chr21-44366884-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_003307.4(TRPM2):​c.554G>A​(p.Arg185Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000726 in 1,612,412 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00077 ( 1 hom. )

Consequence

TRPM2
NM_003307.4 missense

Scores

2
4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.15
Variant links:
Genes affected
TRPM2 (HGNC:12339): (transient receptor potential cation channel subfamily M member 2) The protein encoded by this gene forms a tetrameric cation channel that is permeable to calcium, sodium, and potassium and is regulated by free intracellular ADP-ribose. The encoded protein is activated by oxidative stress and confers susceptibility to cell death. Alternative splicing results in multiple transcript variants encoding distinct protein isoforms. Additional transcript variants of this gene have been described, but their full-length nature is not known. [provided by RefSeq, Feb 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.31229424).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TRPM2NM_003307.4 linkc.554G>A p.Arg185Gln missense_variant 4/32 ENST00000397928.6 NP_003298.2 O94759-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TRPM2ENST00000397928.6 linkc.554G>A p.Arg185Gln missense_variant 4/321 NM_003307.4 ENSP00000381023.1 O94759-1
TRPM2ENST00000397932.6 linkc.554G>A p.Arg185Gln missense_variant 4/331 ENSP00000381026.2 E9PGK7
TRPM2ENST00000300482.9 linkc.554G>A p.Arg185Gln missense_variant 5/331 ENSP00000300482.5 O94759-1
TRPM2ENST00000300481.13 linkc.554G>A p.Arg185Gln missense_variant 4/321 ENSP00000300481.9 O94759-2

Frequencies

GnomAD3 genomes
AF:
0.000263
AC:
40
AN:
152086
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000121
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:
0.000515
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000308
AC:
77
AN:
249790
Hom.:
0
AF XY:
0.000385
AC XY:
52
AN XY:
135034
show subpopulations
Gnomad AFR exome
AF:
0.000124
Gnomad AMR exome
AF:
0.0000581
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000492
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000497
Gnomad OTH exome
AF:
0.000329
GnomAD4 exome
AF:
0.000774
AC:
1131
AN:
1460326
Hom.:
1
Cov.:
31
AF XY:
0.000755
AC XY:
548
AN XY:
726232
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.0000448
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000511
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.000943
Gnomad4 OTH exome
AF:
0.000547
GnomAD4 genome
AF:
0.000263
AC:
40
AN:
152086
Hom.:
0
Cov.:
31
AF XY:
0.000229
AC XY:
17
AN XY:
74290
show subpopulations
Gnomad4 AFR
AF:
0.000121
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:
0.000515
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000376
Hom.:
0
Bravo
AF:
0.000219
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000814
AC:
7
ExAC
AF:
0.000362
AC:
44
EpiCase
AF:
0.000654
EpiControl
AF:
0.000474

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 02, 2024The c.554G>A (p.R185Q) alteration is located in exon 4 (coding exon 4) of the TRPM2 gene. This alteration results from a G to A substitution at nucleotide position 554, causing the arginine (R) at amino acid position 185 to be replaced by a glutamine (Q). 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
0.11
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.42
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.34
T;T;.;.
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.84
.;T;T;T
M_CAP
Benign
0.0099
T
MetaRNN
Benign
0.31
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Pathogenic
2.9
M;M;.;M
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-1.9
N;N;N;N
REVEL
Benign
0.20
Sift
Uncertain
0.019
D;D;D;D
Sift4G
Benign
0.33
T;T;T;T
Polyphen
1.0
D;D;D;.
Vest4
0.58
MVP
0.42
MPC
0.57
ClinPred
0.25
T
GERP RS
4.4
Varity_R
0.28
gMVP
0.34

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: rs141320102; hg19: chr21-45786767; API