rs104894767

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_ModerateBP6BS1BS2

The NM_005448.2(BMP15):​c.538G>A​(p.Ala180Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0129 in 1,209,873 control chromosomes in the GnomAD database, including 87 homozygotes. There are 4,906 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0089 ( 5 hom., 266 hem., cov: 22)
Exomes 𝑓: 0.013 ( 82 hom. 4640 hem. )

Consequence

BMP15
NM_005448.2 missense

Scores

1
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1B:1

Conservation

PhyloP100: 0.0250

Publications

29 publications found
Variant links:
Genes affected
BMP15 (HGNC:1068): (bone morphogenetic protein 15) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate subunits of a disulfide-linked homodimer, or alternatively, a heterodimer, with the related protein, growth differentiation factor 9 (GDF9). This protein plays a role in oocyte maturation and follicular development, through activation of granulosa cells. Defects in this gene are the cause of ovarian dysgenesis and are associated with premature ovarian failure. [provided by RefSeq, Aug 2016]
BMP15 Gene-Disease associations (from GenCC):
  • ovarian dysgenesis 2
    Inheritance: XL, AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • 46 XX gonadal dysgenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.24070045).
BP6
Variant X-50915966-G-A is Benign according to our data. Variant chrX-50915966-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 11472.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00893 (997/111691) while in subpopulation NFE AF = 0.015 (798/53148). AF 95% confidence interval is 0.0142. There are 5 homozygotes in GnomAd4. There are 266 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High AC in GnomAd4 at 997 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BMP15NM_005448.2 linkc.538G>A p.Ala180Thr missense_variant Exon 2 of 2 ENST00000252677.4 NP_005439.2 O95972

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BMP15ENST00000252677.4 linkc.538G>A p.Ala180Thr missense_variant Exon 2 of 2 1 NM_005448.2 ENSP00000252677.3 O95972

Frequencies

GnomAD3 genomes
AF:
0.00893
AC:
997
AN:
111636
Hom.:
5
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00173
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00248
Gnomad ASJ
AF:
0.00604
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00376
Gnomad FIN
AF:
0.0144
Gnomad MID
AF:
0.00424
Gnomad NFE
AF:
0.0150
Gnomad OTH
AF:
0.00397
GnomAD2 exomes
AF:
0.0100
AC:
1834
AN:
183194
AF XY:
0.00989
show subpopulations
Gnomad AFR exome
AF:
0.00190
Gnomad AMR exome
AF:
0.00252
Gnomad ASJ exome
AF:
0.00521
Gnomad EAS exome
AF:
0.000144
Gnomad FIN exome
AF:
0.0184
Gnomad NFE exome
AF:
0.0159
Gnomad OTH exome
AF:
0.00751
GnomAD4 exome
AF:
0.0133
AC:
14600
AN:
1098182
Hom.:
82
Cov.:
32
AF XY:
0.0128
AC XY:
4640
AN XY:
363546
show subpopulations
African (AFR)
AF:
0.00186
AC:
49
AN:
26401
American (AMR)
AF:
0.00261
AC:
92
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.00547
AC:
106
AN:
19386
East Asian (EAS)
AF:
0.0000662
AC:
2
AN:
30206
South Asian (SAS)
AF:
0.00436
AC:
236
AN:
54137
European-Finnish (FIN)
AF:
0.0191
AC:
776
AN:
40533
Middle Eastern (MID)
AF:
0.00266
AC:
11
AN:
4137
European-Non Finnish (NFE)
AF:
0.0152
AC:
12778
AN:
842079
Other (OTH)
AF:
0.0119
AC:
550
AN:
46096
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
619
1237
1856
2474
3093
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
446
892
1338
1784
2230
<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:
0.00893
AC:
997
AN:
111691
Hom.:
5
Cov.:
22
AF XY:
0.00785
AC XY:
266
AN XY:
33889
show subpopulations
African (AFR)
AF:
0.00172
AC:
53
AN:
30727
American (AMR)
AF:
0.00248
AC:
26
AN:
10504
Ashkenazi Jewish (ASJ)
AF:
0.00604
AC:
16
AN:
2647
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3540
South Asian (SAS)
AF:
0.00377
AC:
10
AN:
2653
European-Finnish (FIN)
AF:
0.0144
AC:
87
AN:
6043
Middle Eastern (MID)
AF:
0.00465
AC:
1
AN:
215
European-Non Finnish (NFE)
AF:
0.0150
AC:
798
AN:
53148
Other (OTH)
AF:
0.00392
AC:
6
AN:
1530
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
39
78
118
157
196
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00873
Hom.:
111
Bravo
AF:
0.00792
TwinsUK
AF:
0.0138
AC:
51
ALSPAC
AF:
0.0187
AC:
54
ESP6500AA
AF:
0.00313
AC:
12
ESP6500EA
AF:
0.0141
AC:
95
ExAC
AF:
0.0103
AC:
1257
EpiCase
AF:
0.0155
EpiControl
AF:
0.0118

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Ovarian dysgenesis 2 Uncertain:1Benign:1
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

May 28, 2019
Mendelics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Premature ovarian failure 4 Pathogenic:1
May 01, 2006
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
0.10
DANN
Benign
0.74
DEOGEN2
Benign
0.21
T
FATHMM_MKL
Benign
0.018
N
LIST_S2
Benign
0.62
T
MetaRNN
Benign
0.24
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
1.5
L
PhyloP100
0.025
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-0.010
N
REVEL
Uncertain
0.44
Sift
Benign
0.27
T
Sift4G
Benign
0.40
T
Polyphen
0.12
B
Vest4
0.019
MPC
0.022
ClinPred
0.00079
T
GERP RS
-2.5
Varity_R
0.039
gMVP
0.37
Mutation Taster
=98/2
polymorphism (auto)

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

Other links and lift over

dbSNP: rs104894767; hg19: chrX-50658966; COSMIC: COSV53141311; API