chr2-238848438-G-GAGCGCC

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM1PM2PM4PP3PP5

The NM_001271893.4(TWIST2):​c.229_234dup​(p.Gln77_Arg78dup) variant causes a inframe insertion change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)

Consequence

TWIST2
NM_001271893.4 inframe_insertion

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.88
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]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM1
In a domain bHLH (size 51) in uniprot entity TWST2_HUMAN there are 5 pathogenic changes around while only 0 benign (100%) in NM_001271893.4
PM2
Very rare variant in population databases, with high coverage;
PM4
Nonframeshift variant in NON repetitive region in NM_001271893.4.
PP3
No computational evidence supports a deleterious effect, but strongly conserved according to phyloP
PP5
Variant 2-238848438-G-GAGCGCC is Pathogenic according to our data. Variant chr2-238848438-G-GAGCGCC is described in ClinVar as [Pathogenic]. Clinvar id is 208079.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TWIST2NM_001271893.4 linkuse as main transcriptc.229_234dup p.Gln77_Arg78dup inframe_insertion 1/2 ENST00000612363.2
TWIST2NM_057179.3 linkuse as main transcriptc.229_234dup p.Gln77_Arg78dup inframe_insertion 1/2
TWIST2XR_007069137.1 linkuse as main transcriptn.360_365dup 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.229_234dup p.Gln77_Arg78dup inframe_insertion 1/21 NM_001271893.4 P1
TWIST2ENST00000448943.2 linkuse as main transcriptc.229_234dup p.Gln77_Arg78dup inframe_insertion 1/21 P1
TWIST2ENST00000710607.1 linkuse as main transcriptc.229_234dup p.Gln77_Arg78dup inframe_insertion 1/2 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Barber-Say syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJul 02, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs869320750; hg19: chr2-239757079; API