chr12-19269884-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001256470.2(PLEKHA5):ā€‹c.826A>Gā€‹(p.Arg276Gly) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

PLEKHA5
NM_001256470.2 missense, splice_region

Scores

3
9
7
Splicing: ADA: 0.9998
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.13
Variant links:
Genes affected
PLEKHA5 (HGNC:30036): (pleckstrin homology domain containing A5) Predicted to enable phosphatidylinositol phosphate binding activity. Predicted to act upstream of or within reproductive system development. Located in cytosol and nucleoplasm. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PLEKHA5NM_001256470.2 linkuse as main transcriptc.826A>G p.Arg276Gly missense_variant, splice_region_variant 9/32 ENST00000429027.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PLEKHA5ENST00000429027.7 linkuse as main transcriptc.826A>G p.Arg276Gly missense_variant, splice_region_variant 9/321 NM_001256470.2 A2Q9HAU0-6

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Data not reliable, filtered out with message: AC0;AS_VQSR
AF:
0.00
AC:
0
AN:
1334436
Hom.:
0
Cov.:
20
AF XY:
0.00
AC XY:
0
AN XY:
670254
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 02, 2024The c.826A>G (p.R276G) alteration is located in exon 9 (coding exon 9) of the PLEKHA5 gene. This alteration results from a A to G substitution at nucleotide position 826, causing the arginine (R) at amino acid position 276 to be replaced by a glycine (G). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.62
BayesDel_addAF
Pathogenic
0.25
D
BayesDel_noAF
Uncertain
0.12
CADD
Pathogenic
31
DANN
Uncertain
1.0
DEOGEN2
Benign
0.13
.;T;T;.;.;T
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.48
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.66
T;D;D;D;D;D
M_CAP
Benign
0.027
D
MetaRNN
Uncertain
0.56
D;D;D;D;D;D
MetaSVM
Benign
-0.87
T
MutationAssessor
Uncertain
2.4
M;.;M;M;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.72
T
PROVEAN
Benign
-1.9
N;D;D;D;D;D
REVEL
Uncertain
0.46
Sift
Benign
0.056
T;D;D;D;D;D
Sift4G
Uncertain
0.0080
D;D;D;D;D;D
Polyphen
0.71, 0.99
.;.;P;D;.;.
Vest4
0.59
MutPred
0.49
Gain of catalytic residue at E272 (P = 0.0137);.;Gain of catalytic residue at E272 (P = 0.0137);Gain of catalytic residue at E272 (P = 0.0137);.;.;
MVP
0.43
MPC
1.0
ClinPred
0.86
D
GERP RS
5.0
Varity_R
0.69
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.99
SpliceAI score (max)
0.27
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.27
Position offset: 1

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr12-19422818; API