chr2-196433508-C-A
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_Strong
The NM_001348768.2(HECW2):c.-35-50G>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  0.0   (  0   hom.  ) 
 Failed GnomAD Quality Control 
Consequence
 HECW2
NM_001348768.2 intron
NM_001348768.2 intron
Scores
 2
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  -2.00  
Publications
7 publications found 
Genes affected
 HECW2  (HGNC:29853):  (HECT, C2 and WW domain containing E3 ubiquitin protein ligase 2) This gene encodes a member of a family of E3 ubiquitin ligases which plays an important role in the proliferation, migration and differentiation of neural crest cells as a regulator of glial cell line-derived neurotrophic factor (GDNF)/Ret signaling. This gene also plays an important role in angiogenesis through stabilization of endothelial cell-to-cell junctions as a regulator of angiomotin-like 1 stability. The encoded protein contains an N-terminal calcium/lipid-binding (C2) domain involved in membrane targeting, two-four WW domains responsible for cellular localization and substrate recognition, and a C-terminal homologous with E6-associated protein C-terminus (HECT) catalytic domain. Naturally occurring mutations in this gene are associated with neurodevelopmental delay, hypotonia, and epilepsy. The decreased expression of this gene in the aganglionic colon is associated with Hirschsprung's disease. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2017] 
HECW2 Gene-Disease associations (from GenCC):
- complex neurodevelopmental disorderInheritance: AD, AR Classification: DEFINITIVE, LIMITED Submitted by: ClinGen
 - neurodevelopmental disorder with hypotonia, seizures, and absent languageInheritance: AD, AR Classification: DEFINITIVE, STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Illumina, G2P
 
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ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -2 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.8). 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| HECW2 | NM_001348768.2  | c.-35-50G>T | intron_variant | Intron 1 of 28 | ENST00000644978.2 | NP_001335697.1 | 
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 32 
GnomAD3 genomes 
Cov.: 
32
GnomAD4 exome Data not reliable, filtered out with message: AC0;AS_VQSR AF:  0.00  AC: 0AN: 1220824Hom.:  0  Cov.: 16 AF XY:  0.00  AC XY: 0AN XY: 603006 
GnomAD4 exome 
Data not reliable, filtered out with message: AC0;AS_VQSR
 AF: 
AC: 
0
AN: 
1220824
Hom.: 
Cov.: 
16
 AF XY: 
AC XY: 
0
AN XY: 
603006
African (AFR) 
 AF: 
AC: 
0
AN: 
27382
American (AMR) 
 AF: 
AC: 
0
AN: 
26762
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
19348
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
36764
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
65386
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
48566
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
3480
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
941698
Other (OTH) 
 AF: 
AC: 
0
AN: 
51438
GnomAD4 genome  Cov.: 32 
GnomAD4 genome 
Cov.: 
32
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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