chr11-68935404-G-A

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PM2PP3_StrongPP5_Very_Strong

The NM_002180.3(IGHMBP2):​c.1738G>A​(p.Val580Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000212 in 1,461,706 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 pathogenic (★★).

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.000021 ( 0 hom. )

Consequence

IGHMBP2
NM_002180.3 missense

Scores

11
6
2

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:6

Conservation

PhyloP100: 9.42
Variant links:
Genes affected
IGHMBP2 (HGNC:5542): (immunoglobulin mu DNA binding protein 2) This gene encodes a helicase superfamily member that binds a specific DNA sequence from the immunoglobulin mu chain switch region. Mutations in this gene lead to spinal muscle atrophy with respiratory distress type 1. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.985
PP5
Variant 11-68935404-G-A is Pathogenic according to our data. Variant chr11-68935404-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 9114.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-68935404-G-A is described in Lovd as [Pathogenic]. Variant chr11-68935404-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IGHMBP2NM_002180.3 linkuse as main transcriptc.1738G>A p.Val580Ile missense_variant 12/15 ENST00000255078.8 NP_002171.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IGHMBP2ENST00000255078.8 linkuse as main transcriptc.1738G>A p.Val580Ile missense_variant 12/151 NM_002180.3 ENSP00000255078 P1

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD3 exomes
AF:
0.0000438
AC:
11
AN:
251416
Hom.:
0
AF XY:
0.0000589
AC XY:
8
AN XY:
135892
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.000196
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.0000212
AC:
31
AN:
1461706
Hom.:
0
Cov.:
32
AF XY:
0.0000248
AC XY:
18
AN XY:
727158
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.000128
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.0000144
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
34
Alfa
AF:
0.0000474
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000494
AC:
6
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal recessive distal spinal muscular atrophy 1;C4015349:Charcot-Marie-Tooth disease axonal type 2S Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 25, 2024This sequence change replaces valine, which is neutral and non-polar, with isoleucine, which is neutral and non-polar, at codon 580 of the IGHMBP2 protein (p.Val580Ile). This variant is present in population databases (rs137852667, gnomAD 0.02%). This missense change has been observed in individual(s) with clinical features of IGHMBP2-related conditions (PMID: 11528396, 16765827, 25439726, 26392352, 30598237; Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 9114). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt IGHMBP2 protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects IGHMBP2 function (PMID: 22157136). For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, criteria provided, single submitterclinical testingSuma Genomics, Suma Genomics-- -
Autosomal recessive distal spinal muscular atrophy 1 Pathogenic:2
Pathogenic, no assertion criteria providedliterature onlyOMIMSep 01, 2001- -
Pathogenic, no assertion criteria providedclinical testingInstitute of Human Genetics, Cologne UniversityApr 25, 2018- -
Peripheral neuropathy Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingKariminejad - Najmabadi Pathology & Genetics CenterJul 10, 2021- -
not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingGeneDxFeb 01, 2023Reported previously in an individual with Charcot-Marie-Tooth disease who harbored an additional IGHMBP2 variant; however, comprehensive genetic testing was not completed (Cottenie et al., 2014); Published functional studies demonstrate a severe loss in enzymatic activity (Eckart et al., 2012); In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 11528396, 16025284, 15108294, 22157136, 15248100, 14681881, 34426522, 31589614, 24388491, 25439726, 22965130, 35611426, 29653221, 33210134, 31980526, 29858556, 36077311, 35660062, Zhang_2017, 30598237, 16765827) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.42
BayesDel_addAF
Pathogenic
0.29
D
BayesDel_noAF
Pathogenic
0.45
CADD
Pathogenic
31
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.68
D
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.94
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.94
D
M_CAP
Pathogenic
0.49
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
4.4
H
MutationTaster
Benign
1.0
A
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-0.94
N
REVEL
Pathogenic
0.89
Sift
Uncertain
0.010
D
Sift4G
Uncertain
0.011
D
Polyphen
1.0
D
Vest4
0.86
MutPred
0.94
Loss of ubiquitination at K585 (P = 0.0755);
MVP
0.96
MPC
0.68
ClinPred
0.81
D
GERP RS
5.1
Varity_R
0.64
gMVP
0.71

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs137852667; hg19: chr11-68702872; API