rs146522641

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002292.4(LAMB2):​c.4163G>A​(p.Arg1388Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00253 in 1,613,876 control chromosomes in the GnomAD database, including 14 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0015 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0026 ( 14 hom. )

Consequence

LAMB2
NM_002292.4 missense

Scores

19

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.0220
Variant links:
Genes affected
LAMB2 (HGNC:6487): (laminin subunit beta 2) Laminins, a family of extracellular matrix glycoproteins, are the major noncollagenous constituent of basement membranes. They have been implicated in a wide variety of biological processes including cell adhesion, differentiation, migration, signaling, neurite outgrowth and metastasis. Laminins, composed of 3 non identical chains: laminin alpha, beta and gamma (formerly A, B1, and B2, respectively), form a cruciform structure consisting of 3 short arms, each formed by a different chain, and a long arm composed of all 3 chains. Each laminin chain is a multidomain protein encoded by a distinct gene. Several isoforms of each chain have been described. Different alpha, beta and gamma chain isomers combine to give rise to different heterotrimeric laminin isoforms which are designated by Arabic numerals in the order of their discovery, i.e. alpha1beta1gamma1 heterotrimer is laminin 1. The biological functions of the different chains and trimer molecules are largely unknown, but some of the chains have been shown to differ with respect to their tissue distribution, presumably reflecting diverse functions in vivo. This gene encodes the beta chain isoform laminin, beta 2. The beta 2 chain contains the 7 structural domains typical of beta chains of laminin, including the short alpha region. However, unlike beta 1 chain, beta 2 has a more restricted tissue distribution. It is enriched in the basement membrane of muscles at the neuromuscular junctions, kidney glomerulus and vascular smooth muscle. Transgenic mice in which the beta 2 chain gene was inactivated by homologous recombination, showed defects in the maturation of neuromuscular junctions and impairment of glomerular filtration. Alternative splicing involving a non consensus 5' splice site (gc) in the 5' UTR of this gene has been reported. It was suggested that inefficient splicing of this first intron, which does not change the protein sequence, results in a greater abundance of the unspliced form of the transcript than the spliced form. The full-length nature of the spliced transcript is not known. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004136443).
BP6
Variant 3-49123193-C-T is Benign according to our data. Variant chr3-49123193-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 472485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-49123193-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4_exome allele frequency = 0.00263 (3850/1461580) while in subpopulation NFE AF= 0.00295 (3280/1112008). AF 95% confidence interval is 0.00287. There are 14 homozygotes in gnomad4_exome. There are 1916 alleles in male gnomad4_exome subpopulation. Median coverage is 34. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 14 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAMB2NM_002292.4 linkuse as main transcriptc.4163G>A p.Arg1388Gln missense_variant 26/32 ENST00000305544.9 NP_002283.3
LAMB2XM_005265127.5 linkuse as main transcriptc.4163G>A p.Arg1388Gln missense_variant 27/33 XP_005265184.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LAMB2ENST00000305544.9 linkuse as main transcriptc.4163G>A p.Arg1388Gln missense_variant 26/321 NM_002292.4 ENSP00000307156 P1
LAMB2ENST00000418109.5 linkuse as main transcriptc.4163G>A p.Arg1388Gln missense_variant 27/331 ENSP00000388325 P1
LAMB2ENST00000469665.1 linkuse as main transcriptn.393G>A non_coding_transcript_exon_variant 3/32

Frequencies

GnomAD3 genomes
AF:
0.00155
AC:
236
AN:
152178
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000386
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00103
Gnomad FIN
AF:
0.00254
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00260
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.00196
AC:
493
AN:
251428
Hom.:
4
AF XY:
0.00197
AC XY:
268
AN XY:
135896
show subpopulations
Gnomad AFR exome
AF:
0.000677
Gnomad AMR exome
AF:
0.000463
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00124
Gnomad FIN exome
AF:
0.00430
Gnomad NFE exome
AF:
0.00284
Gnomad OTH exome
AF:
0.00179
GnomAD4 exome
AF:
0.00263
AC:
3850
AN:
1461580
Hom.:
14
Cov.:
34
AF XY:
0.00264
AC XY:
1916
AN XY:
727110
show subpopulations
Gnomad4 AFR exome
AF:
0.000508
Gnomad4 AMR exome
AF:
0.000447
Gnomad4 ASJ exome
AF:
0.0000765
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00155
Gnomad4 FIN exome
AF:
0.00395
Gnomad4 NFE exome
AF:
0.00295
Gnomad4 OTH exome
AF:
0.00301
GnomAD4 genome
AF:
0.00155
AC:
236
AN:
152296
Hom.:
0
Cov.:
33
AF XY:
0.00146
AC XY:
109
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.000385
Gnomad4 AMR
AF:
0.000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00103
Gnomad4 FIN
AF:
0.00254
Gnomad4 NFE
AF:
0.00260
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00254
Hom.:
4
Bravo
AF:
0.00148
TwinsUK
AF:
0.00378
AC:
14
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.00206
AC:
250
EpiCase
AF:
0.00333
EpiControl
AF:
0.00296

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Pierson syndrome;C3280113:LAMB2-related infantile-onset nephrotic syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 23, 2024- -
LAMB2-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 02, 2020This 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
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024LAMB2: BP4, BS2 -
LAMB2-related infantile-onset nephrotic syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
Pierson syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.12
DANN
Benign
0.89
DEOGEN2
Benign
0.10
T;T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.32
N
LIST_S2
Benign
0.71
.;T
M_CAP
Benign
0.0064
T
MetaRNN
Benign
0.0041
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.36
N;N
MutationTaster
Benign
0.95
D;D
PrimateAI
Benign
0.19
T
PROVEAN
Benign
-1.1
N;N
REVEL
Benign
0.092
Sift
Benign
0.37
T;T
Sift4G
Benign
0.55
T;T
Polyphen
0.0040
B;B
Vest4
0.11
MVP
0.20
MPC
0.19
ClinPred
0.00074
T
GERP RS
-5.5
Varity_R
0.021
gMVP
0.39

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs146522641; hg19: chr3-49160626; COSMIC: COSV59730807; COSMIC: COSV59730807; API