chrX-120441732-G-A

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4_ModerateBP6_Very_StrongBS2

The NM_002294.3(LAMP2):​c.1091C>T​(p.Thr364Ile) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00004 in 1,199,380 control chromosomes in the GnomAD database, including 1 homozygotes. There are 23 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.000063 ( 1 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000038 ( 0 hom. 22 hem. )

Consequence

LAMP2
NM_002294.3 missense, splice_region

Scores

1
5
9
Splicing: ADA: 0.9974
1
1

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 6.16

Publications

5 publications found
Variant links:
Genes affected
LAMP2 (HGNC:6501): (lysosomal associated membrane protein 2) The protein encoded by this gene is a member of a family of membrane glycoproteins. This glycoprotein provides selectins with carbohydrate ligands. It may play a role in tumor cell metastasis. It may also function in the protection, maintenance, and adhesion of the lysosome. Alternative splicing of this gene results in multiple transcript variants encoding distinct proteins. [provided by RefSeq, Jul 2008]
LAMP2 Gene-Disease associations (from GenCC):
  • Danon disease
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, G2P, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06992659).
BP6
Variant X-120441732-G-A is Benign according to our data. Variant chrX-120441732-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 263405.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Hemizygotes in GnomAdExome4 at 22 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LAMP2NM_002294.3 linkc.1091C>T p.Thr364Ile missense_variant, splice_region_variant Exon 8 of 9 ENST00000200639.9 NP_002285.1
LAMP2NM_001122606.1 linkc.1091C>T p.Thr364Ile missense_variant, splice_region_variant Exon 8 of 9 NP_001116078.1
LAMP2NM_013995.2 linkc.1091C>T p.Thr364Ile missense_variant, splice_region_variant Exon 8 of 9 NP_054701.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LAMP2ENST00000200639.9 linkc.1091C>T p.Thr364Ile missense_variant, splice_region_variant Exon 8 of 9 1 NM_002294.3 ENSP00000200639.4

Frequencies

GnomAD3 genomes
AF:
0.0000626
AC:
7
AN:
111885
Hom.:
1
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000379
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:
0.0000564
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000382
AC:
7
AN:
183162
AF XY:
0.0000148
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000219
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000377
AC:
41
AN:
1087443
Hom.:
0
Cov.:
27
AF XY:
0.0000622
AC XY:
22
AN XY:
353523
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26203
American (AMR)
AF:
0.000569
AC:
20
AN:
35176
Ashkenazi Jewish (ASJ)
AF:
0.0000518
AC:
1
AN:
19306
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30162
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53893
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40509
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4115
European-Non Finnish (NFE)
AF:
0.0000204
AC:
17
AN:
832320
Other (OTH)
AF:
0.0000656
AC:
3
AN:
45759
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.443
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000625
AC:
7
AN:
111937
Hom.:
1
Cov.:
23
AF XY:
0.0000293
AC XY:
1
AN XY:
34147
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30802
American (AMR)
AF:
0.000379
AC:
4
AN:
10567
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2641
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3576
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2717
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5995
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.0000564
AC:
3
AN:
53203
Other (OTH)
AF:
0.00
AC:
0
AN:
1533
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000113
ExAC
AF:
0.0000412
AC:
5
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Danon disease Benign:1
Jan 15, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Cardiovascular phenotype Benign:1
Oct 25, 2024
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity.

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
CardioboostCm
Uncertain
0.12
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.39
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0
.;T;.
LIST_S2
Benign
0.81
T;T;T
M_CAP
Pathogenic
0.42
D
MetaRNN
Benign
0.069
T;T;T
MetaSVM
Benign
-0.83
T
MutationAssessor
Uncertain
2.5
M;M;M
PhyloP100
6.2
PrimateAI
Uncertain
0.60
T
PROVEAN
Uncertain
-4.2
D;D;D
Sift
Benign
0.065
T;T;T
Sift4G
Benign
0.078
T;T;T
Vest4
0.27
ClinPred
0.67
D
GERP RS
5.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.70
gMVP
0.72
Mutation Taster
=92/8
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Benign
0.70
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs183781327; hg19: chrX-119575587; API