACTN2  (HGNC:164):  (actinin alpha 2) Alpha actinins belong to the spectrin gene superfamily which represents a diverse group of cytoskeletal proteins, including the alpha and beta spectrins and dystrophins. Alpha actinin is an actin-binding protein with multiple roles in different cell types. In nonmuscle cells, the cytoskeletal isoform is found along microfilament bundles and adherens-type junctions, where it is involved in binding actin to the membrane. In contrast, skeletal, cardiac, and smooth muscle isoforms are localized to the Z-disc and analogous dense bodies, where they help anchor the myofibrillar actin filaments. This gene encodes a muscle-specific, alpha actinin isoform that is expressed in both skeletal and cardiac muscles. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2013] 
ACTN2 Gene-Disease associations (from GenCC):
- intrinsic cardiomyopathyInheritance: AD Classification: DEFINITIVE, MODERATE Submitted by: Laboratory for Molecular Medicine, ClinGen
 - myopathy, congenital, with structured cores and z-line abnormalitiesInheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
 - dilated cardiomyopathy 1AAInheritance: AD Classification: MODERATE, LIMITED Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Ambry Genetics
 - familial isolated dilated cardiomyopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - heart conduction diseaseInheritance: AD Classification: LIMITED Submitted by: Genomics England PanelApp
 - myopathy, distal, 6, adult-onset, autosomal dominantInheritance: AD, Unknown Classification: LIMITED Submitted by: Broad Center for Mendelian Genomics, Labcorp Genetics (formerly Invitae)
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -15 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.3). 
BP6
Variant 1-236755171-C-T is Benign according to our data. Variant chr1-236755171-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 532049.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BP7
Synonymous conserved (PhyloP=1.19 with no splicing effect.
BS2
High AC in GnomAdExome4 at 42 AD,Unknown gene. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| ACTN2 | NM_001103.4  | c.2127C>T | p.Asp709Asp | synonymous_variant | Exon 17 of 21 | ENST00000366578.6 | NP_001094.1 | |
| ACTN2 | NM_001278343.2  | c.2127C>T | p.Asp709Asp | synonymous_variant | Exon 17 of 21 | NP_001265272.1 | ||
| ACTN2 | NR_184402.1  | n.2499C>T | non_coding_transcript_exon_variant | Exon 19 of 23 | 
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.0000197  AC: 3AN: 152158Hom.:  0  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
3
AN: 
152158
Hom.: 
Cov.: 
32
Gnomad AFR 
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GnomAD2 exomes  AF:  0.0000478  AC: 12AN: 251134 AF XY:  0.0000810   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
12
AN: 
251134
 AF XY: 
Gnomad AFR exome 
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Gnomad ASJ exome 
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GnomAD4 exome  AF:  0.0000287  AC: 42AN: 1461878Hom.:  0  Cov.: 32 AF XY:  0.0000426  AC XY: 31AN XY: 727238 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
42
AN: 
1461878
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
31
AN XY: 
727238
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33480
American (AMR) 
 AF: 
AC: 
0
AN: 
44724
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26136
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39700
South Asian (SAS) 
 AF: 
AC: 
39
AN: 
86258
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53404
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1112012
Other (OTH) 
 AF: 
AC: 
3
AN: 
60396
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.480 
Heterozygous variant carriers
 0 
 3 
 7 
 10 
 14 
 17 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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 <30 
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 60-65 
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 >80 
Age
GnomAD4 genome   AF:  0.0000197  AC: 3AN: 152276Hom.:  0  Cov.: 32 AF XY:  0.0000403  AC XY: 3AN XY: 74454 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
3
AN: 
152276
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
3
AN XY: 
74454
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
41550
American (AMR) 
 AF: 
AC: 
0
AN: 
15298
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5168
South Asian (SAS) 
 AF: 
AC: 
3
AN: 
4826
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10616
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
68034
Other (OTH) 
 AF: 
AC: 
0
AN: 
2108
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.475 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 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 
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 >80 
Age
Alfa 
 AF: 
Hom.: 
Asia WGS 
 AF: 
AC: 
5
AN: 
3478
ClinVar
Significance: Likely benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Cardiomyopathy    Benign:1 
Jan 12, 2017
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Primary familial hypertrophic cardiomyopathy;C2677338:Dilated cardiomyopathy 1AA    Benign:1 
Nov 19, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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