rs142307980
Variant summary
Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BA1BP4BP5
This summary comes from the ClinGen Evidence Repository: The c.844C>T variant in the MAP2K2 gene is a missense variant predicted to cause substitution of proline by serine at amino acid 282 (p.Pro282Ser). The filtering allele frequency in gnomAD v2.1.1 is 0.001415 (42/22756 alleles) in the African/African American population, meeting the criterion for BA1. The computational predictor REVEL gives a score of 0.072, which predicts no impact on protein function (BP4). This variant has been identified in a patient with an alternate molecular basis for disease (BP5; GeneDx internal data; GTR ID's 26957; SCV000207963.8). In summary, this variant meets criteria to be classified as benign for autosomal dominant RASopathies based on the ACMG/AMP criteria applied, as specified by the ClinGen RASopathy Variant Curation Expert Panel: BA1, BP4, BP5 (Specification Version 2.3, 12/3/2024) LINK:https://erepo.genome.network/evrepo/ui/classification/CA137972/MONDO:0021060/048
Frequency
Consequence
NM_030662.4 missense
Scores
Clinical Significance
Conservation
Publications
- cardiofaciocutaneous syndromeInheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
- cardiofaciocutaneous syndrome 4Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, PanelApp Australia, Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
- neurofibromatosis-Noonan syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Noonan syndromeInheritance: AD Classification: LIMITED Submitted by: ClinGen
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ACMG classification
Our verdict: Benign. The variant received -10 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_030662.4. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| MAP2K2 | NM_030662.4 | MANE Select | c.844C>T | p.Pro282Ser | missense | Exon 7 of 11 | NP_109587.1 | ||
| MAP2K2 | NM_001440689.1 | c.274C>T | p.Pro92Ser | missense | Exon 5 of 9 | NP_001427618.1 | |||
| MAP2K2 | NM_001440688.1 | c.705+1743C>T | intron | N/A | NP_001427617.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| MAP2K2 | ENST00000262948.10 | TSL:1 MANE Select | c.844C>T | p.Pro282Ser | missense | Exon 7 of 11 | ENSP00000262948.4 | ||
| MAP2K2 | ENST00000394867.9 | TSL:5 | n.1283C>T | non_coding_transcript_exon | Exon 6 of 10 | ||||
| MAP2K2 | ENST00000593364.5 | TSL:5 | n.791C>T | non_coding_transcript_exon | Exon 5 of 5 |
Frequencies
GnomAD3 genomes AF: 0.000663 AC: 101AN: 152236Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.000207 AC: 48AN: 231836 AF XY: 0.000150 show subpopulations
GnomAD4 exome AF: 0.0000592 AC: 86AN: 1453692Hom.: 2 Cov.: 33 AF XY: 0.0000623 AC XY: 45AN XY: 722626 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000663 AC: 101AN: 152354Hom.: 0 Cov.: 33 AF XY: 0.000792 AC XY: 59AN XY: 74510 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not specified Benign:2
proposed classification - variant undergoing re-assessment, contact laboratory
Variant summary: MAP2K2 c.844C>T (p.Pro282Ser) results in a non-conservative amino acid change located in the Protein kinase domain (IPR000719) of the encoded protein sequence. Three of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.00025 in 263182 control chromosomes including one homozygote, predominantly at a frequency of 0.0018 within the African or African-American subpopulation in the gnomAD database. The observed variant frequency within African or African-American control individuals in the gnomAD database is approximately 720 fold of the estimated maximal expected allele frequency for a pathogenic variant in MAP2K2 causing Noonan Syndrome and Related Conditions phenotype (2.5e-06), strongly suggesting that the variant is a benign polymorphism found primarily in populations of African or African-American origin. To our knowledge, no occurrence of c.844C>T in individuals affected with Noonan Syndrome and Related Conditions and no experimental evidence demonstrating its impact on protein function have been reported. Two ClinVar submissions including one expert panel (ClinGen RASopathy Variant Curation) (evaluation after 2014) cite the variant as benign. Based on the evidence outlined above, the variant was classified as benign.
RASopathy Benign:2
The c.844C>T variant in the MAP2K2 gene is a missense variant predicted to cause substitution of proline by serine at amino acid 282 (p.Pro282Ser). The filtering allele frequency in gnomAD v2.1.1 is 0.001415 (42/22756 alleles) in the African/African American population, meeting the criterion for BA1. The computational predictor REVEL gives a score of 0.072, which predicts no impact on protein function (BP4). This variant has been identified in a patient with an alternate molecular basis for disease (BP5; GeneDx internal data; GTR ID's 26957; SCV000207963.8). In summary, this variant meets criteria to be classified as benign for autosomal dominant RASopathies based on the ACMG/AMP criteria applied, as specified by the ClinGen RASopathy Variant Curation Expert Panel: BA1, BP4, BP5 (Specification Version 2.3, 12/3/2024)
Noonan syndrome Uncertain:1
MAP2K2-related disorder Benign:1
This 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).
not provided Benign:1
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease.
Cardiovascular phenotype Benign:1
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at