chr11-65869905-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_ModeratePP5_Moderate

The NM_016938.5(EFEMP2):​c.679C>T​(p.Arg227Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00000137 in 1,461,736 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 Pathogenic (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

EFEMP2
NM_016938.5 missense

Scores

9
8
2

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 4.98
Variant links:
Genes affected
EFEMP2 (HGNC:3219): (EGF containing fibulin extracellular matrix protein 2) A large number of extracellular matrix proteins have been found to contain variations of the epidermal growth factor (EGF) domain and have been implicated in functions as diverse as blood coagulation, activation of complement and determination of cell fate during development. The protein encoded by this gene contains four EGF2 domains and six calcium-binding EGF2 domains. This gene is necessary for elastic fiber formation and connective tissue development. Defects in this gene are cause of an autosomal recessive cutis laxa syndrome. Alternatively spliced transcript variants have been identified for this gene. [provided by RefSeq, Jan 2011]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.9
PP5
Variant 11-65869905-G-A is Pathogenic according to our data. Variant chr11-65869905-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 42041.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EFEMP2NM_016938.5 linkuse as main transcriptc.679C>T p.Arg227Cys missense_variant 7/11 ENST00000307998.11 NP_058634.4 O95967A0A024R5G1Q9H3D5
EFEMP2NR_037718.2 linkuse as main transcriptn.804C>T non_coding_transcript_exon_variant 7/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EFEMP2ENST00000307998.11 linkuse as main transcriptc.679C>T p.Arg227Cys missense_variant 7/111 NM_016938.5 ENSP00000309953.6 O95967

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461736
Hom.:
0
Cov.:
35
AF XY:
0.00
AC XY:
0
AN XY:
727170
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Cutis laxa, autosomal recessive, type 1B Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingMendelicsMay 04, 2022- -
Pathogenic, no assertion criteria providedliterature onlyOMIMSep 03, 2012- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Pathogenic
0.40
D
BayesDel_noAF
Pathogenic
0.33
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.55
D;D
Eigen
Pathogenic
0.79
Eigen_PC
Pathogenic
0.81
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Pathogenic
0.98
D;D
M_CAP
Benign
0.085
D
MetaRNN
Pathogenic
0.90
D;D
MetaSVM
Uncertain
0.32
D
MutationAssessor
Uncertain
2.2
.;M
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-4.0
D;D
REVEL
Pathogenic
0.83
Sift
Uncertain
0.0040
D;D
Sift4G
Uncertain
0.040
D;D
Polyphen
1.0
D;D
Vest4
0.80
MutPred
0.68
Gain of sheet (P = 0.1945);Gain of sheet (P = 0.1945);
MVP
0.96
MPC
1.3
ClinPred
0.99
D
GERP RS
5.6
Varity_R
0.29
gMVP
0.82

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs397514683; hg19: chr11-65637376; COSMIC: COSV57260968; COSMIC: COSV57260968; API