rs17876183

Variant summary

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

The ENST00000633192.1(PON2):​c.59G>A​(p.Arg20His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0198 in 1,524,682 control chromosomes in the GnomAD database, including 388 homozygotes. In-silico tool predicts a benign outcome for this variant. 7/9 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.014 ( 18 hom., cov: 33)
Exomes 𝑓: 0.020 ( 370 hom. )

Consequence

PON2
ENST00000633192.1 missense

Scores

1
9

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.392
Variant links:
Genes affected
PON2 (HGNC:9205): (paraoxonase 2) This gene encodes a member of the paraoxonase gene family, which includes three known members located adjacent to each other on the long arm of chromosome 7. The encoded protein is ubiquitously expressed in human tissues, membrane-bound, and may act as a cellular antioxidant, protecting cells from oxidative stress. Hydrolytic activity against acylhomoserine lactones, important bacterial quorum-sensing mediators, suggests the encoded protein may also play a role in defense responses to pathogenic bacteria. Mutations in this gene may be associated with vascular disease and a number of quantitative phenotypes related to diabetes. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008]

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=0.0036318302).
BP6
Variant 7-95434956-C-T is Benign according to our data. Variant chr7-95434956-C-T is described in ClinVar as [Benign]. Clinvar id is 495799.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.014 (2130/152340) while in subpopulation NFE AF= 0.0225 (1532/68022). AF 95% confidence interval is 0.0216. There are 18 homozygotes in gnomad4. There are 994 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 18 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PON2NM_000305.3 linkuse as main transcriptc.-5G>A 5_prime_UTR_variant 1/9 ENST00000222572.8
PON2NM_001018161.2 linkuse as main transcriptc.-5G>A 5_prime_UTR_variant 1/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PON2ENST00000222572.8 linkuse as main transcriptc.-5G>A 5_prime_UTR_variant 1/91 NM_000305.3 P1Q15165-2

Frequencies

GnomAD3 genomes
AF:
0.0140
AC:
2131
AN:
152228
Hom.:
18
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00396
Gnomad AMI
AF:
0.0888
Gnomad AMR
AF:
0.00942
Gnomad ASJ
AF:
0.00259
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00537
Gnomad FIN
AF:
0.0142
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0225
Gnomad OTH
AF:
0.0110
GnomAD3 exomes
AF:
0.0122
AC:
1434
AN:
117358
Hom.:
19
AF XY:
0.0124
AC XY:
803
AN XY:
64686
show subpopulations
Gnomad AFR exome
AF:
0.00413
Gnomad AMR exome
AF:
0.00625
Gnomad ASJ exome
AF:
0.00146
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00601
Gnomad FIN exome
AF:
0.0150
Gnomad NFE exome
AF:
0.0225
Gnomad OTH exome
AF:
0.0135
GnomAD4 exome
AF:
0.0204
AC:
27983
AN:
1372342
Hom.:
370
Cov.:
31
AF XY:
0.0199
AC XY:
13497
AN XY:
676860
show subpopulations
Gnomad4 AFR exome
AF:
0.00353
Gnomad4 AMR exome
AF:
0.00660
Gnomad4 ASJ exome
AF:
0.00248
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00649
Gnomad4 FIN exome
AF:
0.0143
Gnomad4 NFE exome
AF:
0.0239
Gnomad4 OTH exome
AF:
0.0160
GnomAD4 genome
AF:
0.0140
AC:
2130
AN:
152340
Hom.:
18
Cov.:
33
AF XY:
0.0133
AC XY:
994
AN XY:
74490
show subpopulations
Gnomad4 AFR
AF:
0.00394
Gnomad4 AMR
AF:
0.00941
Gnomad4 ASJ
AF:
0.00259
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00538
Gnomad4 FIN
AF:
0.0142
Gnomad4 NFE
AF:
0.0225
Gnomad4 OTH
AF:
0.0104
Alfa
AF:
0.0173
Hom.:
5
Bravo
AF:
0.0137
TwinsUK
AF:
0.0189
AC:
70
ALSPAC
AF:
0.0210
AC:
81
ExAC
AF:
0.00739
AC:
163
Asia WGS
AF:
0.00144
AC:
6
AN:
3476

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

PON2-related disorder Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesSep 24, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpNov 21, 2016Variant summary: The PON2 c.-5G>A variant involves the alteration of a non-conserved nucleotide in 5-prime untranslated region. This variant was found in 99/11484 control chromosomes (including 2 homozygotes), predominantly observed in the European (Non-Finnish) subpopulation at a frequency of 0.0143312 (45/3140). This frequency is about 717 times the estimated maximal expected allele frequency of a pathogenic PON2 variant (0.00002), suggesting this is very likely a benign polymorphism found primarily in the populations of European (Non-Finnish) origin. The variant has been suggested to modestly increase risk for systemic lupus erythematosus (OR: 4.63 95% CI 1.37-15.59, P= 0.013) (Dasgupta_2011); however gene-phenotype link has not been ascertained thus needing further confirmation of the association. The variant has not been seen in patients with cardiac phenotype, to our knowledge. One internal sample screened for cardiac disease also carries LDLR p.E228X, supporting for a benign outcome. Taken together, this variant is classified as Benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.49
CADD
Benign
13
DANN
Pathogenic
1.0
Eigen
Benign
-0.24
Eigen_PC
Benign
-0.32
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.64
T
MetaRNN
Benign
0.0036
T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
D;D;N
Sift4G
Benign
0.13
T
Vest4
0.067
GERP RS
3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0

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: rs17876183; hg19: chr7-95064268; API