chr15-90088364-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_002168.4(IDH2):​c.673G>A​(p.Asp225Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000324 in 1,613,648 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00034 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00032 ( 1 hom. )

Consequence

IDH2
NM_002168.4 missense

Scores

4
11
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: 7.55
Variant links:
Genes affected
IDH2 (HGNC:5383): (isocitrate dehydrogenase (NADP(+)) 2) Isocitrate dehydrogenases catalyze the oxidative decarboxylation of isocitrate to 2-oxoglutarate. These enzymes belong to two distinct subclasses, one of which utilizes NAD(+) as the electron acceptor and the other NADP(+). Five isocitrate dehydrogenases have been reported: three NAD(+)-dependent isocitrate dehydrogenases, which localize to the mitochondrial matrix, and two NADP(+)-dependent isocitrate dehydrogenases, one of which is mitochondrial and the other predominantly cytosolic. Each NADP(+)-dependent isozyme is a homodimer. The protein encoded by this gene is the NADP(+)-dependent isocitrate dehydrogenase found in the mitochondria. It plays a role in intermediary metabolism and energy production. This protein may tightly associate or interact with the pyruvate dehydrogenase complex. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 15-90088364-C-T is Benign according to our data. Variant chr15-90088364-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 211176.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=3}.
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.000322 (471/1461304) while in subpopulation MID AF= 0.000559 (3/5364). AF 95% confidence interval is 0.000323. There are 1 homozygotes in gnomad4_exome. There are 228 alleles in male gnomad4_exome subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 52 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IDH2NM_002168.4 linkc.673G>A p.Asp225Asn missense_variant Exon 5 of 11 ENST00000330062.8 NP_002159.2 P48735-1
IDH2NM_001289910.1 linkc.517G>A p.Asp173Asn missense_variant Exon 5 of 11 NP_001276839.1 P48735-2
IDH2NM_001290114.2 linkc.283G>A p.Asp95Asn missense_variant Exon 3 of 9 NP_001277043.1 P48735B4DSZ6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IDH2ENST00000330062.8 linkc.673G>A p.Asp225Asn missense_variant Exon 5 of 11 1 NM_002168.4 ENSP00000331897.4 P48735-1

Frequencies

GnomAD3 genomes
AF:
0.000342
AC:
52
AN:
152226
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00230
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000397
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.000291
AC:
73
AN:
250944
Hom.:
0
AF XY:
0.000317
AC XY:
43
AN XY:
135710
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000260
Gnomad ASJ exome
AF:
0.000993
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000406
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000322
AC:
471
AN:
1461304
Hom.:
1
Cov.:
33
AF XY:
0.000314
AC XY:
228
AN XY:
726976
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.000268
Gnomad4 ASJ exome
AF:
0.00107
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.000162
Gnomad4 FIN exome
AF:
0.0000750
Gnomad4 NFE exome
AF:
0.000353
Gnomad4 OTH exome
AF:
0.000215
GnomAD4 genome
AF:
0.000341
AC:
52
AN:
152344
Hom.:
0
Cov.:
31
AF XY:
0.000282
AC XY:
21
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.000240
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00230
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.000397
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.000400
Hom.:
0
Bravo
AF:
0.000302
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000198
AC:
24
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000491
EpiControl
AF:
0.000415

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2
Nov 22, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

May 11, 2021
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Enchondromatosis Uncertain:1
-
Baylor-Hopkins Center for Mendelian Genomics, Johns Hopkins University School of Medicine
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: research

- -

not specified Benign:1
Mar 06, 2015
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

D-2-hydroxyglutaric aciduria 2 Benign:1
Jan 13, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.22
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.86
D;D;.
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D;D
M_CAP
Uncertain
0.20
D
MetaRNN
Uncertain
0.72
D;D;D
MetaSVM
Uncertain
0.39
D
MutationAssessor
Uncertain
2.3
M;.;.
PrimateAI
Pathogenic
0.80
T
PROVEAN
Uncertain
-4.3
D;D;D
REVEL
Uncertain
0.55
Sift
Uncertain
0.015
D;D;D
Sift4G
Uncertain
0.053
T;D;T
Polyphen
1.0
D;.;.
Vest4
0.87
MVP
0.85
MPC
1.4
ClinPred
0.87
D
GERP RS
4.8
Varity_R
0.63
gMVP
0.91

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: rs142816010; hg19: chr15-90631596; API