chrX-153905541-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000054.7(AVPR2):​c.35G>A​(p.Gly12Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0238 in 1,190,008 control chromosomes in the GnomAD database, including 371 homozygotes. There are 9,504 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. G12G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.024 ( 38 hom., 858 hem., cov: 26)
Exomes 𝑓: 0.024 ( 333 hom. 8646 hem. )

Consequence

AVPR2
NM_000054.7 missense

Scores

16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 1.11
Variant links:
Genes affected
AVPR2 (HGNC:897): (arginine vasopressin receptor 2) This gene encodes the vasopressin receptor, type 2, also known as the V2 receptor, which belongs to the seven-transmembrane-domain G protein-coupled receptor (GPCR) superfamily, and couples to Gs thus stimulating adenylate cyclase. The subfamily that includes the V2 receptor, the V1a and V1b vasopressin receptors, the oxytocin receptor, and isotocin and mesotocin receptors in non-mammals, is well conserved, though several members signal via other G proteins. All bind similar cyclic nonapeptide hormones. The V2 receptor is expressed in the kidney tubule, predominantly in the distal convoluted tubule and collecting ducts, where its primary property is to respond to the pituitary hormone arginine vasopressin (AVP) by stimulating mechanisms that concentrate the urine and maintain water homeostasis in the organism. When the function of this gene is lost, the disease Nephrogenic Diabetes Insipidus (NDI) results. The V2 receptor is also expressed outside the kidney although its tissue localization is uncertain. When these 'extrarenal receptors' are stimulated by infusion of a V2 selective agonist (dDAVP), a variety of clotting factors are released into the bloodstream. The physiologic importance of this property is not known - its absence does not appear to be detrimental in NDI patients. The gene expression has also been described in fetal lung tissue and lung cancer associated with alternative splicing. [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=0.0018711984).
BP6
Variant X-153905541-G-A is Benign according to our data. Variant chrX-153905541-G-A is described in ClinVar as [Benign]. Clinvar id is 254773.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-153905541-G-A is described in Lovd as [Benign]. Variant chrX-153905541-G-A is described in Lovd as [Likely_benign].
BA1
GnomAdExome4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.0844 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AVPR2NM_000054.7 linkuse as main transcriptc.35G>A p.Gly12Glu missense_variant 3/4 ENST00000646375.2
AVPR2NM_001146151.3 linkuse as main transcriptc.35G>A p.Gly12Glu missense_variant 3/3
AVPR2NR_027419.2 linkuse as main transcriptn.465+371G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AVPR2ENST00000646375.2 linkuse as main transcriptc.35G>A p.Gly12Glu missense_variant 3/4 NM_000054.7 P1P30518-1

Frequencies

GnomAD3 genomes
AF:
0.0242
AC:
2726
AN:
112534
Hom.:
39
Cov.:
26
AF XY:
0.0247
AC XY:
856
AN XY:
34718
show subpopulations
Gnomad AFR
AF:
0.0225
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0504
Gnomad ASJ
AF:
0.0169
Gnomad EAS
AF:
0.0276
Gnomad SAS
AF:
0.0541
Gnomad FIN
AF:
0.0203
Gnomad MID
AF:
0.0380
Gnomad NFE
AF:
0.0191
Gnomad OTH
AF:
0.0276
GnomAD3 exomes
AF:
0.0381
AC:
5264
AN:
138128
Hom.:
129
AF XY:
0.0377
AC XY:
1626
AN XY:
43142
show subpopulations
Gnomad AFR exome
AF:
0.0215
Gnomad AMR exome
AF:
0.0965
Gnomad ASJ exome
AF:
0.0175
Gnomad EAS exome
AF:
0.0294
Gnomad SAS exome
AF:
0.0568
Gnomad FIN exome
AF:
0.0211
Gnomad NFE exome
AF:
0.0185
Gnomad OTH exome
AF:
0.0393
GnomAD4 exome
AF:
0.0238
AC:
25601
AN:
1077422
Hom.:
333
Cov.:
35
AF XY:
0.0246
AC XY:
8646
AN XY:
351270
show subpopulations
Gnomad4 AFR exome
AF:
0.0213
Gnomad4 AMR exome
AF:
0.0871
Gnomad4 ASJ exome
AF:
0.0173
Gnomad4 EAS exome
AF:
0.0443
Gnomad4 SAS exome
AF:
0.0583
Gnomad4 FIN exome
AF:
0.0200
Gnomad4 NFE exome
AF:
0.0187
Gnomad4 OTH exome
AF:
0.0230
GnomAD4 genome
AF:
0.0242
AC:
2723
AN:
112586
Hom.:
38
Cov.:
26
AF XY:
0.0247
AC XY:
858
AN XY:
34780
show subpopulations
Gnomad4 AFR
AF:
0.0225
Gnomad4 AMR
AF:
0.0501
Gnomad4 ASJ
AF:
0.0169
Gnomad4 EAS
AF:
0.0274
Gnomad4 SAS
AF:
0.0553
Gnomad4 FIN
AF:
0.0203
Gnomad4 NFE
AF:
0.0191
Gnomad4 OTH
AF:
0.0272
Alfa
AF:
0.0216
Hom.:
252
Bravo
AF:
0.0266
TwinsUK
AF:
0.0146
AC:
54
ALSPAC
AF:
0.0145
AC:
42
ESP6500AA
AF:
0.0226
AC:
81
ESP6500EA
AF:
0.0167
AC:
107
ExAC
AF:
0.0311
AC:
3667

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsAug 18, 2020- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxMay 04, 2021This variant is associated with the following publications: (PMID: 10526945, 27884173, 20403097, 9027323, 7987330, 22995991, 22644838) -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Diabetes insipidus, nephrogenic, X-linked Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
6.7
DANN
Benign
0.68
DEOGEN2
Benign
0.40
T;T;.;T;.
FATHMM_MKL
Benign
0.071
N
LIST_S2
Benign
0.71
.;.;T;T;T
MetaRNN
Benign
0.0019
T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
L;L;.;L;L
MutationTaster
Benign
1.0
P;P;P
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.45
.;N;N;N;N
REVEL
Benign
0.048
Sift
Benign
0.72
.;T;D;T;T
Sift4G
Benign
0.62
.;T;T;T;T
Polyphen
0.0040
B;B;.;B;B
Vest4
0.037, 0.039, 0.038
MPC
0.71
ClinPred
0.0029
T
GERP RS
0.23
Varity_R
0.057
gMVP
0.73

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs2071126; hg19: chrX-153170995; COSMIC: COSV61685746; COSMIC: COSV61685746; API