chr2-238848375-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM1BP4_Strong

The NM_001271893.4(TWIST2):​c.160G>A​(p.Gly54Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000293 in 1,534,848 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000030 ( 0 hom. )

Consequence

TWIST2
NM_001271893.4 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.576
Variant links:
Genes affected
TWIST2 (HGNC:20670): (twist family bHLH transcription factor 2) The protein encoded by this gene is a basic helix-loop-helix type transcription factor and shares similarity with Twist. This protein may inhibit osteoblast maturation and maintain cells in a preosteoblast phenotype during osteoblast development. This gene may be upregulated in certain cancers. Mutations in this gene cause focal facial dermal dysplasia 3, Setleis type. Two transcript variants encoding the same protein have been found. [provided by RefSeq, Apr 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM1
In a chain Twist-related protein 2 (size 159) in uniprot entity TWST2_HUMAN there are 5 pathogenic changes around while only 1 benign (83%) in NM_001271893.4
BP4
Computational evidence support a benign effect (MetaRNN=0.041771114).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TWIST2NM_001271893.4 linkuse as main transcriptc.160G>A p.Gly54Ser missense_variant 1/2 ENST00000612363.2
TWIST2NM_057179.3 linkuse as main transcriptc.160G>A p.Gly54Ser missense_variant 1/2
TWIST2XR_007069137.1 linkuse as main transcriptn.291G>A non_coding_transcript_exon_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TWIST2ENST00000612363.2 linkuse as main transcriptc.160G>A p.Gly54Ser missense_variant 1/21 NM_001271893.4 P1
TWIST2ENST00000448943.2 linkuse as main transcriptc.160G>A p.Gly54Ser missense_variant 1/21 P1
TWIST2ENST00000710607.1 linkuse as main transcriptc.160G>A p.Gly54Ser missense_variant 1/2 P1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152174
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000217
AC:
3
AN:
138512
Hom.:
0
AF XY:
0.0000269
AC XY:
2
AN XY:
74314
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:
0.0000365
Gnomad OTH exome
AF:
0.000239
GnomAD4 exome
AF:
0.0000297
AC:
41
AN:
1382674
Hom.:
0
Cov.:
31
AF XY:
0.0000367
AC XY:
25
AN XY:
682094
show subpopulations
Gnomad4 AFR exome
AF:
0.0000317
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:
0.0000371
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152174
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74344
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.0000151

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 17, 2022The c.160G>A (p.G54S) alteration is located in exon 1 (coding exon 1) of the TWIST2 gene. This alteration results from a G to A substitution at nucleotide position 160, causing the glycine (G) at amino acid position 54 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.073
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.058
T;T
Eigen
Benign
-0.70
Eigen_PC
Benign
-0.39
FATHMM_MKL
Benign
0.57
D
LIST_S2
Uncertain
0.86
.;D
M_CAP
Uncertain
0.14
D
MetaRNN
Benign
0.042
T;T
MetaSVM
Uncertain
-0.25
T
MutationAssessor
Benign
-2.0
N;N
MutationTaster
Benign
0.51
N
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
0.0
N;.
REVEL
Benign
0.28
Sift
Benign
0.96
T;.
Sift4G
Benign
0.90
T;T
Polyphen
0.0
B;B
Vest4
0.10
MutPred
0.22
Gain of phosphorylation at G54 (P = 0.0047);Gain of phosphorylation at G54 (P = 0.0047);
MVP
0.82
MPC
1.6
ClinPred
0.13
T
GERP RS
4.8
Varity_R
0.079
gMVP
0.30

Splicing

Name
Calibrated prediction
Score
Prediction
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: rs1458958603; hg19: chr2-239757016; COSMIC: COSV104716563; API