chr5-140795377-A-G

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_018905.3(PCDHA2):ā€‹c.413A>Gā€‹(p.Lys138Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0009 in 1,614,128 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00072 ( 0 hom., cov: 33)
Exomes š‘“: 0.00092 ( 1 hom. )

Consequence

PCDHA2
NM_018905.3 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0640
Variant links:
Genes affected
PCDHA2 (HGNC:8668): (protocadherin alpha 2) This gene is a member of the protocadherin alpha gene cluster, one of three related gene clusters tandemly linked on chromosome five that demonstrate an unusual genomic organization similar to that of B-cell and T-cell receptor gene clusters. The alpha gene cluster is composed of 15 cadherin superfamily genes related to the mouse CNR genes and consists of 13 highly similar and 2 more distantly related coding sequences. The tandem array of 15 N-terminal exons, or variable exons, are followed by downstream C-terminal exons, or constant exons, which are shared by all genes in the cluster. The large, uninterrupted N-terminal exons each encode six cadherin ectodomains while the C-terminal exons encode the cytoplasmic domain. These neural cadherin-like cell adhesion proteins are integral plasma membrane proteins that most likely play a critical role in the establishment and function of specific cell-cell connections in the brain. Alternative splicing has been observed and additional variants have been suggested but their full-length nature has yet to be determined. [provided by RefSeq, Jul 2008]
PCDHA1 (HGNC:8663): (protocadherin alpha 1) This gene is a member of the protocadherin alpha gene cluster, one of three related gene clusters tandemly linked on chromosome five that demonstrate an unusual genomic organization similar to that of B-cell and T-cell receptor gene clusters. The alpha gene cluster is composed of 15 cadherin superfamily genes related to the mouse CNR genes and consists of 13 highly similar and 2 more distantly related coding sequences. The tandem array of 15 N-terminal exons, or variable exons, are followed by downstream C-terminal exons, or constant exons, which are shared by all genes in the cluster. The large, uninterrupted N-terminal exons each encode six cadherin ectodomains while the C-terminal exons encode the cytoplasmic domain. These neural cadherin-like cell adhesion proteins are integral plasma membrane proteins that most likely play a critical role in the establishment and function of specific cell-cell connections in the brain. Alternative splicing has been observed and additional variants have been suggested but their full-length nature has yet to be determined. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.010772467).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PCDHA2NM_018905.3 linkuse as main transcriptc.413A>G p.Lys138Arg missense_variant 1/4 ENST00000526136.2
PCDHA1NM_018900.4 linkuse as main transcriptc.2394+6693A>G intron_variant ENST00000504120.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PCDHA2ENST00000526136.2 linkuse as main transcriptc.413A>G p.Lys138Arg missense_variant 1/41 NM_018905.3 P1Q9Y5H9-1
PCDHA1ENST00000504120.4 linkuse as main transcriptc.2394+6693A>G intron_variant 1 NM_018900.4 P1Q9Y5I3-1
ENST00000655235.1 linkuse as main transcriptn.658-6523T>C intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.000723
AC:
110
AN:
152116
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00140
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000771
AC:
194
AN:
251496
Hom.:
1
AF XY:
0.000831
AC XY:
113
AN XY:
135922
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000520
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.00144
Gnomad OTH exome
AF:
0.000814
GnomAD4 exome
AF:
0.000919
AC:
1343
AN:
1461894
Hom.:
1
Cov.:
34
AF XY:
0.000925
AC XY:
673
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.000581
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000104
Gnomad4 FIN exome
AF:
0.000187
Gnomad4 NFE exome
AF:
0.00114
Gnomad4 OTH exome
AF:
0.000497
GnomAD4 genome
AF:
0.000723
AC:
110
AN:
152234
Hom.:
0
Cov.:
33
AF XY:
0.000658
AC XY:
49
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.0000482
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000283
Gnomad4 NFE
AF:
0.00140
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00118
Hom.:
0
Bravo
AF:
0.000661
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00163
AC:
14
ExAC
AF:
0.000733
AC:
89
EpiCase
AF:
0.00147
EpiControl
AF:
0.000711

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 14, 2021The c.413A>G (p.K138R) alteration is located in exon 1 (coding exon 1) of the PCDHA2 gene. This alteration results from a A to G substitution at nucleotide position 413, causing the lysine (K) at amino acid position 138 to be replaced by an arginine (R). 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
0.089
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
17
DANN
Benign
0.75
DEOGEN2
Benign
0.012
.;.;T
Eigen
Benign
-0.86
Eigen_PC
Benign
-0.94
FATHMM_MKL
Benign
0.17
N
LIST_S2
Benign
0.45
T;T;T
M_CAP
Benign
0.0045
T
MetaRNN
Benign
0.011
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.3
M;M;M
MutationTaster
Benign
1.0
N;N;N;N;N
PROVEAN
Benign
-1.4
N;N;N
REVEL
Benign
0.033
Sift
Benign
0.16
T;T;T
Sift4G
Benign
0.33
T;T;T
Polyphen
0.094
B;B;B
Vest4
0.098
MVP
0.38
ClinPred
0.019
T
GERP RS
2.6
Varity_R
0.048
gMVP
0.11

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs149936360; hg19: chr5-140174962; API