rs144412275

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 0P and 3B. BP4_ModerateBS2_Supporting

The NM_004366.6(CLCN2):​c.218G>T​(p.Arg73Leu) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000479 in 1,461,182 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R73H) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

CLCN2
NM_004366.6 missense, splice_region

Scores

6
13
Splicing: ADA: 0.0003881
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.337
Variant links:
Genes affected
CLCN2 (HGNC:2020): (chloride voltage-gated channel 2) This gene encodes a voltage-gated chloride channel. The encoded protein is a transmembrane protein that maintains chloride ion homeostasis in various cells. Defects in this gene may be a cause of certain epilepsies. Four transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2012]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.25172606).
BS2
High AC in GnomAdExome4 at 7 AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLCN2NM_004366.6 linkc.218G>T p.Arg73Leu missense_variant, splice_region_variant Exon 2 of 24 ENST00000265593.9 NP_004357.3 P51788-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLCN2ENST00000265593.9 linkc.218G>T p.Arg73Leu missense_variant, splice_region_variant Exon 2 of 24 1 NM_004366.6 ENSP00000265593.4 P51788-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000798
AC:
2
AN:
250490
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135612
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000177
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000479
AC:
7
AN:
1461182
Hom.:
0
Cov.:
33
AF XY:
0.00000413
AC XY:
3
AN XY:
726896
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Uncertain
0.030
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.24
T;.;.;.;T
Eigen
Benign
-0.72
Eigen_PC
Benign
-0.64
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Uncertain
0.95
D;D;T;D;T
M_CAP
Uncertain
0.21
D
MetaRNN
Benign
0.23
T;T;T;T;T
MetaSVM
Benign
-0.57
T
MutationAssessor
Benign
1.8
L;L;L;L;.
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-2.1
N;N;N;N;.
REVEL
Uncertain
0.39
Sift
Benign
0.29
T;T;D;T;.
Sift4G
Benign
0.16
T;T;D;T;.
Polyphen
0.14
B;B;.;.;.
Vest4
0.51
MutPred
0.56
Loss of methylation at R73 (P = 0.0329);Loss of methylation at R73 (P = 0.0329);Loss of methylation at R73 (P = 0.0329);Loss of methylation at R73 (P = 0.0329);.;
MVP
0.76
MPC
0.41
ClinPred
0.15
T
GERP RS
3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.092
gMVP
0.60

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00039
dbscSNV1_RF
Benign
0.064
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: rs144412275; hg19: chr3-184076765; API