chr11-65262369-A-G

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 1P and 4B. PP2BP4_Strong

The NM_002689.4(POLA2):​c.77A>G​(p.Lys26Arg) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000143 in 1,612,294 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 18/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00013 ( 0 hom. )

Consequence

POLA2
NM_002689.4 missense, splice_region

Scores

2
16
Splicing: ADA: 0.0003848
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.11

Publications

1 publications found
Variant links:
Genes affected
POLA2 (HGNC:30073): (DNA polymerase alpha 2, accessory subunit) Predicted to enable DNA binding activity. Involved in DNA replication, synthesis of RNA primer. Located in cytosol and nucleoplasm. Part of alpha DNA polymerase:primase complex. [provided by Alliance of Genome Resources, Apr 2022]
POLA2 Gene-Disease associations (from GenCC):
  • telomere syndrome
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 2 curated pathogenic missense variants (we use a threshold of 10). The gene has 0 curated benign missense variants. Gene score misZ: 1.0585 (below the threshold of 3.09). Trascript score misZ: 1.5804 (below the threshold of 3.09). GenCC associations: The gene is linked to telomere syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.036288947).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002689.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLA2
NM_002689.4
MANE Select
c.77A>Gp.Lys26Arg
missense splice_region
Exon 1 of 18NP_002680.2
POLA2
NM_001438747.1
c.77A>Gp.Lys26Arg
missense splice_region
Exon 1 of 18NP_001425676.1
POLA2
NM_001437761.1
c.77A>Gp.Lys26Arg
missense splice_region
Exon 1 of 18NP_001424690.1A0A9L9PY44

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLA2
ENST00000265465.8
TSL:1 MANE Select
c.77A>Gp.Lys26Arg
missense splice_region
Exon 1 of 18ENSP00000265465.3Q14181-1
ENSG00000285816
ENST00000649896.1
n.77A>G
splice_region non_coding_transcript_exon
Exon 1 of 20ENSP00000498025.1A0A3B3ITS5
POLA2
ENST00000525924.2
TSL:5
c.77A>Gp.Lys26Arg
missense splice_region
Exon 1 of 18ENSP00000434173.2H0YDR7

Frequencies

GnomAD3 genomes
AF:
0.000289
AC:
44
AN:
152126
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000652
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000162
AC:
40
AN:
247444
AF XY:
0.000142
show subpopulations
Gnomad AFR exome
AF:
0.000698
Gnomad AMR exome
AF:
0.000175
Gnomad ASJ exome
AF:
0.000300
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000143
Gnomad OTH exome
AF:
0.000497
GnomAD4 exome
AF:
0.000127
AC:
185
AN:
1460050
Hom.:
0
Cov.:
30
AF XY:
0.000123
AC XY:
89
AN XY:
726228
show subpopulations
African (AFR)
AF:
0.000958
AC:
32
AN:
33404
American (AMR)
AF:
0.000157
AC:
7
AN:
44630
Ashkenazi Jewish (ASJ)
AF:
0.000383
AC:
10
AN:
26096
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39618
South Asian (SAS)
AF:
0.0000349
AC:
3
AN:
85982
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53354
Middle Eastern (MID)
AF:
0.00191
AC:
11
AN:
5766
European-Non Finnish (NFE)
AF:
0.0000963
AC:
107
AN:
1110864
Other (OTH)
AF:
0.000249
AC:
15
AN:
60336
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
10
20
29
39
49
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:
0.000296
AC:
45
AN:
152244
Hom.:
0
Cov.:
32
AF XY:
0.000309
AC XY:
23
AN XY:
74440
show subpopulations
African (AFR)
AF:
0.000674
AC:
28
AN:
41552
American (AMR)
AF:
0.0000654
AC:
1
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5162
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10610
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000191
AC:
13
AN:
68016
Other (OTH)
AF:
0.000473
AC:
1
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
3
6
8
11
14
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:
0.000430
Hom.:
0
Bravo
AF:
0.000397
ExAC
AF:
0.000181
AC:
22
EpiCase
AF:
0.000109
EpiControl
AF:
0.000297

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
19
DANN
Benign
0.97
DEOGEN2
Benign
0.26
T
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.44
FATHMM_MKL
Benign
0.46
N
LIST_S2
Benign
0.67
T
M_CAP
Benign
0.0083
T
MetaRNN
Benign
0.036
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.7
L
PhyloP100
1.1
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.097
Sift
Uncertain
0.024
D
Sift4G
Uncertain
0.024
D
Polyphen
0.21
B
Vest4
0.17
MVP
0.26
MPC
0.20
ClinPred
0.030
T
GERP RS
1.7
PromoterAI
-0.19
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.27
gMVP
0.33
Mutation Taster
=76/24
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00038
dbscSNV1_RF
Benign
0.0060
SpliceAI score (max)
0.020
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: rs191135388; hg19: chr11-65029840; API