rs115221221

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_018263.6(ASXL2):​c.4111C>A​(p.Gln1371Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00364 in 1,613,978 control chromosomes in the GnomAD database, including 35 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0038 ( 6 hom., cov: 32)
Exomes 𝑓: 0.0036 ( 29 hom. )

Consequence

ASXL2
NM_018263.6 missense

Scores

1
6
11

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 9.27
Variant links:
Genes affected
ASXL2 (HGNC:23805): (ASXL transcriptional regulator 2) This gene encodes a member of a family of epigenetic regulators that bind various histone-modifying enzymes and are involved in the assembly of transcription factors at specific genomic loci. Naturally occurring mutations in this gene are associated with cancer in several tissue types (breast, bladder, pancreas, ovary, prostate, and blood). This gene plays an important role in neurodevelopment, cardiac function, adipogenesis, and osteoclastogenesis. [provided by RefSeq, Feb 2017]

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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=0.00520885).
BP6
Variant 2-25742226-G-T is Benign according to our data. Variant chr2-25742226-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 377157.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-25742226-G-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0038 (578/152278) while in subpopulation NFE AF= 0.00356 (242/68030). AF 95% confidence interval is 0.00319. There are 6 homozygotes in gnomad4. There are 365 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 578 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ASXL2NM_018263.6 linkuse as main transcriptc.4111C>A p.Gln1371Lys missense_variant 13/13 ENST00000435504.9 NP_060733.4
ASXL2NM_001369346.1 linkuse as main transcriptc.3937C>A p.Gln1313Lys missense_variant 11/11 NP_001356275.1
ASXL2NM_001369347.1 linkuse as main transcriptc.3331C>A p.Gln1111Lys missense_variant 10/10 NP_001356276.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ASXL2ENST00000435504.9 linkuse as main transcriptc.4111C>A p.Gln1371Lys missense_variant 13/135 NM_018263.6 ENSP00000391447 P4Q76L83-1
ASXL2ENST00000336112.9 linkuse as main transcriptc.4108C>A p.Gln1370Lys missense_variant 12/121 ENSP00000337250 A2
ASXL2ENST00000404843.5 linkuse as main transcriptc.2560C>A p.Gln854Lys missense_variant 10/101 ENSP00000383920 A2Q76L83-2

Frequencies

GnomAD3 genomes
AF:
0.00380
AC:
578
AN:
152160
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000507
Gnomad AMI
AF:
0.00548
Gnomad AMR
AF:
0.000721
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.0274
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00356
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.00495
AC:
1235
AN:
249256
Hom.:
11
AF XY:
0.00482
AC XY:
652
AN XY:
135212
show subpopulations
Gnomad AFR exome
AF:
0.000387
Gnomad AMR exome
AF:
0.000290
Gnomad ASJ exome
AF:
0.000696
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00127
Gnomad FIN exome
AF:
0.0259
Gnomad NFE exome
AF:
0.00516
Gnomad OTH exome
AF:
0.00529
GnomAD4 exome
AF:
0.00362
AC:
5292
AN:
1461700
Hom.:
29
Cov.:
32
AF XY:
0.00355
AC XY:
2583
AN XY:
727134
show subpopulations
Gnomad4 AFR exome
AF:
0.000508
Gnomad4 AMR exome
AF:
0.000358
Gnomad4 ASJ exome
AF:
0.000497
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00123
Gnomad4 FIN exome
AF:
0.0239
Gnomad4 NFE exome
AF:
0.00329
Gnomad4 OTH exome
AF:
0.00331
GnomAD4 genome
AF:
0.00380
AC:
578
AN:
152278
Hom.:
6
Cov.:
32
AF XY:
0.00490
AC XY:
365
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.000505
Gnomad4 AMR
AF:
0.000720
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.0274
Gnomad4 NFE
AF:
0.00356
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00330
Hom.:
1
Bravo
AF:
0.00182
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.000485
AC:
2
ESP6500EA
AF:
0.00369
AC:
31
ExAC
AF:
0.00526
AC:
637
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00278
EpiControl
AF:
0.00338

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsJan 09, 2017- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2024ASXL2: BS2 -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Shashi-Pena syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 22, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.30
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.19
T;T;.
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.91
D;D;D
MetaRNN
Benign
0.0052
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.6
L;.;.
MutationTaster
Benign
1.0
D;D;N;N
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-0.31
N;N;N
REVEL
Benign
0.15
Sift
Uncertain
0.013
D;D;T
Sift4G
Benign
1.0
T;T;T
Polyphen
0.80
P;.;D
Vest4
0.32
MVP
0.15
MPC
0.62
ClinPred
0.042
T
GERP RS
6.0
Varity_R
0.16
gMVP
0.61

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: rs115221221; hg19: chr2-25965095; COSMIC: COSV55453434; API