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rs146886839

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 3P and 9B. PM2PP2BP4_StrongBP6BS1

The NM_004946.3(DOCK2):c.5425A>G(p.Thr1809Ala) variant causes a missense change. The variant allele was found at a frequency of 0.000176 in 1,613,900 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0010 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000090 ( 0 hom. )

Consequence

DOCK2
NM_004946.3 missense

Scores

4
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 4.04
Variant links:
Genes affected
DOCK2 (HGNC:2988): (dedicator of cytokinesis 2) The protein encoded by this gene belongs to the CDM protein family. It is specifically expressed in hematopoietic cells and is predominantly expressed in peripheral blood leukocytes. The protein is involved in remodeling of the actin cytoskeleton required for lymphocyte migration in response to chemokine signaling. It activates members of the Rho family of GTPases, for example RAC1 and RAC2, by acting as a guanine nucleotide exchange factor (GEF) to exchange bound GDP for free GTP. Mutations in this gene result in immunodeficiency 40 (IMD40), a combined form of immunodeficiency that affects T cell number and function, also with variable defects in B cell and NK cell function. [provided by RefSeq, May 2018]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant where missense usually causes diseases, DOCK2
BP4
Computational evidence support a benign effect (MetaRNN=0.006100863).
BP6
Variant 5-170081979-A-G is Benign according to our data. Variant chr5-170081979-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 542639.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Likely_benign=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.001 (153/152294) while in subpopulation AFR AF= 0.00347 (144/41554). AF 95% confidence interval is 0.003. There are 0 homozygotes in gnomad4. There are 77 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DOCK2NM_004946.3 linkuse as main transcriptc.5425A>G p.Thr1809Ala missense_variant 51/52 ENST00000520908.7
DOCK2NR_156756.1 linkuse as main transcriptn.5528A>G non_coding_transcript_exon_variant 52/53

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DOCK2ENST00000520908.7 linkuse as main transcriptc.5425A>G p.Thr1809Ala missense_variant 51/522 NM_004946.3 P1Q92608-1

Frequencies

GnomAD3 genomes
AF:
0.00101
AC:
153
AN:
152176
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00348
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000267
AC:
67
AN:
250796
Hom.:
0
AF XY:
0.000207
AC XY:
28
AN XY:
135516
show subpopulations
Gnomad AFR exome
AF:
0.00400
Gnomad AMR exome
AF:
0.0000579
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000896
AC:
131
AN:
1461606
Hom.:
0
Cov.:
34
AF XY:
0.0000839
AC XY:
61
AN XY:
727098
show subpopulations
Gnomad4 AFR exome
AF:
0.00344
Gnomad4 AMR exome
AF:
0.0000447
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:
8.99e-7
Gnomad4 OTH exome
AF:
0.000215
GnomAD4 genome
AF:
0.00100
AC:
153
AN:
152294
Hom.:
0
Cov.:
31
AF XY:
0.00103
AC XY:
77
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.00347
Gnomad4 AMR
AF:
0.000457
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.000184
Hom.:
0
Bravo
AF:
0.00132
ESP6500AA
AF:
0.00227
AC:
10
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000296
AC:
36
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

DOCK2-related disorder Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesJun 16, 2023The DOCK2 c.5425A>G variant is predicted to result in the amino acid substitution p.Thr1809Ala. To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.38% of alleles in individuals of African descent in gnomAD (http://gnomad.broadinstitute.org/variant/5-169508983-A-G). Although we suspect that this variant may be benign, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
DOCK2 deficiency Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 19, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.53
Cadd
Benign
22
Dann
Uncertain
0.99
DEOGEN2
Benign
0.076
T;T
Eigen
Benign
0.026
Eigen_PC
Benign
0.11
FATHMM_MKL
Uncertain
0.84
D
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.0061
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
L;L
MutationTaster
Benign
0.96
N;N;N
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-0.77
N;.
REVEL
Benign
0.053
Sift
Uncertain
0.010
D;.
Sift4G
Benign
0.13
T;.
Polyphen
0.24
B;B
Vest4
0.23
MVP
0.59
MPC
0.71
ClinPred
0.058
T
GERP RS
3.7
Varity_R
0.092
gMVP
0.36

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs146886839; hg19: chr5-169508983; API