chr9-124021099-C-T

Variant summary

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

The NM_004789.4(LHX2):​c.728C>T​(p.Ala243Val) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,698 control chromosomes in the GnomAD database, with no homozygous occurrence. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

LHX2
NM_004789.4 missense, splice_region

Scores

2
9
8
Splicing: ADA: 0.9966
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.57
Variant links:
Genes affected
LHX2 (HGNC:6594): (LIM homeobox 2) This gene encodes a protein belonging to a large protein family, members of which carry the LIM domain, a unique cysteine-rich zinc-binding domain. The encoded protein may function as a transcriptional regulator. The protein can recapitulate or rescue phenotypes in Drosophila caused by a related protein, suggesting conservation of function during evolution. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

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
LHX2NM_004789.4 linkuse as main transcriptc.728C>T p.Ala243Val missense_variant, splice_region_variant 4/5 ENST00000373615.9 NP_004780.3
LHX2XM_006717323.4 linkuse as main transcriptc.728C>T p.Ala243Val missense_variant, splice_region_variant 4/6 XP_006717386.1
LHX2XM_047424082.1 linkuse as main transcriptc.728C>T p.Ala243Val missense_variant, splice_region_variant 4/6 XP_047280038.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LHX2ENST00000373615.9 linkuse as main transcriptc.728C>T p.Ala243Val missense_variant, splice_region_variant 4/51 NM_004789.4 ENSP00000362717 P1
LHX2ENST00000446480.5 linkuse as main transcriptc.746C>T p.Ala249Val missense_variant, splice_region_variant 4/52 ENSP00000394978
LHX2ENST00000488674.2 linkuse as main transcriptc.131C>T p.Ala44Val missense_variant, splice_region_variant 2/43 ENSP00000476200

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461698
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
727140
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.0000331
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

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 GeneticsApr 10, 2023The c.728C>T (p.A243V) alteration is located in exon 4 (coding exon 4) of the LHX2 gene. This alteration results from a C to T substitution at nucleotide position 728, causing the alanine (A) at amino acid position 243 to be replaced by a valine (V). 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
0.32
BayesDel_addAF
Uncertain
0.10
D
BayesDel_noAF
Benign
-0.090
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Benign
0.41
T
Eigen
Uncertain
0.51
Eigen_PC
Uncertain
0.56
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.85
T
M_CAP
Uncertain
0.18
D
MetaRNN
Uncertain
0.69
D
MetaSVM
Uncertain
0.18
D
MutationAssessor
Uncertain
2.2
M
MutationTaster
Benign
1.0
D
PrimateAI
Pathogenic
0.90
D
PROVEAN
Benign
-1.3
N
REVEL
Uncertain
0.49
Sift
Benign
0.083
T
Sift4G
Benign
0.27
T
Polyphen
0.99
D
Vest4
0.62
MutPred
0.33
Loss of disorder (P = 0.095);
MVP
0.69
MPC
1.5
ClinPred
0.97
D
GERP RS
5.2
Varity_R
0.18
gMVP
0.81

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.93
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: rs560527359; hg19: chr9-126783378; COSMIC: COSV65318010; API