chr5-169882625-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001129891.3(INSYN2B):​c.1274C>T​(p.Ser425Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000221 in 1,399,562 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000022 ( 0 hom. )

Consequence

INSYN2B
NM_001129891.3 missense

Scores

6
9
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.91
Variant links:
Genes affected
INSYN2B (HGNC:37271): (inhibitory synaptic factor family member 2B)
DOCK2 (HGNC:2988): (dedicator of cytokinesis 2) The protein encoded by this gene belongs to the CDM protein family. It is specifically expressed in hematopoietic cells and is predominantly expressed in peripheral blood leukocytes. The protein is involved in remodeling of the actin cytoskeleton required for lymphocyte migration in response to chemokine signaling. It activates members of the Rho family of GTPases, for example RAC1 and RAC2, by acting as a guanine nucleotide exchange factor (GEF) to exchange bound GDP for free GTP. Mutations in this gene result in immunodeficiency 40 (IMD40), a combined form of immunodeficiency that affects T cell number and function, also with variable defects in B cell and NK cell function. [provided by RefSeq, May 2018]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
INSYN2BNM_001129891.3 linkc.1274C>T p.Ser425Leu missense_variant 2/4 ENST00000377365.4 NP_001123363.1 A6NMK8
DOCK2NM_004946.3 linkc.2799+41773G>A intron_variant ENST00000520908.7 NP_004937.1 Q92608-1Q5XG91

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
INSYN2BENST00000377365.4 linkc.1274C>T p.Ser425Leu missense_variant 2/42 NM_001129891.3 ENSP00000366582.3 A6NMK8
DOCK2ENST00000520908.7 linkc.2799+41773G>A intron_variant 2 NM_004946.3 ENSP00000429283.3 Q92608-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000254
AC:
4
AN:
157734
Hom.:
0
AF XY:
0.0000361
AC XY:
3
AN XY:
83190
show subpopulations
Gnomad AFR exome
AF:
0.000122
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000591
Gnomad NFE exome
AF:
0.0000327
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000221
AC:
31
AN:
1399562
Hom.:
0
Cov.:
31
AF XY:
0.0000261
AC XY:
18
AN XY:
690270
show subpopulations
Gnomad4 AFR exome
AF:
0.0000633
Gnomad4 AMR exome
AF:
0.0000280
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:
0.0000222
Gnomad4 OTH exome
AF:
0.0000689
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.0000491

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 GeneticsMay 01, 2024The c.1274C>T (p.S425L) alteration is located in exon 2 (coding exon 1) of the FAM196B gene. This alteration results from a C to T substitution at nucleotide position 1274, causing the serine (S) at amino acid position 425 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
Uncertain
0.50
BayesDel_addAF
Uncertain
0.078
D
BayesDel_noAF
Uncertain
0.11
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.20
T
Eigen
Pathogenic
0.73
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.90
D
M_CAP
Benign
0.079
D
MetaRNN
Uncertain
0.65
D
MetaSVM
Uncertain
-0.20
T
PrimateAI
Uncertain
0.74
T
PROVEAN
Pathogenic
-5.8
D
REVEL
Uncertain
0.50
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.056
T
Polyphen
1.0
D
Vest4
0.74
MutPred
0.28
Loss of disorder (P = 0.0196);
MVP
0.65
ClinPred
0.83
D
GERP RS
5.1
Varity_R
0.86
gMVP
0.58

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: rs979354875; hg19: chr5-169309629; API