chr6-129291620-G-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000426.4(LAMA2):​c.2756G>T​(p.Arg919Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00852 in 1,613,110 control chromosomes in the GnomAD database, including 749 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R919G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.042 ( 378 hom., cov: 33)
Exomes 𝑓: 0.0051 ( 371 hom. )

Consequence

LAMA2
NM_000426.4 missense

Scores

2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.178
Variant links:
Genes affected
LAMA2 (HGNC:6482): (laminin subunit alpha 2) Laminin, an extracellular protein, is a major component of the basement membrane. It is thought to mediate the attachment, migration, and organization of cells into tissues during embryonic development by interacting with other extracellular matrix components. It is composed of three subunits, alpha, beta, and gamma, which are bound to each other by disulfide bonds into a cross-shaped molecule. This gene encodes the alpha 2 chain, which constitutes one of the subunits of laminin 2 (merosin) and laminin 4 (s-merosin). Mutations in this gene have been identified as the cause of congenital merosin-deficient muscular dystrophy. Two transcript variants encoding different proteins have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005194962).
BP6
Variant 6-129291620-G-T is Benign according to our data. Variant chr6-129291620-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 92948.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-129291620-G-T is described in Lovd as [Benign]. Variant chr6-129291620-G-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.137 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LAMA2NM_000426.4 linkuse as main transcriptc.2756G>T p.Arg919Leu missense_variant 20/65 ENST00000421865.3
LAMA2NM_001079823.2 linkuse as main transcriptc.2756G>T p.Arg919Leu missense_variant 20/64

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LAMA2ENST00000421865.3 linkuse as main transcriptc.2756G>T p.Arg919Leu missense_variant 20/655 NM_000426.4
LAMA2ENST00000618192.5 linkuse as main transcriptc.2756G>T p.Arg919Leu missense_variant 20/665 P1
LAMA2ENST00000617695.5 linkuse as main transcriptc.2756G>T p.Arg919Leu missense_variant 20/645

Frequencies

GnomAD3 genomes
AF:
0.0413
AC:
6287
AN:
152106
Hom.:
377
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.140
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0173
Gnomad ASJ
AF:
0.00317
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0108
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.00119
Gnomad OTH
AF:
0.0392
GnomAD3 exomes
AF:
0.0116
AC:
2909
AN:
251366
Hom.:
157
AF XY:
0.00882
AC XY:
1198
AN XY:
135856
show subpopulations
Gnomad AFR exome
AF:
0.140
Gnomad AMR exome
AF:
0.00804
Gnomad ASJ exome
AF:
0.00208
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00595
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000871
Gnomad OTH exome
AF:
0.00879
GnomAD4 exome
AF:
0.00508
AC:
7418
AN:
1460886
Hom.:
371
Cov.:
30
AF XY:
0.00469
AC XY:
3411
AN XY:
726832
show subpopulations
Gnomad4 AFR exome
AF:
0.140
Gnomad4 AMR exome
AF:
0.00883
Gnomad4 ASJ exome
AF:
0.00142
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00573
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000949
Gnomad4 OTH exome
AF:
0.0114
GnomAD4 genome
AF:
0.0415
AC:
6318
AN:
152224
Hom.:
378
Cov.:
33
AF XY:
0.0394
AC XY:
2931
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.140
Gnomad4 AMR
AF:
0.0172
Gnomad4 ASJ
AF:
0.00317
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.0110
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00119
Gnomad4 OTH
AF:
0.0388
Alfa
AF:
0.00704
Hom.:
101
Bravo
AF:
0.0464
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.133
AC:
587
ESP6500EA
AF:
0.00105
AC:
9
ExAC
AF:
0.0141
AC:
1712
Asia WGS
AF:
0.0180
AC:
61
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxMay 18, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 15, 2013- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 18, 2012- -
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
LAMA2-related muscular dystrophy Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Congenital muscular dystrophy due to partial LAMA2 deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.092
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
7.8
DANN
Uncertain
0.98
DEOGEN2
Benign
0.062
.;T;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.27
N
LIST_S2
Benign
0.42
T;T;T
MetaRNN
Benign
0.0052
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.5
.;.;L
MutationTaster
Benign
0.63
N
PrimateAI
Benign
0.21
T
PROVEAN
Uncertain
-2.7
.;.;D
REVEL
Benign
0.079
Sift
Benign
0.32
.;.;T
Polyphen
0.0010
.;.;B
Vest4
0.20
MPC
0.11
ClinPred
0.013
T
GERP RS
-1.9
Varity_R
0.13
gMVP
0.23

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: rs35277491; hg19: chr6-129612765; API