rs202014397

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_015164.4(PLEKHM2):​c.1495G>T​(p.Ala499Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000393 in 1,575,660 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00019 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000023 ( 0 hom. )

Consequence

PLEKHM2
NM_015164.4 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.73

Publications

0 publications found
Variant links:
Genes affected
PLEKHM2 (HGNC:29131): (pleckstrin homology and RUN domain containing M2) This gene encodes a protein that binds the plus-end directed microtubule motor protein kinesin, together with the lysosomal GTPase Arl8, and is required for lysosomes to distribute away from the microtubule-organizing center. The encoded protein belongs to the multisubunit BLOC-one-related complex that regulates lysosome positioning. It binds a Salmonella effector protein called Salmonella induced filament A and is a critical host determinant in Salmonella pathogenesis. It has a domain architecture consisting of an N-terminal RPIP8, UNC-14, and NESCA (RUN) domain that binds kinesin-1 as well as the lysosomal GTPase Arl8, and a C-terminal pleckstrin homology domain that binds the Salmonella induced filament A effector protein. Naturally occurring mutations in this gene lead to abnormal localization of lysosomes, impaired autophagy flux and are associated with recessive dilated cardiomyopathy and left ventricular noncompaction. [provided by RefSeq, Feb 2017]
PLEKHM2 Gene-Disease associations (from GenCC):
  • dilated cardiomyopathy
    Inheritance: AR Classification: MODERATE, LIMITED Submitted by: ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.026167661).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_015164.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
NM_015164.4
MANE Select
c.1495G>Tp.Ala499Ser
missense
Exon 9 of 20NP_055979.2Q8IWE5-1
PLEKHM2
NM_001410755.1
c.1435G>Tp.Ala479Ser
missense
Exon 8 of 19NP_001397684.1Q8IWE5-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
ENST00000375799.8
TSL:1 MANE Select
c.1495G>Tp.Ala499Ser
missense
Exon 9 of 20ENSP00000364956.3Q8IWE5-1
PLEKHM2
ENST00000957356.1
c.1603G>Tp.Ala535Ser
missense
Exon 10 of 21ENSP00000627415.1
PLEKHM2
ENST00000957353.1
c.1495G>Tp.Ala499Ser
missense
Exon 9 of 20ENSP00000627412.1

Frequencies

GnomAD3 genomes
AF:
0.000191
AC:
29
AN:
151732
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000654
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000319
AC:
6
AN:
187862
AF XY:
0.0000198
show subpopulations
Gnomad AFR exome
AF:
0.000581
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000232
AC:
33
AN:
1423928
Hom.:
0
Cov.:
33
AF XY:
0.0000156
AC XY:
11
AN XY:
705008
show subpopulations
African (AFR)
AF:
0.000889
AC:
29
AN:
32628
American (AMR)
AF:
0.0000261
AC:
1
AN:
38346
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25460
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37614
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81554
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50122
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5730
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1093336
Other (OTH)
AF:
0.0000507
AC:
3
AN:
59138
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000191
AC:
29
AN:
151732
Hom.:
0
Cov.:
32
AF XY:
0.000203
AC XY:
15
AN XY:
74052
show subpopulations
African (AFR)
AF:
0.000654
AC:
27
AN:
41296
American (AMR)
AF:
0.000131
AC:
2
AN:
15236
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5120
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4770
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10600
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67936
Other (OTH)
AF:
0.00
AC:
0
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.000108
Hom.:
0
Bravo
AF:
0.000223
ESP6500AA
AF:
0.000999
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000334
AC:
4

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Dilated Cardiomyopathy, Recessive (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.087
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
14
DANN
Benign
0.90
DEOGEN2
Benign
0.017
T
Eigen
Benign
-0.74
Eigen_PC
Benign
-0.59
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.68
T
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.026
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.0
M
PhyloP100
1.7
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.37
N
REVEL
Benign
0.037
Sift
Benign
0.19
T
Sift4G
Benign
0.78
T
Polyphen
0.055
B
Vest4
0.14
MVP
0.24
MPC
0.21
ClinPred
0.020
T
GERP RS
-1.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.028
gMVP
0.13
Mutation Taster
=95/5
polymorphism

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

Other links and lift over

dbSNP: rs202014397; hg19: chr1-16054062; API