rs2301865

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_024306.5(FA2H):​c.879C>T​(p.Pro293Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.797 in 1,612,910 control chromosomes in the GnomAD database, including 514,126 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.77 ( 45600 hom., cov: 29)
Exomes 𝑓: 0.80 ( 468526 hom. )

Consequence

FA2H
NM_024306.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: -2.58
Variant links:
Genes affected
FA2H (HGNC:21197): (fatty acid 2-hydroxylase) This gene encodes a protein that catalyzes the synthesis of 2-hydroxysphingolipids, a subset of sphingolipids that contain 2-hydroxy fatty acids. Sphingolipids play roles in many cellular processes and their structural diversity arises from modification of the hydrophobic ceramide moiety, such as by 2-hydroxylation of the N-acyl chain, and the existence of many different head groups. Mutations in this gene have been associated with leukodystrophy dysmyelinating with spastic paraparesis with or without dystonia.[provided by RefSeq, Mar 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.75).
BP6
Variant 16-74716507-G-A is Benign according to our data. Variant chr16-74716507-G-A is described in ClinVar as [Benign]. Clinvar id is 129031.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-74716507-G-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-2.58 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.809 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FA2HNM_024306.5 linkc.879C>T p.Pro293Pro synonymous_variant Exon 6 of 7 ENST00000219368.8 NP_077282.3 Q7L5A8-1
FA2HXM_011523319.3 linkc.639C>T p.Pro213Pro synonymous_variant Exon 6 of 7 XP_011521621.1
FA2HXM_011523317.4 linkc.*1743C>T 3_prime_UTR_variant Exon 6 of 6 XP_011521619.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FA2HENST00000219368.8 linkc.879C>T p.Pro293Pro synonymous_variant Exon 6 of 7 1 NM_024306.5 ENSP00000219368.3 Q7L5A8-1
FA2HENST00000562145.1 linkn.600C>T non_coding_transcript_exon_variant Exon 1 of 2 1
FA2HENST00000567683.5 linkn.*158C>T non_coding_transcript_exon_variant Exon 4 of 5 2 ENSP00000455126.1 H3BP32
FA2HENST00000567683.5 linkn.*158C>T 3_prime_UTR_variant Exon 4 of 5 2 ENSP00000455126.1 H3BP32

Frequencies

GnomAD3 genomes
AF:
0.774
AC:
117281
AN:
151562
Hom.:
45581
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.715
Gnomad AMI
AF:
0.757
Gnomad AMR
AF:
0.770
Gnomad ASJ
AF:
0.785
Gnomad EAS
AF:
0.665
Gnomad SAS
AF:
0.701
Gnomad FIN
AF:
0.823
Gnomad MID
AF:
0.870
Gnomad NFE
AF:
0.815
Gnomad OTH
AF:
0.794
GnomAD3 exomes
AF:
0.772
AC:
192521
AN:
249406
Hom.:
74774
AF XY:
0.772
AC XY:
104118
AN XY:
134912
show subpopulations
Gnomad AFR exome
AF:
0.711
Gnomad AMR exome
AF:
0.754
Gnomad ASJ exome
AF:
0.795
Gnomad EAS exome
AF:
0.656
Gnomad SAS exome
AF:
0.691
Gnomad FIN exome
AF:
0.831
Gnomad NFE exome
AF:
0.812
Gnomad OTH exome
AF:
0.794
GnomAD4 exome
AF:
0.799
AC:
1167962
AN:
1461230
Hom.:
468526
Cov.:
64
AF XY:
0.797
AC XY:
579596
AN XY:
726908
show subpopulations
Gnomad4 AFR exome
AF:
0.708
Gnomad4 AMR exome
AF:
0.757
Gnomad4 ASJ exome
AF:
0.791
Gnomad4 EAS exome
AF:
0.652
Gnomad4 SAS exome
AF:
0.702
Gnomad4 FIN exome
AF:
0.831
Gnomad4 NFE exome
AF:
0.815
Gnomad4 OTH exome
AF:
0.792
GnomAD4 genome
AF:
0.774
AC:
117345
AN:
151680
Hom.:
45600
Cov.:
29
AF XY:
0.772
AC XY:
57233
AN XY:
74098
show subpopulations
Gnomad4 AFR
AF:
0.714
Gnomad4 AMR
AF:
0.770
Gnomad4 ASJ
AF:
0.785
Gnomad4 EAS
AF:
0.666
Gnomad4 SAS
AF:
0.701
Gnomad4 FIN
AF:
0.823
Gnomad4 NFE
AF:
0.815
Gnomad4 OTH
AF:
0.794
Alfa
AF:
0.806
Hom.:
59522
Bravo
AF:
0.768
Asia WGS
AF:
0.677
AC:
2357
AN:
3478
EpiCase
AF:
0.821
EpiControl
AF:
0.818

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hereditary spastic paraplegia 35 Benign:5
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Aug 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Sep 21, 2015
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 24, 2015
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not specified Benign:4
Aug 15, 2013
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 31, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 95% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy, Progressive Myoclonus Epilepsy and Abnormal Movements and Neurodegeneration with brain iron accumulation. Number of patients: 88. Only high quality variants are reported. -

Jan 22, 2016
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Spastic paraplegia Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hereditary spastic paraplegia Benign:1
Dec 12, 2016
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.75
CADD
Benign
0.014
DANN
Benign
0.73

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: rs2301865; hg19: chr16-74750405; COSMIC: COSV54726510; COSMIC: COSV54726510; API