rs121918166

Variant summary

Our verdict is . The variant received 11 ACMG points: 11P and 0B. PS3PM5PP3PP5_Strong

The NM_000275.3(OCA2):c.1327G>A (p.Val443Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a cumulative frequency of 0.00591 (AC=9,545) in the gnomAD database across 1,613,948 control chromosomes, including 39 homozygotes. The grpmax filtering allele frequency (95% CI) is 0.00749. In-silico predictor (REVEL) classifies this variant as likely damaging/oncogenic. Splicing prediction tools (SpliceAI) predict no significant impact on normal splicing. Variant has been reported in ClinVar as Pathogenic/Likely Pathogenic (★★). ClinVar reports functional evidence for this variant: "SCV000390147: Functional studies demonstrated that the p.Val443Ile variant protein localized similarly to wild type but showed reduced activity of 85% and reduced pH regulation compared to wild-type (Bellono et al. 2014)." and additional evidence is available in ClinVar. A different missense at the same amino acid position has been reported as Pathogenic/Likely Pathogenic in ClinVar: p.V443A: Conflicting_classifications_of_pathogenicity (ClinVar VariationId 1516182) This exact variant is curated in the UniProt human variants database as Uncertain Significance; it is also listed as a COSMIC curated somatic variant.

Frequency

Genomes: 𝑓 0.0034 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0062 ( 36 hom. )

Consequence

OCA2
NM_000275.3 missense

Scores

10
6
3

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:47U:1

Conservation

PhyloP100: 7.14

Publications

62 publications found
Variant links:
Genes affected
OCA2 (HGNC:8101): (OCA2 melanosomal transmembrane protein) This gene encodes the human homolog of the mouse p (pink-eyed dilution) gene. The encoded protein is believed to be an integral membrane protein involved in small molecule transport, specifically tyrosine, which is a precursor to melanin synthesis. It is involved in mammalian pigmentation, where it may control skin color variation and act as a determinant of brown or blue eye color. Mutations in this gene result in type 2 oculocutaneous albinism. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2014]
OCA2 Gene-Disease associations (from GenCC):
  • oculocutaneous albinism type 2
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics, PanelApp Australia, Orphanet
  • oculocutaneous albinism
    Inheritance: AD Classification: LIMITED Submitted by: PanelApp Australia

Genome browser will be placed here

new If you want to explore the variant's impact on the transcript NM_000275.3, check out the Mutation Effect Viewer. This is especially useful for frameshift variants or if you want to visualize the effect of exon loss / intron retention.

Classification according to ACMG Germline Pathogenicity v2019

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PS3
Well-established functional study supports damaging effect (PS3); SCV000390147: Functional studies demonstrated that the p.Val443Ile variant protein localized similarly to wild type but showed reduced activity of 85% and reduced pH regulation compared to wild-type (Bellono et al. 2014).; SCV000966900: "In vitro studies demonstrated that the p.Val443Ile variant results in a partial loss of protein function (Sviderskaya 1997, Bellono 2014)."; SCV001142446: Functional studies demonstrate that the V443I variant disrupts ion conductance, which is required for melanin production (PMID: 27231233).; SCV002572351: The most pronounced variant effect results in near abolishment of normal ion channel activity as measured by OCA2-mediated chloride current measurements in-vitro. Bellono_2014; SCV004177044: Functional studies show the variant reduced protein function and altered protein localization (Bellono NW et al., PMID: 25513726; Sviderskaya EV et al., PMID: 8980282).; SCV005397365: Studies examining the functiol consequence of this variant demonstrate impaired protein function leading to reduced/absent melanin production (PMID: 8980282, 25513726).; SCV005416988: Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product.; SCV000329644: Published functional studies demonstrate that this variant disrupts ion conductance, which is required for melanin production (Bellono et al., 2014); SCV001553011: A functional study expressing the OCA2 mutant cDNA containing p.Val443Ile in mouse melanocytes showed decreased melanin production compared to wildtype (Sviderskaya_1997_PMID: 8980282). Another functional study also demonstrated that the p.Val443Ile variant protein localized similarly to wild-type but showed reduced activity of 85% and reduced pH regulation compared to wild-type (Bellano_2014_PMID: 25513726).; SCV001586228: Experimental studies have shown that this missense change affects OCA2 function (PMID: 8980282, 25513726).; SCV000742020: Functional analysis demonstrated that transfection of the p.V433I mutant protein into immortalized melanocytes that are null for OCA2 was unable to correct for deficient melanin biosynthesis and hypopigmentation compared to cells transfected with wild-type protein (Sviderskaya, 1997). Additionally, Bellono (2014) showed that OCA2 mediates chloride-selective anion conductance and although mutant V443I localization remains intact, it had significantly reduced amplitudes compared to wild-type OCA2.
PM5
Different pathogenic missense at same AA residue in ClinVar (PM5); ClinVar contains a germline Pathogenic/Likely Pathogenic entry at the same amino acid position with a different amino acid change: p.V443A: Conflicting_classifications_of_pathogenicity (ClinVar VariationId 1516182)
PP3
Germline meta computational scorer (REVEL/MetaRNN/BayesDel) predicts damaging effect — supporting evidence (PP3); Splicing verdict: not pathogenic.; Germline computational verdict: pathogenic (Supporting).
PP5
ClinVar 2-star pathogenic — strong (PP5); ClinVar germline classification: Pathogenic/Likely Pathogenic, 2 star(s).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000275.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
OCA2
NM_000275.3
MANE Select
c.1327G>Ap.Val443Ile
missense
Exon 13 of 24NP_000266.2Q04671-1
OCA2
NM_001300984.2
c.1255G>Ap.Val419Ile
missense
Exon 12 of 23NP_001287913.1Q04671-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
OCA2
ENST00000354638.8
TSL:1 MANE Select
c.1327G>Ap.Val443Ile
missense
Exon 13 of 24ENSP00000346659.3Q04671-1
OCA2
ENST00000353809.9
TSL:1
c.1255G>Ap.Val419Ile
missense
Exon 12 of 23ENSP00000261276.8Q04671-2
OCA2
ENST00000910120.1
c.1327G>Ap.Val443Ile
missense
Exon 13 of 26ENSP00000580179.1

