rs181186746

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_015164.4(PLEKHM2):​c.2329A>G​(p.Met777Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000364 in 1,610,420 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 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 0.0020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00020 ( 1 hom. )

Consequence

PLEKHM2
NM_015164.4 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: -0.247

Publications

0 publications found
Variant links:
Genes affected
PLEKHM2 (HGNC:29131): (pleckstrin homology and RUN domain containing M2) This gene encodes a protein that binds the plus-end directed microtubule motor protein kinesin, together with the lysosomal GTPase Arl8, and is required for lysosomes to distribute away from the microtubule-organizing center. The encoded protein belongs to the multisubunit BLOC-one-related complex that regulates lysosome positioning. It binds a Salmonella effector protein called Salmonella induced filament A and is a critical host determinant in Salmonella pathogenesis. It has a domain architecture consisting of an N-terminal RPIP8, UNC-14, and NESCA (RUN) domain that binds kinesin-1 as well as the lysosomal GTPase Arl8, and a C-terminal pleckstrin homology domain that binds the Salmonella induced filament A effector protein. Naturally occurring mutations in this gene lead to abnormal localization of lysosomes, impaired autophagy flux and are associated with recessive dilated cardiomyopathy and left ventricular noncompaction. [provided by RefSeq, Feb 2017]
PLEKHM2 Gene-Disease associations (from GenCC):
  • dilated cardiomyopathy
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006395638).
BP6
Variant 1-15730652-A-G is Benign according to our data. Variant chr1-15730652-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 478084.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_015164.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
NM_015164.4
MANE Select
c.2329A>Gp.Met777Val
missense
Exon 15 of 20NP_055979.2
PLEKHM2
NM_001410755.1
c.2269A>Gp.Met757Val
missense
Exon 14 of 19NP_001397684.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
ENST00000375799.8
TSL:1 MANE Select
c.2329A>Gp.Met777Val
missense
Exon 15 of 20ENSP00000364956.3
PLEKHM2
ENST00000850891.1
c.2368A>Gp.Met790Val
missense
Exon 15 of 20ENSP00000520968.1
PLEKHM2
ENST00000375793.3
TSL:5
c.2269A>Gp.Met757Val
missense
Exon 14 of 19ENSP00000364950.2

Frequencies

GnomAD3 genomes
AF:
0.00197
AC:
300
AN:
152166
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00680
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000785
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:
0.00287
GnomAD2 exomes
AF:
0.000446
AC:
108
AN:
241892
AF XY:
0.000365
show subpopulations
Gnomad AFR exome
AF:
0.00722
Gnomad AMR exome
AF:
0.0000590
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000170
GnomAD4 exome
AF:
0.000196
AC:
286
AN:
1458134
Hom.:
1
Cov.:
32
AF XY:
0.000167
AC XY:
121
AN XY:
724982
show subpopulations
African (AFR)
AF:
0.00767
AC:
256
AN:
33390
American (AMR)
AF:
0.000136
AC:
6
AN:
44264
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26046
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39538
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85392
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52832
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5762
European-Non Finnish (NFE)
AF:
9.00e-7
AC:
1
AN:
1110632
Other (OTH)
AF:
0.000382
AC:
23
AN:
60278
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
14
28
42
56
70
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00197
AC:
300
AN:
152286
Hom.:
0
Cov.:
33
AF XY:
0.00183
AC XY:
136
AN XY:
74470
show subpopulations
African (AFR)
AF:
0.00678
AC:
282
AN:
41568
American (AMR)
AF:
0.000784
AC:
12
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68014
Other (OTH)
AF:
0.00284
AC:
6
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
17
35
52
70
87
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00102
Hom.:
0
Bravo
AF:
0.00238
ESP6500AA
AF:
0.00759
AC:
32
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000471
AC:
57

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Dilated Cardiomyopathy, Recessive (1)
-
-
1
not provided (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.059
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
6.4
DANN
Benign
0.81
DEOGEN2
Benign
0.063
T
Eigen
Benign
-0.89
Eigen_PC
Benign
-0.69
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.81
T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.0064
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.2
N
PhyloP100
-0.25
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-0.39
N
REVEL
Benign
0.16
Sift
Benign
0.70
T
Sift4G
Benign
1.0
T
Polyphen
0.0
B
Vest4
0.29
MVP
0.29
MPC
0.15
ClinPred
0.013
T
GERP RS
3.0
Varity_R
0.13
gMVP
0.17
Mutation Taster
=84/16
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs181186746; hg19: chr1-16057147; API