rs147223770

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP3BP4_StrongBP6_Very_StrongBS1BS2

The NM_024408.4(NOTCH2):​c.3625T>G​(p.Phe1209Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0031 in 1,614,210 control chromosomes in the GnomAD database, including 22 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0025 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0032 ( 21 hom. )

Consequence

NOTCH2
NM_024408.4 missense

Scores

10
6
3

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:9O:1

Conservation

PhyloP100: 8.95
Variant links:
Genes affected
NOTCH2 (HGNC:7882): (notch receptor 2) This gene encodes a member of the Notch family. Members of this Type 1 transmembrane protein family share structural characteristics including an extracellular domain consisting of multiple epidermal growth factor-like (EGF) repeats, and an intracellular domain consisting of multiple, different domain types. Notch family members play a role in a variety of developmental processes by controlling cell fate decisions. The Notch signaling network is an evolutionarily conserved intercellular signaling pathway which regulates interactions between physically adjacent cells. In Drosophilia, notch interaction with its cell-bound ligands (delta, serrate) establishes an intercellular signaling pathway that plays a key role in development. Homologues of the notch-ligands have also been identified in human, but precise interactions between these ligands and the human notch homologues remain to be determined. This protein is cleaved in the trans-Golgi network, and presented on the cell surface as a heterodimer. This protein functions as a receptor for membrane bound ligands, and may play a role in vascular, renal and hepatic development. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP3
Multiple lines of computational evidence support a deleterious effect 8: AlphaMissense, BayesDel_noAF, Cadd, Eigen, M_CAP, phyloP100way_vertebrate, PROVEAN, REVEL [when max_spliceai, FATHMM_MKL, MetaRNN, MutationTaster was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.026755065).
BP6
Variant 1-119935502-A-C is Benign according to our data. Variant chr1-119935502-A-C is described in ClinVar as [Likely_benign]. Clinvar id is 134967.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-119935502-A-C is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00253 (386/152324) while in subpopulation NFE AF= 0.00325 (221/68024). AF 95% confidence interval is 0.0029. There are 1 homozygotes in gnomad4. There are 197 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 386 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NOTCH2NM_024408.4 linkc.3625T>G p.Phe1209Val missense_variant Exon 22 of 34 ENST00000256646.7 NP_077719.2 Q04721Q6IQ50Q9UFD5
NOTCH2NM_001200001.2 linkc.3625T>G p.Phe1209Val missense_variant Exon 22 of 22 NP_001186930.1 Q04721Q6IQ50

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NOTCH2ENST00000256646.7 linkc.3625T>G p.Phe1209Val missense_variant Exon 22 of 34 1 NM_024408.4 ENSP00000256646.2 Q04721
NOTCH2ENST00000478864.1 linkn.285T>G non_coding_transcript_exon_variant Exon 2 of 2 3

Frequencies

GnomAD3 genomes
AF:
0.00254
AC:
386
AN:
152206
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000531
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00229
Gnomad ASJ
AF:
0.00288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00762
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.00325
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00325
AC:
817
AN:
251444
Hom.:
6
AF XY:
0.00338
AC XY:
460
AN XY:
135894
show subpopulations
Gnomad AFR exome
AF:
0.000431
Gnomad AMR exome
AF:
0.00156
Gnomad ASJ exome
AF:
0.00556
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00219
Gnomad FIN exome
AF:
0.00808
Gnomad NFE exome
AF:
0.00382
Gnomad OTH exome
AF:
0.00391
GnomAD4 exome
AF:
0.00316
AC:
4623
AN:
1461886
Hom.:
21
Cov.:
33
AF XY:
0.00324
AC XY:
2355
AN XY:
727242
show subpopulations
Gnomad4 AFR exome
AF:
0.000896
Gnomad4 AMR exome
AF:
0.00165
Gnomad4 ASJ exome
AF:
0.00612
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00211
Gnomad4 FIN exome
AF:
0.00797
Gnomad4 NFE exome
AF:
0.00310
Gnomad4 OTH exome
AF:
0.00402
GnomAD4 genome
AF:
0.00253
AC:
386
AN:
152324
Hom.:
1
Cov.:
32
AF XY:
0.00265
AC XY:
197
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.000529
Gnomad4 AMR
AF:
0.00229
Gnomad4 ASJ
AF:
0.00288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.00762
Gnomad4 NFE
AF:
0.00325
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00297
Hom.:
1
Bravo
AF:
0.00209
TwinsUK
AF:
0.00378
AC:
14
ALSPAC
AF:
0.00441
AC:
17
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00279
AC:
24
ExAC
AF:
0.00332
AC:
403
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00294
EpiControl
AF:
0.00379

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:9Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:7
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jan 15, 2021
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 26485759, 24366360, 32467344, 29642553, 29868112, 25587027, 22662265, 30653986, 26094658, 26553438, 24728327) -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Dec 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

NOTCH2: BS1, BS2 -

Sep 06, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:1Other:1
Sep 19, 2013
ITMI
Significance: not provided
Review Status: no classification provided
Collection Method: reference population

- -

Jun 15, 2015
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hajdu-Cheney syndrome Benign:1
Jan 26, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.73
BayesDel_addAF
Uncertain
0.095
D
BayesDel_noAF
Pathogenic
0.36
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.87
D
Eigen
Pathogenic
0.91
Eigen_PC
Pathogenic
0.88
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.91
D
M_CAP
Pathogenic
0.47
D
MetaRNN
Benign
0.027
T
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Uncertain
2.8
M
PrimateAI
Uncertain
0.70
T
PROVEAN
Pathogenic
-4.7
D
REVEL
Pathogenic
0.85
Sift
Benign
0.063
T
Sift4G
Uncertain
0.041
D
Polyphen
0.94
P
Vest4
0.67
MVP
0.90
MPC
1.7
ClinPred
0.023
T
GERP RS
5.8
Varity_R
0.29
gMVP
0.76

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: rs147223770; hg19: chr1-120478125; COSMIC: COSV56685441; API