Frequencies

GnomAD3 genomes
AF:
0.00337
AC:
513
AN:
152144
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00133
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000720
Gnomad ASJ
AF:
0.00374
Gnomad EAS
AF:
0.000579
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00151
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00607
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.00305
AC:
762
AN:
250050
AF XY:
0.00296
show subpopulations
Gnomad AFR exome
AF:
0.00167
Gnomad AMR exome
AF:
0.00203
Gnomad ASJ exome
AF:
0.00369
Gnomad EAS exome
AF:
0.000381
Gnomad FIN exome
AF:
0.000789
Gnomad NFE exome
AF:
0.00513
Gnomad OTH exome
AF:
0.00360
GnomAD4 exome
AF:
0.00618
AC:
9032
AN:
1461686
Hom.:
36
Cov.:
34
AF XY:
0.00592
AC XY:
4307
AN XY:
727128
show subpopulations
African (AFR)
AF:
0.00143
AC:
48
AN:
33472
American (AMR)
AF:
0.00208
AC:
93
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.00375
AC:
98
AN:
26130
East Asian (EAS)
AF:
0.000277
AC:
11
AN:
39698
South Asian (SAS)
AF:
0.000128
AC:
11
AN:
86248
European-Finnish (FIN)
AF:
0.000712
AC:
38
AN:
53346
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00762
AC:
8477
AN:
1111924
Other (OTH)
AF:
0.00424
AC:
256
AN:
60382
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
481
963
1444
1926
2407
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
350
700
1050
1400
1750
<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:
0.00337
AC:
513
AN:
152262
Hom.:
3
Cov.:
32
AF XY:
0.00308
AC XY:
229
AN XY:
74440
show subpopulations
African (AFR)
AF:
0.00132
AC:
55
AN:
41568
American (AMR)
AF:
0.000719
AC:
11
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00374
AC:
13
AN:
3472
East Asian (EAS)
AF:
0.000581
AC:
3
AN:
5166
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4824
European-Finnish (FIN)
AF:
0.00151
AC:
16
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00607
AC:
413
AN:
68012
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
28
55
83
110
138
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:
0.00516
Hom.:
16
Bravo
AF:
0.00351
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

Local populations

Turkish Variome
AF:
0.000647
AC:
1
AN:
1546
Hom.:
0
WBBC (Westlake BioBank for Chinese) pilot
AF:
0.000781
AC:
7
AN:
8960
Hom.:
0
ABraOM SABE-WGS-1171
AF:
0.00342
AC:
8
AN:
2342
Hom.:
0

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
24
1
-
Tyrosinase-positive oculocutaneous albinism (25)
14
-
-
not provided (14)
2
-
-
SKIN/HAIR/EYE PIGMENTATION 1, BLUE/NONBLUE EYES (2)
2
-
-
Tyrosinase-positive oculocutaneous albinism;C1856895:SKIN/HAIR/EYE PIGMENTATION 1, BLUE/NONBLUE EYES (2)
1
-
-
Albinism or congenital nystagmus (1)
1
-
-
Autosomal recessive OCA2-related disorders (1)
1
-
-
Inborn genetic diseases (1)
1
-
-
OCA2-related disorder (1)
1
-
-
See cases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.49
BayesDel_addAF
Uncertain
0.075
D
BayesDel_noAF
Pathogenic
0.34
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.48
T
Eigen
Pathogenic
0.91
Eigen_PC
Pathogenic
0.84
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Pathogenic
1.0
D
M_CAP
Benign
0.045
D
MetaRNN
Benign
0.036
T
MetaSVM
Uncertain
0.51
D
MutationAssessor
Pathogenic
3.7
H
PhyloP100
7.1
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-0.99
N
REVEL
Pathogenic
0.75
Sift
Uncertain
0.0060
D
Sift4G
Pathogenic
0.0
D
Varity_R
0.46
gMVP
0.90
Mutation Taster
=73/27
disease causing (ClinVar)

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

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Publications

Other links and lift over

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