rs121909089
Variant summary
Our verdict is Pathogenic. The variant received 13 ACMG points: 13P and 0B. PM2_SupportingPS4PP1_StrongPP2PP3PM6
This summary comes from the ClinGen Evidence Repository: The c.1106 G>A (NM_001005361.3(DNM2):c.1106G>A (p.Arg369Gln)) variant in DNM2 is a missense variant predicted to cause substitution of Arg by Gln at amino acid 369. The variant was found in at least 16 individuals from 2 families, all with centronuclear myopathy (PS4; PMIDs: 16227997, 26908122). The mutation segregated in 14 affected family members from 2 families (PP1_strong; PMIDs: 16227997, 26908122). This variant has been identified as a de novo occurrence with an unconfirmed parental relationship in 1 individual with centronuclear myopathy (PM6; PMID:16227997). This variant is absent from gnomAD v4.1.0 (PM2_Supporting). The computational predictor REVEL gives a score of 0.7, (rounded from 0.698), which meets the threshold of 0.7, evidence that correlates with impact to DNM2 function (PP3). DNM2, in which the variant was identified, is defined by the ClinGen Congenital Myopathies VCEP as a gene that has a low rate of benign missense variation and where pathogenic missense variants are a common mechanism of disease (PP2). In summary, this variant meets the criteria to be classified as likely pathogenic for autosomal dominant centronuclear myopathy based on the ACMG/AMP criteria applied, as specified by the ClinGen Congenital Myopathies VCEP: (PS4, PP1_strong, PM6, PM2_supporting, PP3, PP2; Version 1, 8/7/2024). LINK:https://erepo.genome.network/evrepo/ui/classification/CA118655/MONDO:0018947/148
Frequency
Consequence
NM_001005361.3 missense
Scores
Clinical Significance
Conservation
Publications
- autosomal dominant centronuclear myopathyInheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: ClinGen, Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
- Charcot-Marie-Tooth diseaseInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- Charcot-Marie-Tooth disease dominant intermediate BInheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
- autosomal dominant Charcot-Marie-Tooth disease type 2MInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- fetal akinesia-cerebral and retinal hemorrhage syndromeInheritance: AR Classification: SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
- hereditary spastic paraplegiaInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
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ACMG classification
Our verdict: Pathogenic. The variant received 13 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| DNM2 | NM_001005361.3 | c.1106G>A | p.Arg369Gln | missense_variant | Exon 8 of 21 | ENST00000389253.9 | NP_001005361.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| DNM2 | ENST00000389253.9 | c.1106G>A | p.Arg369Gln | missense_variant | Exon 8 of 21 | 5 | NM_001005361.3 | ENSP00000373905.4 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD4 exome Cov.: 32
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Charcot-Marie-Tooth disease dominant intermediate B Pathogenic:2Uncertain:1
This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 369 of the DNM2 protein (p.Arg369Gln). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individuals with centronuclear myopathy and centronuclear myopathy with and without myotonia (PMID: 16227997, 19130742, 24366529, 25501959, 26908122). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 7279). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed for this missense variant. However, the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on DNM2 protein function. This variant disrupts the p.Arg369 amino acid residue in DNM2. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 16227997, 20529869, 20817456, 22613877, 24016602, 25492887, 28676641). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -
The c.1106G>A;p.(Arg369Gln) missense change has been observed in affected individual(s) and ClinVar contains an entry for this variant (Clinvar ID: 7279; PMID: 28676641; 24366529; 25501959; 25492887; 24016602) - PS4. The variant is located in a mutational hot spot and/or critical and well-established functional domain (Dynamin_M) - PM1. This variant is not present in population databases:rs121909089, gnomAD; ABraOM no frequency - http://abraom.ib.usp.br/) - PM2. Pathogenic missense variant in this residue have been reported and classified as Pathogenic by ACMG criteria (Clinvar ID: 245905; 7280) - PM5. The variant co-segregated with disease in multiple affected family members (PMID: 25501959) - PP1. Multiple lines of computational evidence support a deleterious effect on the gene or gene product - PP3. In summary, the currently available evidence indicates that the variant is Pathogenic -
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Autosomal dominant centronuclear myopathy Pathogenic:2
The missense variant p.R369Q in DNM2 (NM_001005360.3) has been reported in individuals affected with centronuclear myopathy with and without myotonia (Bitoun M et al, 2005; Chen T et al, 2015; Lin P et al, 2016; Jeub M et al, 2012; Dabby R et al, 2014). The p.R369Q variant is novel (not in any individuals) in gnomAD Exomes and is novel (not in any individuals) in 1000 Genomes. The p.R369Q missense variant is predicted to be damaging by both SIFT and PolyPhen2. The arginine residue at codon 369 of DNM2 is conserved in all mammalian species. The nucleotide c.1106 in DNM2 is predicted conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Pathogenic. -
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not provided Pathogenic:2
Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: Fujise2021[article], 28971531, 22613877, 22396310, 28676641, 25492887, 26908122, 30925452, 20529869, 24366529, 16227997, 25501959, 19130742, 30149909, 31321302, 32403337, 28000226, 24465259, 32298515, 26215883, 20817456, 20227276, 21221624, 20858595, 24016602, 34426522, 34595679, 27535533) -
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Centronuclear myopathy Pathogenic:2
The c.1106 G>A (NM_001005361.3(DNM2):c.1106G>A (p.Arg369Gln)) variant in DNM2 is a missense variant predicted to cause substitution of Arg by Gln at amino acid 369. The variant was found in at least 16 individuals from 2 families, all with centronuclear myopathy (PS4; PMIDs: 16227997, 26908122). The mutation segregated in 14 affected family members from 2 families (PP1_strong; PMIDs: 16227997, 26908122). This variant has been identified as a de novo occurrence with an unconfirmed parental relationship in 1 individual with centronuclear myopathy (PM6; PMID: 16227997). This variant is absent from gnomAD v4.1.0 (PM2_Supporting). The computational predictor REVEL gives a score of 0.7, (rounded from 0.698), which meets the threshold of 0.7, evidence that correlates with impact to DNM2 function (PP3). DNM2, in which the variant was identified, is defined by the ClinGen Congenital Myopathies VCEP as a gene that has a low rate of benign missense variation and where pathogenic missense variants are a common mechanism of disease (PP2). In summary, this variant meets the criteria to be classified as likely pathogenic for autosomal dominant centronuclear myopathy based on the ACMG/AMP criteria applied, as specified by the ClinGen Congenital Myopathies VCEP: (PS4, PP1_strong, PM6, PM2_supporting, PP3, PP2; Version 1, 8/7/2024). -
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at