rs2228063

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_000067.3(CA2):ā€‹c.754A>Gā€‹(p.Asn252Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00471 in 1,613,926 control chromosomes in the GnomAD database, including 338 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N252S) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.026 ( 185 hom., cov: 32)
Exomes š‘“: 0.0025 ( 153 hom. )

Consequence

CA2
NM_000067.3 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts P:1B:6

Conservation

PhyloP100: 0.632
Variant links:
Genes affected
CA2 (HGNC:1373): (carbonic anhydrase 2) The protein encoded by this gene is one of several isozymes of carbonic anhydrase, which catalyzes reversible hydration of carbon dioxide. Defects in this enzyme are associated with osteopetrosis and renal tubular acidosis. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jun 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a domain Alpha-carbonic anhydrase (size 256) in uniprot entity CAH2_HUMAN there are 8 pathogenic changes around while only 3 benign (73%) in NM_000067.3
BP4
Computational evidence support a benign effect (MetaRNN=0.04851392).
BP6
Variant 8-85480760-A-G is Benign according to our data. Variant chr8-85480760-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 913.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-85480760-A-G is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0879 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CA2NM_000067.3 linkuse as main transcriptc.754A>G p.Asn252Asp missense_variant 7/7 ENST00000285379.10
CA2NM_001293675.2 linkuse as main transcriptc.451A>G p.Asn151Asp missense_variant 6/6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CA2ENST00000285379.10 linkuse as main transcriptc.754A>G p.Asn252Asp missense_variant 7/71 NM_000067.3 P1
CA2ENST00000520127.5 linkuse as main transcriptc.*341A>G 3_prime_UTR_variant, NMD_transcript_variant 6/63

Frequencies

GnomAD3 genomes
AF:
0.0260
AC:
3957
AN:
152178
Hom.:
184
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0905
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0107
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.0148
GnomAD3 exomes
AF:
0.00680
AC:
1708
AN:
251198
Hom.:
72
AF XY:
0.00485
AC XY:
658
AN XY:
135748
show subpopulations
Gnomad AFR exome
AF:
0.0923
Gnomad AMR exome
AF:
0.00493
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000968
Gnomad OTH exome
AF:
0.00375
GnomAD4 exome
AF:
0.00249
AC:
3642
AN:
1461630
Hom.:
153
Cov.:
30
AF XY:
0.00213
AC XY:
1549
AN XY:
727112
show subpopulations
Gnomad4 AFR exome
AF:
0.0896
Gnomad4 AMR exome
AF:
0.00551
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000128
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000693
Gnomad4 OTH exome
AF:
0.00498
GnomAD4 genome
AF:
0.0260
AC:
3963
AN:
152296
Hom.:
185
Cov.:
32
AF XY:
0.0253
AC XY:
1882
AN XY:
74480
show subpopulations
Gnomad4 AFR
AF:
0.0903
Gnomad4 AMR
AF:
0.0107
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.0147
Alfa
AF:
0.00484
Hom.:
44
Bravo
AF:
0.0287
ESP6500AA
AF:
0.0867
AC:
382
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00832
AC:
1010
Asia WGS
AF:
0.00491
AC:
17
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Benign/Likely benign
Submissions summary: Pathogenic:1Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 28, 2024- -
Benign, criteria provided, single submitterclinical testingGeneDxApr 27, 2020This variant is associated with the following publications: (PMID: 31690045) -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Osteopetrosis with renal tubular acidosis Benign:3
Benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
Benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMar 30, 2022- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -
CARBONIC ANHYDRASE II VARIANT Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJun 25, 1972- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.098
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
9.8
DANN
Uncertain
0.99
DEOGEN2
Benign
0.25
T
Eigen
Benign
-0.85
Eigen_PC
Benign
-0.83
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.51
T
MetaRNN
Benign
0.049
T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
0.29
N
MutationTaster
Benign
0.0069
A
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.093
Sift
Benign
0.080
T
Sift4G
Benign
0.27
T
Polyphen
0.0
B
Vest4
0.10
MVP
0.82
MPC
0.29
ClinPred
0.0097
T
GERP RS
0.28
Varity_R
0.27
gMVP
0.68

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: rs2228063; hg19: chr8-86392989; COSMIC: COSV99570035; COSMIC: COSV99570035; API