rs142816010

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_002168.4(IDH2):​c.673G>A​(p.Asp225Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000324 in 1,613,648 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00034 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00032 ( 1 hom. )

Consequence

IDH2
NM_002168.4 missense

Scores

4
11
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: 7.55
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 15-90088364-C-T is Benign according to our data. Variant chr15-90088364-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 211176.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=3}.
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.000322 (471/1461304) while in subpopulation MID AF= 0.000559 (3/5364). AF 95% confidence interval is 0.000323. There are 1 homozygotes in gnomad4_exome. There are 228 alleles in male gnomad4_exome subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 52 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IDH2NM_002168.4 linkuse as main transcriptc.673G>A p.Asp225Asn missense_variant 5/11 ENST00000330062.8 NP_002159.2
IDH2NM_001289910.1 linkuse as main transcriptc.517G>A p.Asp173Asn missense_variant 5/11 NP_001276839.1
IDH2NM_001290114.2 linkuse as main transcriptc.283G>A p.Asp95Asn missense_variant 3/9 NP_001277043.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IDH2ENST00000330062.8 linkuse as main transcriptc.673G>A p.Asp225Asn missense_variant 5/111 NM_002168.4 ENSP00000331897 P1P48735-1
IDH2ENST00000540499.2 linkuse as main transcriptc.517G>A p.Asp173Asn missense_variant 5/112 ENSP00000446147 P48735-2
IDH2ENST00000559482.5 linkuse as main transcriptc.346G>A p.Asp116Asn missense_variant 3/85 ENSP00000453016
IDH2ENST00000560061.1 linkuse as main transcriptc.*298G>A 3_prime_UTR_variant, NMD_transcript_variant 3/92 ENSP00000453254

Frequencies

GnomAD3 genomes
AF:
0.000342
AC:
52
AN:
152226
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00230
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000397
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.000291
AC:
73
AN:
250944
Hom.:
0
AF XY:
0.000317
AC XY:
43
AN XY:
135710
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000260
Gnomad ASJ exome
AF:
0.000993
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000406
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000322
AC:
471
AN:
1461304
Hom.:
1
Cov.:
33
AF XY:
0.000314
AC XY:
228
AN XY:
726976
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.000268
Gnomad4 ASJ exome
AF:
0.00107
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.000162
Gnomad4 FIN exome
AF:
0.0000750
Gnomad4 NFE exome
AF:
0.000353
Gnomad4 OTH exome
AF:
0.000215
GnomAD4 genome
AF:
0.000341
AC:
52
AN:
152344
Hom.:
0
Cov.:
31
AF XY:
0.000282
AC XY:
21
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.000240
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00230
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.000397
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.000400
Hom.:
0
Bravo
AF:
0.000302
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000198
AC:
24
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000491
EpiControl
AF:
0.000415

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsNov 22, 2016- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxMay 11, 2021In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Enchondromatosis Uncertain:1
Uncertain significance, criteria provided, single submitterresearchBaylor-Hopkins Center for Mendelian Genomics, Johns Hopkins University School of Medicine-- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoMar 06, 2015- -
D-2-hydroxyglutaric aciduria 2 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 09, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.22
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.86
D;D;.
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D;D
M_CAP
Uncertain
0.20
D
MetaRNN
Uncertain
0.72
D;D;D
MetaSVM
Uncertain
0.39
D
MutationAssessor
Uncertain
2.3
M;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Pathogenic
0.80
T
PROVEAN
Uncertain
-4.3
D;D;D
REVEL
Uncertain
0.55
Sift
Uncertain
0.015
D;D;D
Sift4G
Uncertain
0.053
T;D;T
Polyphen
1.0
D;.;.
Vest4
0.87
MVP
0.85
MPC
1.4
ClinPred
0.87
D
GERP RS
4.8
Varity_R
0.63
gMVP
0.91

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: rs142816010; hg19: chr15-90631596; API