rs11552377

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_031443.4(CCM2):​c.358G>A​(p.Val120Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.162 in 1,613,656 control chromosomes in the GnomAD database, including 22,525 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V120N) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.13 ( 1653 hom., cov: 32)
Exomes 𝑓: 0.16 ( 20872 hom. )

Consequence

CCM2
NM_031443.4 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 1.90

Publications

41 publications found
Variant links:
Genes affected
CCM2 (HGNC:21708): (CCM2 scaffold protein) This gene encodes a scaffold protein that functions in the stress-activated p38 Mitogen-activated protein kinase (MAPK) signaling cascade. The protein interacts with SMAD specific E3 ubiquitin protein ligase 1 (also known as SMURF1) via a phosphotyrosine binding domain to promote RhoA degradation. The protein is required for normal cytoskeletal structure, cell-cell interactions, and lumen formation in endothelial cells. Mutations in this gene result in cerebral cavernous malformations. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Nov 2009]
CCM2 Gene-Disease associations (from GenCC):
  • cerebral cavernous malformation 2
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • famililal cerebral cavernous malformations
    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 -18 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 5 uncertain in NM_031443.4
BP4
Computational evidence support a benign effect (MetaRNN=0.0017606616).
BP6
Variant 7-45064532-G-A is Benign according to our data. Variant chr7-45064532-G-A is described in ClinVar as Benign. ClinVar VariationId is 261971.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.178 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CCM2NM_031443.4 linkc.358G>A p.Val120Ile missense_variant Exon 4 of 10 ENST00000258781.11 NP_113631.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CCM2ENST00000258781.11 linkc.358G>A p.Val120Ile missense_variant Exon 4 of 10 1 NM_031443.4 ENSP00000258781.7

Frequencies

GnomAD3 genomes
AF:
0.133
AC:
20177
AN:
152084
Hom.:
1655
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0366
Gnomad AMI
AF:
0.100
Gnomad AMR
AF:
0.173
Gnomad ASJ
AF:
0.224
Gnomad EAS
AF:
0.0905
Gnomad SAS
AF:
0.142
Gnomad FIN
AF:
0.121
Gnomad MID
AF:
0.222
Gnomad NFE
AF:
0.181
Gnomad OTH
AF:
0.174
GnomAD2 exomes
AF:
0.147
AC:
36914
AN:
250892
AF XY:
0.152
show subpopulations
Gnomad AFR exome
AF:
0.0343
Gnomad AMR exome
AF:
0.117
Gnomad ASJ exome
AF:
0.216
Gnomad EAS exome
AF:
0.0923
Gnomad FIN exome
AF:
0.126
Gnomad NFE exome
AF:
0.180
Gnomad OTH exome
AF:
0.169
GnomAD4 exome
AF:
0.165
AC:
240505
AN:
1461454
Hom.:
20872
Cov.:
34
AF XY:
0.165
AC XY:
120294
AN XY:
727012
show subpopulations
African (AFR)
AF:
0.0332
AC:
1112
AN:
33474
American (AMR)
AF:
0.121
AC:
5417
AN:
44702
Ashkenazi Jewish (ASJ)
AF:
0.218
AC:
5692
AN:
26130
East Asian (EAS)
AF:
0.0777
AC:
3084
AN:
39692
South Asian (SAS)
AF:
0.142
AC:
12214
AN:
86222
European-Finnish (FIN)
AF:
0.127
AC:
6768
AN:
53380
Middle Eastern (MID)
AF:
0.202
AC:
1145
AN:
5662
European-Non Finnish (NFE)
AF:
0.176
AC:
195156
AN:
1111832
Other (OTH)
AF:
0.164
AC:
9917
AN:
60360
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
12097
24195
36292
48390
60487
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
6654
13308
19962
26616
33270
<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:
0.133
AC:
20177
AN:
152202
Hom.:
1653
Cov.:
32
AF XY:
0.130
AC XY:
9673
AN XY:
74416
show subpopulations
African (AFR)
AF:
0.0365
AC:
1517
AN:
41528
American (AMR)
AF:
0.173
AC:
2641
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.224
AC:
778
AN:
3472
East Asian (EAS)
AF:
0.0903
AC:
467
AN:
5172
South Asian (SAS)
AF:
0.142
AC:
685
AN:
4820
European-Finnish (FIN)
AF:
0.121
AC:
1287
AN:
10598
Middle Eastern (MID)
AF:
0.221
AC:
65
AN:
294
European-Non Finnish (NFE)
AF:
0.181
AC:
12277
AN:
67996
Other (OTH)
AF:
0.175
AC:
369
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
872
1744
2616
3488
4360
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
230
460
690
920
1150
<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:
0.166
Hom.:
7105
Bravo
AF:
0.128
TwinsUK
AF:
0.179
AC:
664
ALSPAC
AF:
0.176
AC:
678
ESP6500AA
AF:
0.0399
AC:
176
ESP6500EA
AF:
0.184
AC:
1582
ExAC
AF:
0.145
AC:
17648
Asia WGS
AF:
0.137
AC:
476
AN:
3478
EpiCase
AF:
0.193
EpiControl
AF:
0.192

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Cerebral cavernous malformation 2 Benign:4
Sep 21, 2015
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 28, 2017
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 14, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Sep 26, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 28000143, 20419355, 23485406) -

not specified Benign:1
-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

CCM2-related disorder Benign:1
Jul 02, 2024
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
18
DANN
Benign
0.95
DEOGEN2
Benign
0.035
T;.;.;T;.;T
Eigen
Benign
-0.23
Eigen_PC
Benign
-0.073
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.80
T;T;T;T;T;T
MetaRNN
Benign
0.0018
T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.3
L;L;.;.;.;.
PhyloP100
1.9
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.26
N;N;N;N;N;N
REVEL
Benign
0.036
Sift
Benign
0.86
T;T;T;T;T;T
Sift4G
Benign
0.22
T;T;T;T;T;T
Polyphen
0.015
B;.;.;.;.;.
Vest4
0.044
MPC
0.25
ClinPred
0.011
T
GERP RS
3.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.026
gMVP
0.12
Mutation Taster
=99/1
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: rs11552377; hg19: chr7-45104131; COSMIC: COSV51848386; COSMIC: COSV51848386; API