rs200926711

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_145239.3(PRRT2):​c.644C>G​(p.Pro215Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000393 in 1,575,196 control chromosomes in the GnomAD database, including 6 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 (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P215S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00046 ( 1 hom., cov: 31)
Exomes 𝑓: 0.00039 ( 5 hom. )

Consequence

PRRT2
NM_145239.3 missense

Scores

7
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.721

Publications

10 publications found
Variant links:
Genes affected
PRRT2 (HGNC:30500): (proline rich transmembrane protein 2) This gene encodes a transmembrane protein containing a proline-rich domain in its N-terminal half. Studies in mice suggest that it is predominantly expressed in brain and spinal cord in embryonic and postnatal stages. Mutations in this gene are associated with episodic kinesigenic dyskinesia-1. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2012]
MVP-DT (HGNC:56029): (MVP divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004953712).
BP6
Variant 16-29813698-C-G is Benign according to our data. Variant chr16-29813698-C-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 206688.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAdExome4 at 5 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRRT2NM_145239.3 linkc.644C>G p.Pro215Arg missense_variant Exon 2 of 4 ENST00000358758.12 NP_660282.2 Q7Z6L0-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRRT2ENST00000358758.12 linkc.644C>G p.Pro215Arg missense_variant Exon 2 of 4 1 NM_145239.3 ENSP00000351608.7 Q7Z6L0-1
ENSG00000280893ENST00000609618.2 linkn.644C>G non_coding_transcript_exon_variant Exon 2 of 6 5 ENSP00000476774.2 A0A0G2JLL6

Frequencies

GnomAD3 genomes
AF:
0.000468
AC:
71
AN:
151636
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000726
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00230
Gnomad ASJ
AF:
0.00317
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00272
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.000844
AC:
183
AN:
216884
AF XY:
0.00107
show subpopulations
Gnomad AFR exome
AF:
0.0000723
Gnomad AMR exome
AF:
0.00104
Gnomad ASJ exome
AF:
0.00577
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000299
Gnomad OTH exome
AF:
0.000774
GnomAD4 exome
AF:
0.000386
AC:
549
AN:
1423432
Hom.:
5
Cov.:
36
AF XY:
0.000510
AC XY:
360
AN XY:
706426
show subpopulations
African (AFR)
AF:
0.0000311
AC:
1
AN:
32172
American (AMR)
AF:
0.00103
AC:
42
AN:
40828
Ashkenazi Jewish (ASJ)
AF:
0.00500
AC:
120
AN:
23984
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38820
South Asian (SAS)
AF:
0.00230
AC:
188
AN:
81826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51708
Middle Eastern (MID)
AF:
0.00573
AC:
32
AN:
5586
European-Non Finnish (NFE)
AF:
0.000115
AC:
125
AN:
1089950
Other (OTH)
AF:
0.000700
AC:
41
AN:
58558
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.602
Heterozygous variant carriers
0
28
56
85
113
141
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.000461
AC:
70
AN:
151764
Hom.:
1
Cov.:
31
AF XY:
0.000553
AC XY:
41
AN XY:
74192
show subpopulations
African (AFR)
AF:
0.0000724
AC:
3
AN:
41434
American (AMR)
AF:
0.00229
AC:
35
AN:
15264
Ashkenazi Jewish (ASJ)
AF:
0.00317
AC:
11
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5102
South Asian (SAS)
AF:
0.00251
AC:
12
AN:
4784
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10532
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000103
AC:
7
AN:
67870
Other (OTH)
AF:
0.000474
AC:
1
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.547
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:
0.000811
Hom.:
1
Bravo
AF:
0.000706
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000471
AC:
4
ExAC
AF:
0.000769
AC:
93
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Oct 28, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 23077024, 22243967, 23566103, 31124310, 24594579) -

Jul 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PRRT2: BS2 -

Episodic kinesigenic dyskinesia Benign:1
Jan 28, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
May 02, 2018
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Seizures, benign familial infantile, 2;C1865926:Infantile convulsions and choreoathetosis;C4552000:Episodic kinesigenic dyskinesia 1 Benign:1
Oct 12, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

PRRT2-related disorder Benign:1
Oct 23, 2020
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.13
T;.;.;.;.;T;.;T;T
Eigen
Uncertain
0.32
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.78
.;.;T;T;T;.;T;.;T
M_CAP
Benign
0.031
D
MetaRNN
Benign
0.0050
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.39
T
MutationAssessor
Benign
0.90
L;L;L;.;L;L;.;L;L
PhyloP100
0.72
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-0.11
N;.;N;.;N;.;.;.;.
REVEL
Benign
0.22
Sift
Uncertain
0.0080
D;.;D;.;D;.;.;.;.
Sift4G
Uncertain
0.048
D;.;D;.;D;.;.;D;.
Polyphen
1.0
D;D;D;.;D;D;.;D;D
Vest4
0.27
MVP
0.94
MPC
0.90
ClinPred
0.022
T
GERP RS
2.9
Varity_R
0.075
gMVP
0.33
Mutation Taster
=96/4
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs200926711; hg19: chr16-29825019; API