rs200419261

Variant summary

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

The NM_000014.6(A2M):​c.3494A>G​(p.Glu1165Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000245 in 1,613,934 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00024 ( 1 hom. )

Consequence

A2M
NM_000014.6 missense

Scores

2
3
13

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: 0.883

Publications

2 publications found
Variant links:
Genes affected
A2M (HGNC:7): (alpha-2-macroglobulin) The protein encoded by this gene is a protease inhibitor and cytokine transporter. It uses a bait-and-trap mechanism to inhibit a broad spectrum of proteases, including trypsin, thrombin and collagenase. It can also inhibit inflammatory cytokines, and it thus disrupts inflammatory cascades. Mutations in this gene are a cause of alpha-2-macroglobulin deficiency. This gene is implicated in Alzheimer's disease (AD) due to its ability to mediate the clearance and degradation of A-beta, the major component of beta-amyloid deposits. A related pseudogene, which is also located on the p arm of chromosome 12, has been identified. [provided by RefSeq, Nov 2016]
KLRG1 (HGNC:6380): (killer cell lectin like receptor G1) Natural killer (NK) cells are lymphocytes that can mediate lysis of certain tumor cells and virus-infected cells without previous activation. They can also regulate specific humoral and cell-mediated immunity. The protein encoded by this gene belongs to the killer cell lectin-like receptor (KLR) family, which is a group of transmembrane proteins preferentially expressed in NK cells. Studies in mice suggested that the expression of this gene may be regulated by MHC class I molecules. [provided by RefSeq, Jun 2016]

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=0.04578674).
BP6
Variant 12-9076794-T-C is Benign according to our data. Variant chr12-9076794-T-C is described in ClinVar as Likely_benign. ClinVar VariationId is 3058150.Status of the report is no_assertion_criteria_provided, 0 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000014.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
A2M
NM_000014.6
MANE Select
c.3494A>Gp.Glu1165Gly
missense
Exon 28 of 36NP_000005.3P01023
A2M
NM_001347423.2
c.3494A>Gp.Glu1165Gly
missense
Exon 29 of 37NP_001334352.2P01023
A2M
NM_001347424.2
c.3194A>Gp.Glu1065Gly
missense
Exon 28 of 36NP_001334353.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
A2M
ENST00000318602.12
TSL:1 MANE Select
c.3494A>Gp.Glu1165Gly
missense
Exon 28 of 36ENSP00000323929.8P01023
A2M
ENST00000891833.1
c.3632A>Gp.Glu1211Gly
missense
Exon 29 of 37ENSP00000561892.1
A2M
ENST00000956132.1
c.3494A>Gp.Glu1165Gly
missense
Exon 28 of 36ENSP00000626191.1

Frequencies

GnomAD3 genomes
AF:
0.000296
AC:
45
AN:
152122
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00173
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000465
AC:
116
AN:
249354
AF XY:
0.000414
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00184
Gnomad FIN exome
AF:
0.00195
Gnomad NFE exome
AF:
0.000283
Gnomad OTH exome
AF:
0.000495
GnomAD4 exome
AF:
0.000239
AC:
350
AN:
1461694
Hom.:
1
Cov.:
31
AF XY:
0.000239
AC XY:
174
AN XY:
727134
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33478
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26132
East Asian (EAS)
AF:
0.00292
AC:
116
AN:
39700
South Asian (SAS)
AF:
0.000197
AC:
17
AN:
86254
European-Finnish (FIN)
AF:
0.00180
AC:
96
AN:
53406
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5744
European-Non Finnish (NFE)
AF:
0.0000917
AC:
102
AN:
1111882
Other (OTH)
AF:
0.000315
AC:
19
AN:
60374
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
17
33
50
66
83
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000296
AC:
45
AN:
152240
Hom.:
0
Cov.:
32
AF XY:
0.000390
AC XY:
29
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41538
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00174
AC:
9
AN:
5176
South Asian (SAS)
AF:
0.000622
AC:
3
AN:
4824
European-Finnish (FIN)
AF:
0.00189
AC:
20
AN:
10610
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000176
AC:
12
AN:
68014
Other (OTH)
AF:
0.000473
AC:
1
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000297
Hom.:
0
Bravo
AF:
0.000128
ExAC
AF:
0.000453
AC:
55
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

ClinVar submissions as Germline
Significance:Likely benign
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
A2M-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.19
T
Eigen
Benign
0.17
Eigen_PC
Benign
-0.040
FATHMM_MKL
Benign
0.38
N
LIST_S2
Uncertain
0.89
D
M_CAP
Benign
0.039
D
MetaRNN
Benign
0.046
T
MetaSVM
Benign
-0.74
T
MutationAssessor
Pathogenic
3.8
H
PhyloP100
0.88
PrimateAI
Benign
0.30
T
PROVEAN
Pathogenic
-6.5
D
REVEL
Benign
0.15
Sift
Uncertain
0.017
D
Sift4G
Benign
0.23
T
Polyphen
1.0
D
Vest4
0.23
MVP
0.83
MPC
0.50
ClinPred
0.24
T
GERP RS
5.1
Varity_R
0.54
gMVP
0.34
Mutation Taster
=92/8
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs200419261; hg19: chr12-9229390; COSMIC: COSV59389774; API