chr17-64477957-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_007215.4(POLG2):ā€‹c.1324T>Gā€‹(p.Leu442Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,668 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

POLG2
NM_007215.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.463
Variant links:
Genes affected
POLG2 (HGNC:9180): (DNA polymerase gamma 2, accessory subunit) This gene encodes the processivity subunit of the mitochondrial DNA polymerase gamma. The encoded protein forms a heterotrimer containing one catalytic subunit and two processivity subunits. This protein enhances DNA binding and promotes processive DNA synthesis. Mutations in this gene result in autosomal dominant progressive external ophthalmoplegia with mitochondrial DNA deletions.[provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.27054644).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
POLG2NM_007215.4 linkuse as main transcriptc.1324T>G p.Leu442Val missense_variant 8/8 ENST00000539111.7 NP_009146.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
POLG2ENST00000539111.7 linkuse as main transcriptc.1324T>G p.Leu442Val missense_variant 8/81 NM_007215.4 ENSP00000442563 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251196
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135784
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000881
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461668
Hom.:
0
Cov.:
30
AF XY:
0.00000275
AC XY:
2
AN XY:
727124
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.:
32
Alfa
AF:
0.000111
Hom.:
0

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxOct 30, 2017The L442V variant in the POLG2 gene has not been reported previously as a pathogenic variant, nor as a benign variant, to our knowledge. The L442V variant is observed in 1/111,514 alleles from individuals of non-Finnish European background in large population cohorts (Lek et al., 2016). The L442V variant is a conservative amino acid substitution, which is not likely to impact secondary protein structure as these residues share similar properties. This substitution occurs at a position where amino acids with similar properties to Leucine are tolerated across species. In silico analysis is inconsistent in its predictions as to whether or not the variant is damaging to the protein structure/function. We interpret L442V as a variant of uncertain significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.079
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
14
DANN
Benign
0.63
DEOGEN2
Benign
0.0064
T
Eigen
Benign
-0.43
Eigen_PC
Benign
-0.49
FATHMM_MKL
Benign
0.72
D
LIST_S2
Benign
0.73
T
M_CAP
Benign
0.043
D
MetaRNN
Benign
0.27
T
MetaSVM
Benign
-0.65
T
MutationAssessor
Benign
1.3
L
MutationTaster
Benign
0.99
D
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-0.15
N
REVEL
Benign
0.29
Sift
Benign
0.27
T
Sift4G
Benign
0.12
T
Polyphen
0.73
P
Vest4
0.21
MutPred
0.56
Loss of catalytic residue at L442 (P = 0.2822);
MVP
0.71
MPC
0.60
ClinPred
0.14
T
GERP RS
0.39
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.086
gMVP
0.41

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1555665803; hg19: chr17-62474074; API