rs200634448
Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate
The NM_024422.6(DSC2):c.619G>C(p.Glu207Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000545 in 1,613,650 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_024422.6 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 0 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
DSC2 | NM_024422.6 | c.619G>C | p.Glu207Gln | missense_variant | Exon 5 of 16 | ENST00000280904.11 | NP_077740.1 | |
DSC2 | NM_004949.5 | c.619G>C | p.Glu207Gln | missense_variant | Exon 5 of 17 | NP_004940.1 | ||
DSC2 | NM_001406506.1 | c.190G>C | p.Glu64Gln | missense_variant | Exon 5 of 16 | NP_001393435.1 | ||
DSC2 | NM_001406507.1 | c.190G>C | p.Glu64Gln | missense_variant | Exon 5 of 17 | NP_001393436.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
DSC2 | ENST00000280904.11 | c.619G>C | p.Glu207Gln | missense_variant | Exon 5 of 16 | 1 | NM_024422.6 | ENSP00000280904.6 | ||
DSC2 | ENST00000251081.8 | c.619G>C | p.Glu207Gln | missense_variant | Exon 5 of 17 | 1 | ENSP00000251081.6 | |||
DSC2 | ENST00000648081.1 | c.190G>C | p.Glu64Gln | missense_variant | Exon 6 of 17 | ENSP00000497441.1 | ||||
DSC2 | ENST00000682357.1 | c.190G>C | p.Glu64Gln | missense_variant | Exon 5 of 16 | ENSP00000507826.1 |
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152124Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000159 AC: 4AN: 251386Hom.: 0 AF XY: 0.0000221 AC XY: 3AN XY: 135872
GnomAD4 exome AF: 0.0000575 AC: 84AN: 1461526Hom.: 0 Cov.: 31 AF XY: 0.0000564 AC XY: 41AN XY: 727086
GnomAD4 genome AF: 0.0000263 AC: 4AN: 152124Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74314
ClinVar
Submissions by phenotype
Arrhythmogenic right ventricular dysplasia 11 Uncertain:2
This sequence change replaces glutamic acid, which is acidic and polar, with glutamine, which is neutral and polar, at codon 207 of the DSC2 protein (p.Glu207Gln). This variant is present in population databases (rs200634448, gnomAD 0.003%). This missense change has been observed in individual(s) with arrhythmogenic right ventricular cardiomyopathy (PMID: 27532257). ClinVar contains an entry for this variant (Variation ID: 923949). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt DSC2 protein function with a negative predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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Cardiomyopathy Uncertain:2
This missense variant replaces glutamic acid with glutamine at codon 207 of the DSC2 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has been reported in an individual affected with arrhythmogenic right ventricular cardiomyopathy (PMID: 27532257). This variant has been identified in 4/251386 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
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not provided Uncertain:2
The DSC2 c.619G>C; p.Glu207Gln variant (rs200634448) is reported in the literature in an individual affected with arrhythmogenic right ventricular cardiomyopathy, though it was not demonstrated to be disease-causing in this individual (Walsh 2017). This variant is found on only four chromosomes (4/251386 alleles) in the Genome Aggregation Database. The glutamate at codon 207 is moderately conserved, and computational analyses (SIFT, PolyPhen-2) predict that this variant is tolerated. However, due to limited information, the clinical significance of the p.Glu207Gln variant is uncertain at this time. References: Walsh R et al. Reassessment of Mendelian gene pathogenicity using 7,855 cardiomyopathy cases and 60,706 reference samples. Genet Med. 2017 Feb;19(2):192-203. -
Observed in a patient with ARVC (PMID: 27532257); Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis indicates that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 31402444, 30122538, 29802319, 27532257) -
Cardiovascular phenotype Uncertain:1
The p.E207Q variant (also known as c.619G>C), located in coding exon 5 of the DSC2 gene, results from a G to C substitution at nucleotide position 619. The glutamic acid at codon 207 is replaced by glutamine, an amino acid with highly similar properties. This variant has been detected in an individual who underwent genetic testing for arrhythmogenic right ventricular cardiomyopathy; however, details were limited (Walsh R. Genet Med. 2017 Feb;19(2):192-203). This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Based on the available evidence, the clinical significance of this alteration remains unclear. -
Familial isolated arrhythmogenic right ventricular dysplasia Uncertain:1
This missense variant replaces glutamic acid with glutamine at codon 207 of the DSC2 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has been reported in an individual affected with arrhythmogenic right ventricular cardiomyopathy (PMID: 27532257). This variant has been identified in 4/251386 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at