chr6-129315533-A-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000426.4(LAMA2):ā€‹c.3613A>Gā€‹(p.Thr1205Ala) variant causes a missense change. The variant allele was found at a frequency of 0.00215 in 1,614,164 control chromosomes in the GnomAD database, including 56 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.012 ( 26 hom., cov: 32)
Exomes š‘“: 0.0012 ( 30 hom. )

Consequence

LAMA2
NM_000426.4 missense

Scores

2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 4.66
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=0.0047211647).
BP6
Variant 6-129315533-A-G is Benign according to our data. Variant chr6-129315533-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 129438.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-129315533-A-G is described in Lovd as [Benign]. Variant chr6-129315533-A-G is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0116 (1762/152292) while in subpopulation AFR AF= 0.0404 (1679/41564). AF 95% confidence interval is 0.0388. There are 26 homozygotes in gnomad4. There are 825 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 26 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAMA2NM_000426.4 linkuse as main transcriptc.3613A>G p.Thr1205Ala missense_variant 25/65 ENST00000421865.3 NP_000417.3
LAMA2NM_001079823.2 linkuse as main transcriptc.3613A>G p.Thr1205Ala missense_variant 25/64 NP_001073291.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LAMA2ENST00000421865.3 linkuse as main transcriptc.3613A>G p.Thr1205Ala missense_variant 25/655 NM_000426.4 ENSP00000400365
LAMA2ENST00000618192.5 linkuse as main transcriptc.3877A>G p.Thr1293Ala missense_variant 26/665 ENSP00000480802 P1
LAMA2ENST00000617695.5 linkuse as main transcriptc.3613A>G p.Thr1205Ala missense_variant 25/645 ENSP00000481744

Frequencies

GnomAD3 genomes
AF:
0.0116
AC:
1765
AN:
152174
Hom.:
26
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0406
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00373
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.00718
GnomAD3 exomes
AF:
0.00313
AC:
786
AN:
251456
Hom.:
8
AF XY:
0.00203
AC XY:
276
AN XY:
135902
show subpopulations
Gnomad AFR exome
AF:
0.0440
Gnomad AMR exome
AF:
0.00139
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000615
Gnomad OTH exome
AF:
0.00244
GnomAD4 exome
AF:
0.00117
AC:
1710
AN:
1461872
Hom.:
30
Cov.:
32
AF XY:
0.000972
AC XY:
707
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.0427
Gnomad4 AMR exome
AF:
0.00199
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000414
Gnomad4 OTH exome
AF:
0.00224
GnomAD4 genome
AF:
0.0116
AC:
1762
AN:
152292
Hom.:
26
Cov.:
32
AF XY:
0.0111
AC XY:
825
AN XY:
74480
show subpopulations
Gnomad4 AFR
AF:
0.0404
Gnomad4 AMR
AF:
0.00373
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.00710
Alfa
AF:
0.00249
Hom.:
7
Bravo
AF:
0.0137
ESP6500AA
AF:
0.0402
AC:
177
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00406
AC:
493
Asia WGS
AF:
0.00231
AC:
8
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxDec 27, 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. -
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
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), LabcorpFeb 01, 2024- -
Congenital muscular dystrophy due to partial LAMA2 deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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. -
Merosin deficient congenital muscular dystrophy;C4748327:Muscular dystrophy, limb-girdle, autosomal recessive 23 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsAug 02, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
18
DANN
Benign
0.88
DEOGEN2
Benign
0.011
.;T;T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.32
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.75
T;T;T
MetaRNN
Benign
0.0047
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.6
.;.;M
MutationTaster
Benign
0.96
N
PrimateAI
Benign
0.35
T
PROVEAN
Benign
0.39
.;.;N
REVEL
Benign
0.088
Sift
Benign
0.11
.;.;T
Polyphen
0.087
.;.;B
Vest4
0.50
MVP
0.47
MPC
0.10
ClinPred
0.025
T
GERP RS
4.7
Varity_R
0.15
gMVP
0.59

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: rs35889149; hg19: chr6-129636678; COSMIC: COSV99081516; API