Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PM1PM2PM5PP3_ModeratePP5
The NM_014795.4(ZEB2):c.3134A>G(p.His1045Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 13/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. H1045L) has been classified as Pathogenic.
ZEB2 (HGNC:14881): (zinc finger E-box binding homeobox 2) The protein encoded by this gene is a member of the Zfh1 family of 2-handed zinc finger/homeodomain proteins. It is located in the nucleus and functions as a DNA-binding transcriptional repressor that interacts with activated SMADs. Mutations in this gene are associated with Hirschsprung disease/Mowat-Wilson syndrome. Alternatively spliced transcript variants have been found for this gene.[provided by RefSeq, Jan 2010]
Our verdict: Likely_pathogenic. The variant received 9 ACMG points.
PM1
In a hotspot region, there are 5 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 7 uncertain in NM_014795.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-144389962-T-A is described in CliVar as Pathogenic. Clinvar id is 2837185.Status of the report is criteria_provided_single_submitter, 1 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.878
PP5
Variant 2-144389962-T-C is Pathogenic according to our data. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-144389962-T-C is described in CliVar as Pathogenic. Clinvar id is 56827.Status of the report is no_assertion_criteria_provided, 0 stars.