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rs118101777

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP3BP4_StrongBP6_Very_StrongBS1BS2

The NM_002168.4(IDH2):​c.782G>A​(p.Arg261His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00197 in 1,614,202 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0016 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0020 ( 4 hom. )

Consequence

IDH2
NM_002168.4 missense

Scores

11
5
3

Clinical Significance

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

Conservation

PhyloP100: 7.84
Variant links:
Genes affected
IDH2 (HGNC:5383): (isocitrate dehydrogenase (NADP(+)) 2) Isocitrate dehydrogenases catalyze the oxidative decarboxylation of isocitrate to 2-oxoglutarate. These enzymes belong to two distinct subclasses, one of which utilizes NAD(+) as the electron acceptor and the other NADP(+). Five isocitrate dehydrogenases have been reported: three NAD(+)-dependent isocitrate dehydrogenases, which localize to the mitochondrial matrix, and two NADP(+)-dependent isocitrate dehydrogenases, one of which is mitochondrial and the other predominantly cytosolic. Each NADP(+)-dependent isozyme is a homodimer. The protein encoded by this gene is the NADP(+)-dependent isocitrate dehydrogenase found in the mitochondria. It plays a role in intermediary metabolism and energy production. This protein may tightly associate or interact with the pyruvate dehydrogenase complex. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP3
Multiple lines of computational evidence support a deleterious effect 10: BayesDel_noAF, Cadd, Dann, Eigen, M_CAP, MutationAssessor, phyloP100way_vertebrate, PrimateAI, PROVEAN, REVEL [when AlphaMissense, max_spliceai, FATHMM_MKL, MetaRNN, MutationTaster was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.059553802).
BP6
Variant 15-90087472-C-T is Benign according to our data. Variant chr15-90087472-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 211177.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00158 (241/152348) while in subpopulation NFE AF= 0.00231 (157/68030). AF 95% confidence interval is 0.00201. There are 2 homozygotes in gnomad4. There are 123 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 241 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IDH2NM_002168.4 linkuse as main transcriptc.782G>A p.Arg261His missense_variant 6/11 ENST00000330062.8
IDH2NM_001289910.1 linkuse as main transcriptc.626G>A p.Arg209His missense_variant 6/11
IDH2NM_001290114.2 linkuse as main transcriptc.392G>A p.Arg131His missense_variant 4/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IDH2ENST00000330062.8 linkuse as main transcriptc.782G>A p.Arg261His missense_variant 6/111 NM_002168.4 P1P48735-1
IDH2ENST00000540499.2 linkuse as main transcriptc.626G>A p.Arg209His missense_variant 6/112 P48735-2
IDH2ENST00000559482.5 linkuse as main transcriptc.455G>A p.Arg152His missense_variant 4/85
IDH2ENST00000560061.1 linkuse as main transcriptc.*407G>A 3_prime_UTR_variant, NMD_transcript_variant 4/92

Frequencies

GnomAD3 genomes
AF:
0.00158
AC:
241
AN:
152230
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00640
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00231
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.00198
AC:
499
AN:
251486
Hom.:
5
AF XY:
0.00210
AC XY:
286
AN XY:
135918
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.000318
Gnomad ASJ exome
AF:
0.000397
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00670
Gnomad NFE exome
AF:
0.00280
Gnomad OTH exome
AF:
0.00261
GnomAD4 exome
AF:
0.00202
AC:
2946
AN:
1461854
Hom.:
4
Cov.:
33
AF XY:
0.00201
AC XY:
1461
AN XY:
727224
show subpopulations
Gnomad4 AFR exome
AF:
0.000209
Gnomad4 AMR exome
AF:
0.000335
Gnomad4 ASJ exome
AF:
0.000459
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00635
Gnomad4 NFE exome
AF:
0.00224
Gnomad4 OTH exome
AF:
0.00124
GnomAD4 genome
AF:
0.00158
AC:
241
AN:
152348
Hom.:
2
Cov.:
32
AF XY:
0.00165
AC XY:
123
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.000240
Gnomad4 AMR
AF:
0.000261
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00640
Gnomad4 NFE
AF:
0.00231
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00212
Hom.:
1
Bravo
AF:
0.00130
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.000455
AC:
2
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.00199
AC:
242
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00224
EpiControl
AF:
0.00184

ClinVar

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

Submissions by phenotype

D-2-hydroxyglutaric aciduria 2 Benign:2
Benign, criteria provided, single submitterclinical testingInvitaeJan 06, 2024- -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJan 28, 2022- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoOct 17, 2014- -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2024IDH2: PP3, BS2 -
IDH2-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesFeb 04, 2020This variant is classified as likely 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
0.32
BayesDel_addAF
Uncertain
0.044
T
BayesDel_noAF
Pathogenic
0.29
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.86
D;D;.
Eigen
Pathogenic
0.92
Eigen_PC
Pathogenic
0.80
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.96
D;D;D
M_CAP
Pathogenic
0.48
D
MetaRNN
Benign
0.060
T;T;T
MetaSVM
Uncertain
0.66
D
MutationAssessor
Pathogenic
3.5
H;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Pathogenic
0.82
D
PROVEAN
Pathogenic
-4.7
D;D;D
REVEL
Pathogenic
0.81
Sift
Pathogenic
0.0
D;D;D
Sift4G
Uncertain
0.0020
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.92
MVP
0.94
MPC
1.6
ClinPred
0.11
T
GERP RS
5.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.77
gMVP
0.92

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: rs118101777; hg19: chr15-90630704; API