chrX-116172674-A-AT

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 4P and 4B. PVS1_StrongBS2

The NM_000686.5(AGTR2):​c.402dup​(p.Ile135TyrfsTer7) variant causes a frameshift change. The variant allele was found at a frequency of 0.000441 in 1,208,111 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 162 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00035 ( 0 hom., 9 hem., cov: 23)
Exomes 𝑓: 0.00045 ( 0 hom. 153 hem. )

Consequence

AGTR2
NM_000686.5 frameshift

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.16
Variant links:
Genes affected
AGTR2 (HGNC:338): (angiotensin II receptor type 2) The protein encoded by this gene belongs to the G-protein coupled receptor 1 family, and functions as a receptor for angiotensin II. It is an intergral membrane protein that is highly expressed in fetus and in neonates, but scantily in adult tissues, except brain, adrenal medulla, and atretic ovary. This receptor has been shown to mediate programmed cell death and this apoptotic function may play an important role in developmental biology and pathophysiology. Mutations in this gene are been associated with X-linked cognitive disability. Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) and SARS-CoV-2 infection results in down-regulation of angiotensin converting enzyme-2 (ACE2) receptors, the effects of which, triggers serious inflammatory lesions in the tissues involved, primarily in the lungs. The inflammatory reaction appears to be mediated by angiotensin II derivatives, including the angiotensin AT2 receptor which has been found to be upregulated in bronchoalveolar lavage samples from Coronavirus disease 2019 (COVID19) patients. [provided by RefSeq, Jul 2020]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.639 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
BS2
High Hemizygotes in GnomAd4 at 9 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AGTR2NM_000686.5 linkuse as main transcriptc.402dup p.Ile135TyrfsTer7 frameshift_variant 3/3 ENST00000371906.5
AGTR2NM_001385624.1 linkuse as main transcriptc.402dup p.Ile135TyrfsTer7 frameshift_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AGTR2ENST00000371906.5 linkuse as main transcriptc.402dup p.Ile135TyrfsTer7 frameshift_variant 3/31 NM_000686.5 P1
AGTR2ENST00000681852.1 linkuse as main transcriptc.402dup p.Ile135TyrfsTer7 frameshift_variant 2/2 P1
AGTR2ENST00000680409.1 linkuse as main transcriptn.870dup non_coding_transcript_exon_variant 1/1

Frequencies

GnomAD3 genomes
AF:
0.000353
AC:
39
AN:
110551
Hom.:
0
Cov.:
23
AF XY:
0.000274
AC XY:
9
AN XY:
32889
show subpopulations
Gnomad AFR
AF:
0.0000989
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000774
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000530
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000350
AC:
64
AN:
182958
Hom.:
0
AF XY:
0.000370
AC XY:
25
AN XY:
67596
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.000219
Gnomad ASJ exome
AF:
0.000134
Gnomad EAS exome
AF:
0.0000722
Gnomad SAS exome
AF:
0.000262
Gnomad FIN exome
AF:
0.0000627
Gnomad NFE exome
AF:
0.000576
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.000450
AC:
494
AN:
1097560
Hom.:
0
Cov.:
31
AF XY:
0.000421
AC XY:
153
AN XY:
363022
show subpopulations
Gnomad4 AFR exome
AF:
0.000265
Gnomad4 AMR exome
AF:
0.000256
Gnomad4 ASJ exome
AF:
0.000103
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.000148
Gnomad4 FIN exome
AF:
0.0000740
Gnomad4 NFE exome
AF:
0.000534
Gnomad4 OTH exome
AF:
0.000326
GnomAD4 genome
AF:
0.000353
AC:
39
AN:
110551
Hom.:
0
Cov.:
23
AF XY:
0.000274
AC XY:
9
AN XY:
32889
show subpopulations
Gnomad4 AFR
AF:
0.0000989
Gnomad4 AMR
AF:
0.000774
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000530
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000442
EpiCase
AF:
0.000764
EpiControl
AF:
0.000474

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityMay 06, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs387906503; hg19: chrX-115303927; COSMIC: COSV64156118; API