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chr8-107901086-C-T

Variant summary

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

The NM_178565.5(RSPO2):​c.721G>A​(p.Ala241Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,306 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. A241A) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

RSPO2
NM_178565.5 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.34
Variant links:
Genes affected
RSPO2 (HGNC:28583): (R-spondin 2) This gene encodes a member of the R-spondin family of proteins. These proteins are secreted ligands of leucine-rich repeat containing G protein-coupled receptors that enhance Wnt signaling through the inhibition of ubiquitin E3 ligases. A chromosomal translocation including this locus that results in the formation of a gene fusion has been identified in multiple human cancers. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2015]

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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=0.053192705).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RSPO2NM_178565.5 linkuse as main transcriptc.721G>A p.Ala241Thr missense_variant 6/6 ENST00000276659.10
RSPO2NM_001282863.2 linkuse as main transcriptc.529G>A p.Ala177Thr missense_variant 5/5
RSPO2NM_001317942.2 linkuse as main transcriptc.520G>A p.Ala174Thr missense_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RSPO2ENST00000276659.10 linkuse as main transcriptc.721G>A p.Ala241Thr missense_variant 6/61 NM_178565.5 P1Q6UXX9-1
ENST00000665144.1 linkuse as main transcriptn.81-17084C>T intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000400
AC:
1
AN:
249826
Hom.:
0
AF XY:
0.00000740
AC XY:
1
AN XY:
135144
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461306
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
726958
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000756
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1

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 GeneticsDec 27, 2023The c.721G>A (p.A241T) alteration is located in exon 6 (coding exon 5) of the RSPO2 gene. This alteration results from a G to A substitution at nucleotide position 721, causing the alanine (A) at amino acid position 241 to be replaced by a threonine (T). 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
0.065
BayesDel_addAF
Benign
-0.099
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
16
DANN
Uncertain
0.99
Eigen
Benign
-0.34
Eigen_PC
Benign
-0.13
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.71
T;T;T
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.053
T;T;T
MetaSVM
Benign
-0.75
T
MutationTaster
Benign
0.68
N;N;N;N
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-0.26
N;N;N
REVEL
Benign
0.18
Sift
Benign
0.28
T;T;T
Sift4G
Benign
0.46
T;T;T
Polyphen
0.0
.;B;B
Vest4
0.14
MVP
0.22
MPC
0.13
ClinPred
0.18
T
GERP RS
5.1
Varity_R
0.061
gMVP
0.33

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: rs370736291; hg19: chr8-108913314; COSMIC: COSV99409543; COSMIC: COSV99409543; API