rs199565938

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBS1BS2

The NM_024408.4(NOTCH2):​c.1315G>A​(p.Ala439Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000431 in 1,614,102 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00045 ( 6 hom. )

Consequence

NOTCH2
NM_024408.4 missense

Scores

5
14

Clinical Significance

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

Conservation

PhyloP100: 3.64
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.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), NOTCH2. . Gene score misZ 3.5024 (greater than the threshold 3.09). Trascript score misZ 6.0283 (greater than threshold 3.09). GenCC has associacion of gene with Alagille syndrome due to a NOTCH2 point mutation, Alagille syndrome, Acroosteolysis dominant type.
BP4
Computational evidence support a benign effect (MetaRNN=0.012528539).
BP6
Variant 1-119967571-C-T is Benign according to our data. Variant chr1-119967571-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 463169.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-119967571-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.000243 (37/152308) while in subpopulation SAS AF= 0.00518 (25/4822). AF 95% confidence interval is 0.0036. There are 0 homozygotes in gnomad4. There are 30 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 37 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOTCH2NM_024408.4 linkuse as main transcriptc.1315G>A p.Ala439Thr missense_variant 8/34 ENST00000256646.7 NP_077719.2
NOTCH2NM_001200001.2 linkuse as main transcriptc.1315G>A p.Ala439Thr missense_variant 8/22 NP_001186930.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOTCH2ENST00000256646.7 linkuse as main transcriptc.1315G>A p.Ala439Thr missense_variant 8/341 NM_024408.4 ENSP00000256646 P1
NOTCH2ENST00000479412.2 linkuse as main transcriptn.1453G>A non_coding_transcript_exon_variant 7/141
NOTCH2ENST00000640021.1 linkuse as main transcriptc.*439G>A 3_prime_UTR_variant, NMD_transcript_variant 5/125 ENSP00000492223

Frequencies

GnomAD3 genomes
AF:
0.000243
AC:
37
AN:
152190
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00518
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000765
AC:
192
AN:
250938
Hom.:
2
AF XY:
0.00103
AC XY:
140
AN XY:
135586
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000218
Gnomad SAS exome
AF:
0.00506
Gnomad FIN exome
AF:
0.000185
Gnomad NFE exome
AF:
0.000185
Gnomad OTH exome
AF:
0.000327
GnomAD4 exome
AF:
0.000451
AC:
659
AN:
1461794
Hom.:
6
Cov.:
32
AF XY:
0.000624
AC XY:
454
AN XY:
727196
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.00544
Gnomad4 FIN exome
AF:
0.0000936
Gnomad4 NFE exome
AF:
0.000139
Gnomad4 OTH exome
AF:
0.000348
GnomAD4 genome
AF:
0.000243
AC:
37
AN:
152308
Hom.:
0
Cov.:
33
AF XY:
0.000403
AC XY:
30
AN XY:
74474
show subpopulations
Gnomad4 AFR
AF:
0.0000240
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00518
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000235
Hom.:
0
Bravo
AF:
0.000132
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000824
AC:
100
Asia WGS
AF:
0.00318
AC:
11
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000119

ClinVar

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

Submissions by phenotype

not provided Benign:3
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJan 01, 2024NOTCH2: PP2, BP4, BS1 -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 08, 2017- -
Hajdu-Cheney syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 06, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.098
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.18
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T;T
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.11
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.94
D;D
M_CAP
Benign
0.069
D
MetaRNN
Benign
0.013
T;T
MetaSVM
Benign
-0.54
T
MutationAssessor
Benign
-0.24
N;.
MutationTaster
Benign
0.57
N
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-0.10
N;.
REVEL
Uncertain
0.34
Sift
Benign
0.088
T;.
Sift4G
Uncertain
0.0020
D;T
Polyphen
0.060
B;P
Vest4
0.18
MVP
0.72
MPC
0.55
ClinPred
0.032
T
GERP RS
3.8
Varity_R
0.080
gMVP
0.81

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: rs199565938; hg19: chr1-120510194; COSMIC: COSV56696319; API