chr4-113517631-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM2PP3_StrongPP5_Moderate

The NM_001321571.2(CAMK2D):​c.628G>A​(p.Gly210Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CAMK2D
NM_001321571.2 missense

Scores

14
3
2

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 7.89
Variant links:
Genes affected
CAMK2D (HGNC:1462): (calcium/calmodulin dependent protein kinase II delta) The product of this gene belongs to the serine/threonine protein kinase family and to the Ca(2+)/calmodulin-dependent protein kinase subfamily. Calcium signaling is crucial for several aspects of plasticity at glutamatergic synapses. In mammalian cells, the enzyme is composed of four different chains: alpha, beta, gamma, and delta. The product of this gene is a delta chain. Alternative splicing results in multiple transcript variants encoding distinct isoforms. Distinct isoforms of this chain have different expression patterns.[provided by RefSeq, Nov 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.976
PP5
Variant 4-113517631-C-T is Pathogenic according to our data. Variant chr4-113517631-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 2442394.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CAMK2DNM_001321571.2 linkuse as main transcriptc.628G>A p.Gly210Arg missense_variant 9/21 ENST00000511664.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CAMK2DENST00000511664.6 linkuse as main transcriptc.628G>A p.Gly210Arg missense_variant 9/212 NM_001321571.2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1421812
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
709828
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

See cases Pathogenic:1
Pathogenic, criteria provided, single submitterin vitro;in vivo;researchLaboratory of Molecular Genetics (Pr. Bezieau's lab), CHU de NantesFeb 08, 2023The p.(Gly210Arg) variant in CAMK2D is de novo, absent from large population studies and predicted pathogenic by most bioinformatics programs (CADD, REVEL, Metadome...). Besides, it affects the catalytic domain of CAMK2D, and is close to other variants identified in individuals with similar phenotype, and classified pathogenic. Additionally, in vitro functional studies indicate that the p.(Gly210Arg) variant increases phosphotransferase activity of CAMK2, and in vivo functional studies in mouse brain embryo showed that it causes severe migration deficit. In summary, the p.(Gly210Arg) variant meets our criteria to be classified as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.34
D
BayesDel_noAF
Pathogenic
0.26
CADD
Pathogenic
31
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.14
.;.;T;T;.;T;.;T;.;.;.
Eigen
Pathogenic
0.93
Eigen_PC
Pathogenic
0.88
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D;D;D;D;D;D;D;.;D;D
M_CAP
Uncertain
0.093
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Uncertain
-0.031
T
MutationAssessor
Uncertain
2.4
M;M;.;M;M;.;M;.;M;M;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D;D;D;D;D;D
PrimateAI
Pathogenic
0.95
D
PROVEAN
Pathogenic
-7.1
D;D;D;D;D;D;D;D;D;D;D
REVEL
Pathogenic
0.83
Sift
Pathogenic
0.0
D;D;D;D;D;D;D;D;D;D;D
Sift4G
Pathogenic
0.0
D;D;D;D;D;D;D;D;D;D;.
Polyphen
1.0
D;.;D;D;D;.;.;.;.;.;.
Vest4
0.93
MutPred
0.91
Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);Gain of catalytic residue at G210 (P = 0.0716);.;
MVP
0.69
MPC
2.6
ClinPred
1.0
D
GERP RS
5.4
Varity_R
0.95
gMVP
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs867010473; hg19: chr4-114438787; API