chr2-178456039-G-A
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate
The NM_001042702.5(PJVK):c.437G>A(p.Arg146His) variant causes a missense change. The variant allele was found at a frequency of 0.0000477 in 1,613,986 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R146C) has been classified as Uncertain significance.
Frequency
Consequence
NM_001042702.5 missense
Scores
Clinical Significance
Conservation
Publications
- autosomal recessive nonsyndromic hearing loss 59Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
- nonsyndromic genetic hearing lossInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- hearing loss, autosomal recessiveInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_001042702.5. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| PJVK | NM_001042702.5 | MANE Select | c.437G>A | p.Arg146His | missense | Exon 4 of 7 | NP_001036167.1 | ||
| PJVK | NM_001353775.2 | c.446G>A | p.Arg149His | missense | Exon 4 of 7 | NP_001340704.1 | |||
| PJVK | NM_001353776.2 | c.542G>A | p.Arg181His | missense | Exon 4 of 6 | NP_001340705.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| PJVK | ENST00000644580.2 | MANE Select | c.437G>A | p.Arg146His | missense | Exon 4 of 7 | ENSP00000495855.2 | ||
| PJVK | ENST00000375129.8 | TSL:1 | c.437G>A | p.Arg146His | missense | Exon 3 of 6 | ENSP00000364271.4 | ||
| PJVK | ENST00000437056.5 | TSL:1 | n.1307G>A | non_coding_transcript_exon | Exon 2 of 5 |
Frequencies
GnomAD3 genomes AF: 0.0000329 AC: 5AN: 152154Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000321 AC: 8AN: 249456 AF XY: 0.0000148 show subpopulations
GnomAD4 exome AF: 0.0000493 AC: 72AN: 1461832Hom.: 0 Cov.: 31 AF XY: 0.0000454 AC XY: 33AN XY: 727212 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000329 AC: 5AN: 152154Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74340 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not specified Uncertain:1
The Arg146His variant in DFNB59 has not been reported in the literature nor prev iously identified by our laboratory. Computational analyses (biochemical amino a cid properties, conservation, AlignGVGD, PolyPhen2, and SIFT) suggest that the A rg146His variant may not impact the protein and several species (chicken and wes tern clawed frog) carry a histidine (His) as this position; however, this inform ation is not predictive enough to rule out pathogenicity. This variant has been identified in 0.01% (1/8306) of European American chromosomes in a broad populat ion by the NHLBI Exome sequencing project (http://evs.gs.washington.edu/EVS/). A lthough this variant has been seen in the general population, its frequency is n ot high enough to rule out a pathogenic role. In summary, additional data is nee ded to determine the clinical significance of this variant.
Inborn genetic diseases Uncertain:1
The c.437G>A (p.R146H) alteration is located in exon 4 (coding exon 3) of the DFNB59 gene. This alteration results from a G to A substitution at nucleotide position 437, causing the arginine (R) at amino acid position 146 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear.
Autosomal recessive nonsyndromic hearing loss 59 Uncertain:1
This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at