chr18-50917507-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_002396.5(ME2):ā€‹c.629T>Cā€‹(p.Ile210Thr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000329 in 1,569,868 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0017 ( 1 hom., cov: 32)
Exomes š‘“: 0.00018 ( 0 hom. )

Consequence

ME2
NM_002396.5 missense, splice_region

Scores

19
Splicing: ADA: 0.0002813
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1B:1

Conservation

PhyloP100: -0.0510
Variant links:
Genes affected
ME2 (HGNC:6984): (malic enzyme 2) This gene encodes a mitochondrial NAD-dependent malic enzyme, a homotetrameric protein, that catalyzes the oxidative decarboxylation of malate to pyruvate. It had previously been weakly linked to a syndrome known as Friedreich ataxia that has since been shown to be the result of mutation in a completely different gene. Certain single-nucleotide polymorphism haplotypes of this gene have been shown to increase the risk for idiopathic generalized epilepsy. Alternatively spliced transcript variants encoding different isoforms found for this gene. [provided by RefSeq, Dec 2009]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0052562356).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ME2NM_002396.5 linkuse as main transcriptc.629T>C p.Ile210Thr missense_variant, splice_region_variant 6/16 ENST00000321341.11
ME2NM_001168335.2 linkuse as main transcriptc.629T>C p.Ile210Thr missense_variant, splice_region_variant 6/14
ME2NR_174094.1 linkuse as main transcriptn.832T>C splice_region_variant, non_coding_transcript_exon_variant 6/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ME2ENST00000321341.11 linkuse as main transcriptc.629T>C p.Ile210Thr missense_variant, splice_region_variant 6/161 NM_002396.5 P1P23368-1

Frequencies

GnomAD3 genomes
AF:
0.00173
AC:
263
AN:
152154
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00618
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000473
AC:
117
AN:
247322
Hom.:
0
AF XY:
0.000329
AC XY:
44
AN XY:
133730
show subpopulations
Gnomad AFR exome
AF:
0.00666
Gnomad AMR exome
AF:
0.000210
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:
0.0000178
Gnomad OTH exome
AF:
0.000167
GnomAD4 exome
AF:
0.000179
AC:
254
AN:
1417596
Hom.:
0
Cov.:
28
AF XY:
0.000156
AC XY:
110
AN XY:
703586
show subpopulations
Gnomad4 AFR exome
AF:
0.00655
Gnomad4 AMR exome
AF:
0.000297
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:
0.00000923
Gnomad4 OTH exome
AF:
0.000241
GnomAD4 genome
AF:
0.00173
AC:
263
AN:
152272
Hom.:
1
Cov.:
32
AF XY:
0.00181
AC XY:
135
AN XY:
74446
show subpopulations
Gnomad4 AFR
AF:
0.00616
Gnomad4 AMR
AF:
0.000458
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000222
Hom.:
1
Bravo
AF:
0.00202
ESP6500AA
AF:
0.00567
AC:
25
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000511
AC:
62
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAthena DiagnosticsJan 25, 2017- -
ME2-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 28, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
12
DANN
Benign
0.87
DEOGEN2
Benign
0.025
T;.;.;.;.;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.018
N
LIST_S2
Benign
0.79
T;T;T;T;T;T
M_CAP
Benign
0.0053
T
MetaRNN
Benign
0.0053
T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.73
N;.;N;.;.;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
1.7
N;.;N;.;.;.
REVEL
Benign
0.056
Sift
Benign
0.083
T;.;T;.;.;.
Sift4G
Benign
0.10
T;.;T;.;.;.
Polyphen
0.0
B;.;.;.;.;.
Vest4
0.11
MVP
0.081
MPC
0.38
ClinPred
0.0056
T
GERP RS
-0.58
Varity_R
0.14
gMVP
0.46

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00028
dbscSNV1_RF
Benign
0.022
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: rs142990108; hg19: chr18-48443877; API