chr16-29813689-A-G

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBP6

The NM_145239.3(PRRT2):​c.635A>G​(p.Asn212Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000023 in 1,042,514 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N212T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000050 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000019 ( 0 hom. )

Consequence

PRRT2
NM_145239.3 missense

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 2.63

Publications

0 publications found
Variant links:
Genes affected
PRRT2 (HGNC:30500): (proline rich transmembrane protein 2) This gene encodes a transmembrane protein containing a proline-rich domain in its N-terminal half. Studies in mice suggest that it is predominantly expressed in brain and spinal cord in embryonic and postnatal stages. Mutations in this gene are associated with episodic kinesigenic dyskinesia-1. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2012]
MVP-DT (HGNC:56029): (MVP divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

BP4
Computational evidence support a benign effect (MetaRNN=0.1408185).
BP6
Variant 16-29813689-A-G is Benign according to our data. Variant chr16-29813689-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 404415.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRRT2NM_145239.3 linkc.635A>G p.Asn212Ser missense_variant Exon 2 of 4 ENST00000358758.12 NP_660282.2 Q7Z6L0-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRRT2ENST00000358758.12 linkc.635A>G p.Asn212Ser missense_variant Exon 2 of 4 1 NM_145239.3 ENSP00000351608.7 Q7Z6L0-1
ENSG00000280893ENST00000609618.2 linkn.635A>G non_coding_transcript_exon_variant Exon 2 of 6 5 ENSP00000476774.2 A0A0G2JLL6

Frequencies

GnomAD3 genomes
AF:
0.0000496
AC:
7
AN:
141248
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000260
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000936
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000134
AC:
3
AN:
223354
AF XY:
0.0000164
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000124
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000200
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000189
AC:
17
AN:
901120
Hom.:
0
Cov.:
32
AF XY:
0.0000175
AC XY:
8
AN XY:
457538
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
19972
American (AMR)
AF:
0.00
AC:
0
AN:
35158
Ashkenazi Jewish (ASJ)
AF:
0.0000676
AC:
1
AN:
14792
East Asian (EAS)
AF:
0.00
AC:
0
AN:
17702
South Asian (SAS)
AF:
0.0000134
AC:
1
AN:
74732
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34018
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3920
European-Non Finnish (NFE)
AF:
0.0000225
AC:
15
AN:
666688
Other (OTH)
AF:
0.00
AC:
0
AN:
34138
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.528
Heterozygous variant carriers
0
2
4
5
7
9
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000495
AC:
7
AN:
141394
Hom.:
0
Cov.:
31
AF XY:
0.0000873
AC XY:
6
AN XY:
68708
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
39568
American (AMR)
AF:
0.00
AC:
0
AN:
14474
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3296
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4044
South Asian (SAS)
AF:
0.000259
AC:
1
AN:
3856
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8890
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
280
European-Non Finnish (NFE)
AF:
0.0000936
AC:
6
AN:
64120
Other (OTH)
AF:
0.00
AC:
0
AN:
2006
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.532
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.000510
Hom.:
0
ExAC
AF:
0.0000166
AC:
2

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Seizures, benign familial infantile, 2;C1865926:Infantile convulsions and choreoathetosis;C4552000:Episodic kinesigenic dyskinesia 1 Uncertain:1
Oct 31, 2018
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:1
Dec 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PRRT2: PM2 -

Episodic kinesigenic dyskinesia Benign:1
Jan 20, 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
0.13
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.44
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0056
T;.;.;.;.;T;.;T;T
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.11
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.84
.;.;T;T;T;.;T;.;T
M_CAP
Benign
0.036
D
MetaRNN
Benign
0.14
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
0.90
L;L;L;.;L;L;.;L;L
PhyloP100
2.6
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-0.14
N;.;N;.;N;.;.;.;.
REVEL
Benign
0.13
Sift
Uncertain
0.0060
D;.;D;.;D;.;.;.;.
Sift4G
Benign
0.27
T;.;T;.;T;.;.;T;.
Polyphen
0.88
P;D;P;.;D;P;.;P;P
Vest4
0.39
MutPred
0.19
Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);Gain of phosphorylation at N212 (P = 0.0041);
MVP
0.79
MPC
0.77
ClinPred
0.43
T
GERP RS
3.9
Varity_R
0.088
gMVP
0.18
Mutation Taster
=87/13
polymorphism

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

Other links and lift over

dbSNP: rs779020826; hg19: chr16-29825010; API