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chr21-25693837-G-T

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM1PM2PM5PP3_Moderate

The NM_021219.4(JAM2):​c.323G>T​(p.Arg108Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000000684 in 1,461,740 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic 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. R108H) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

JAM2
NM_021219.4 missense

Scores

6
9
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.17
Variant links:
Genes affected
JAM2 (HGNC:14686): (junctional adhesion molecule 2) This gene belongs to the immunoglobulin superfamily, and the junctional adhesion molecule (JAM) family. The protein encoded by this gene is a type I membrane protein that is localized at the tight junctions of both epithelial and endothelial cells. It acts as an adhesive ligand for interacting with a variety of immune cell types, and may play a role in lymphocyte homing to secondary lymphoid organs. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jul 2012]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM1
In a topological_domain Extracellular (size 209) in uniprot entity JAM2_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_021219.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr21-25693837-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 829539.Status of the report is no_assertion_criteria_provided, 0 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.862

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
JAM2NM_021219.4 linkuse as main transcriptc.323G>T p.Arg108Leu missense_variant 4/10 ENST00000480456.6
JAM2NM_001270408.2 linkuse as main transcriptc.323G>T p.Arg108Leu missense_variant 4/10
JAM2NM_001270407.2 linkuse as main transcriptc.215G>T p.Arg72Leu missense_variant 3/9
JAM2NR_072999.2 linkuse as main transcriptn.887G>T non_coding_transcript_exon_variant 4/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
JAM2ENST00000480456.6 linkuse as main transcriptc.323G>T p.Arg108Leu missense_variant 4/101 NM_021219.4 P1P57087-1
JAM2ENST00000400532.5 linkuse as main transcriptc.323G>T p.Arg108Leu missense_variant 4/101 P57087-3
JAM2ENST00000312957.9 linkuse as main transcriptc.215G>T p.Arg72Leu missense_variant 3/92 P57087-2
JAM2ENST00000460679.5 linkuse as main transcriptc.191G>T p.Arg64Leu missense_variant, NMD_transcript_variant 2/93

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461740
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
727190
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsJan 08, 2024The c.323G>T (p.R108L) alteration is located in exon 4 (coding exon 4) of the JAM2 gene. This alteration results from a G to T substitution at nucleotide position 323, causing the arginine (R) at amino acid position 108 to be replaced by a leucine (L). 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
0.33
BayesDel_addAF
Pathogenic
0.33
D
BayesDel_noAF
Pathogenic
0.24
CADD
Pathogenic
29
DANN
Uncertain
1.0
Eigen
Pathogenic
0.79
Eigen_PC
Pathogenic
0.77
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.94
D;D;D
M_CAP
Uncertain
0.14
D
MetaRNN
Pathogenic
0.86
D;D;D
MetaSVM
Uncertain
-0.22
T
MutationAssessor
Uncertain
2.2
M;M;.
MutationTaster
Benign
1.0
D;D;D;D;D;D
PrimateAI
Benign
0.47
T
PROVEAN
Pathogenic
-5.1
D;D;.
REVEL
Uncertain
0.47
Sift
Uncertain
0.0020
D;D;.
Sift4G
Uncertain
0.019
D;D;D
Polyphen
1.0
.;D;.
Vest4
0.83
MutPred
0.50
Loss of MoRF binding (P = 0.0316);Loss of MoRF binding (P = 0.0316);.;
MVP
0.91
MPC
0.95
ClinPred
0.99
D
GERP RS
5.6
Varity_R
0.84
gMVP
0.92

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr21-27066149; API