rs201560745

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_025184.4(EFHC2):​c.404G>A​(p.Arg135Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00116 in 1,189,572 control chromosomes in the GnomAD database, including 4 homozygotes. There are 618 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00079 ( 0 hom., 33 hem., cov: 22)
Exomes 𝑓: 0.0012 ( 4 hom. 585 hem. )

Consequence

EFHC2
NM_025184.4 missense

Scores

2
5
7

Clinical Significance

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

Conservation

PhyloP100: 2.63
Variant links:
Genes affected
EFHC2 (HGNC:26233): (EF-hand domain containing 2) This gene encodes a protein which contains three DM10 domains and three calcium-binding EF-hand motifs. A related protein is encoded by a gene on chromosome 6. It has been suggested that both proteins are involved in the development of epilepsy (PMID: 15258581, 16112844) and that this gene may be associated with fear recognition in individuals with Turner syndrome. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009518921).
BS2
High Hemizygotes in GnomAd4 at 33 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EFHC2NM_025184.4 linkuse as main transcriptc.404G>A p.Arg135Gln missense_variant 4/15 ENST00000420999.2 NP_079460.2 Q5JST6-1
EFHC2XM_047442535.1 linkuse as main transcriptc.404G>A p.Arg135Gln missense_variant 4/14 XP_047298491.1
EFHC2XM_047442536.1 linkuse as main transcriptc.404G>A p.Arg135Gln missense_variant 4/15 XP_047298492.1
EFHC2XM_006724562.3 linkuse as main transcriptc.-185G>A 5_prime_UTR_variant 3/14 XP_006724625.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EFHC2ENST00000420999.2 linkuse as main transcriptc.404G>A p.Arg135Gln missense_variant 4/151 NM_025184.4 ENSP00000404232.2 Q5JST6-1

Frequencies

GnomAD3 genomes
AF:
0.000821
AC:
92
AN:
111998
Hom.:
0
Cov.:
22
AF XY:
0.00102
AC XY:
35
AN XY:
34164
show subpopulations
Gnomad AFR
AF:
0.000357
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000285
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0113
Gnomad FIN
AF:
0.000491
Gnomad MID
AF:
0.0125
Gnomad NFE
AF:
0.000752
Gnomad OTH
AF:
0.00134
GnomAD3 exomes
AF:
0.00214
AC:
362
AN:
168995
Hom.:
2
AF XY:
0.00270
AC XY:
152
AN XY:
56365
show subpopulations
Gnomad AFR exome
AF:
0.0000830
Gnomad AMR exome
AF:
0.00227
Gnomad ASJ exome
AF:
0.000302
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0130
Gnomad FIN exome
AF:
0.000838
Gnomad NFE exome
AF:
0.000753
Gnomad OTH exome
AF:
0.00641
GnomAD4 exome
AF:
0.00120
AC:
1293
AN:
1077522
Hom.:
4
Cov.:
30
AF XY:
0.00169
AC XY:
585
AN XY:
345996
show subpopulations
Gnomad4 AFR exome
AF:
0.000116
Gnomad4 AMR exome
AF:
0.00222
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000335
Gnomad4 SAS exome
AF:
0.0136
Gnomad4 FIN exome
AF:
0.000449
Gnomad4 NFE exome
AF:
0.000467
Gnomad4 OTH exome
AF:
0.00162
GnomAD4 genome
AF:
0.000794
AC:
89
AN:
112050
Hom.:
0
Cov.:
22
AF XY:
0.000964
AC XY:
33
AN XY:
34226
show subpopulations
Gnomad4 AFR
AF:
0.000356
Gnomad4 AMR
AF:
0.000284
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.0106
Gnomad4 FIN
AF:
0.000491
Gnomad4 NFE
AF:
0.000752
Gnomad4 OTH
AF:
0.00132
Alfa
AF:
0.00101
Hom.:
28
Bravo
AF:
0.000665
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000692
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000781
AC:
5
ExAC
AF:
0.00282
AC:
341

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Dec 20, 2013- -
X-linked intellectual disability Benign:1
Benign, criteria provided, single submitterresearchBroad Center for Mendelian Genomics, Broad Institute of MIT and Harvard-The p.Arg135Gln variant in EFHC2 has been identified in at least 2 unrelated individuals with intellectual disability, segregated with disease in 2 families of unknown size (PMID: 17221867), and has been identified in >1% of South Asian chromosomes, 100 hemizygotes, and 1 homozygote by ExAC (http://gnomad.broadinstitute.org/). In summary, this variant meets criteria to be classified as benign for X-linked recessive mental retardation. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.0061
T
BayesDel_noAF
Pathogenic
0.23
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.042
T
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.87
D
MetaRNN
Benign
0.0095
T
MetaSVM
Benign
-0.28
T
MutationAssessor
Uncertain
2.6
M
PrimateAI
Benign
0.37
T
REVEL
Uncertain
0.41
Sift4G
Uncertain
0.012
D
Polyphen
1.0
D
Vest4
0.088
MVP
0.90
MPC
0.27
ClinPred
0.048
T
GERP RS
5.0
Varity_R
0.79
gMVP
0.79

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: rs201560745; hg19: chrX-44120523; COSMIC: COSV101375455; API