chr5-132198223-CCA-C
Variant summary
Our verdict is Likely benign. The variant received -1 ACMG points: 3P and 4B. PM2PP5BS2
The NM_001365677.2(P4HA2):c.1352_1353delTG(p.Val451GlyfsTer9) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000342 in 1,461,868 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  0.0000034   (  0   hom.  ) 
Consequence
 P4HA2
NM_001365677.2 frameshift
NM_001365677.2 frameshift
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  8.95  
Publications
0 publications found 
Genes affected
 P4HA2  (HGNC:8547):  (prolyl 4-hydroxylase subunit alpha 2) This gene encodes a component of prolyl 4-hydroxylase, a key enzyme in collagen synthesis composed of two identical alpha subunits and two beta subunits. The encoded protein is one of several different types of alpha subunits and provides the major part of the catalytic site of the active enzyme. In collagen and related proteins, prolyl 4-hydroxylase catalyzes the formation of 4-hydroxyproline that is essential to the proper three-dimensional folding of newly synthesized procollagen chains. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008] 
P4HA2 Gene-Disease associations (from GenCC):
- myopiaInheritance: AD Classification: STRONG Submitted by: G2P
- myopia 25, autosomal dominantInheritance: Unknown, AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
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ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -1 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
PP5
Variant 5-132198223-CCA-C is Pathogenic according to our data. Variant chr5-132198223-CCA-C is described in ClinVar as Pathogenic. ClinVar VariationId is 372167.Status of the report is no_assertion_criteria_provided, 0 stars. 
BS2
High AC in GnomAdExome4 at 5 Unknown,AD gene. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| P4HA2 | NM_001365677.2 | c.1352_1353delTG | p.Val451GlyfsTer9 | frameshift_variant | Exon 12 of 15 | ENST00000379104.7 | NP_001352606.1 | |
| P4HA2 | NM_001017974.2 | c.1365+96_1365+97delTG | intron_variant | Intron 12 of 14 | ENST00000360568.8 | NP_001017974.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| P4HA2 | ENST00000379104.7 | c.1352_1353delTG | p.Val451GlyfsTer9 | frameshift_variant | Exon 12 of 15 | 1 | NM_001365677.2 | ENSP00000368398.2 | ||
| P4HA2 | ENST00000360568.8 | c.1365+96_1365+97delTG | intron_variant | Intron 12 of 14 | 1 | NM_001017974.2 | ENSP00000353772.3 | 
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
32
GnomAD2 exomes  AF:  0.0000119  AC: 3AN: 251434 AF XY:  0.0000147   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
3
AN: 
251434
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.00000342  AC: 5AN: 1461868Hom.:  0   AF XY:  0.00000413  AC XY: 3AN XY: 727238 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
5
AN: 
1461868
Hom.: 
 AF XY: 
AC XY: 
3
AN XY: 
727238
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33480
American (AMR) 
 AF: 
AC: 
0
AN: 
44722
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26136
East Asian (EAS) 
 AF: 
AC: 
5
AN: 
39700
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86252
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53420
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111996
Other (OTH) 
 AF: 
AC: 
0
AN: 
60394
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.455 
Heterozygous variant carriers
 0 
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 1 
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 2 
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 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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Age
GnomAD4 genome  
GnomAD4 genome 
Cov.: 
32
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
Myopia 25, autosomal dominant    Pathogenic:1 
Dec 05, 2016
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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