rs281864890

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 4P and 1B. PM1PM2BP4

The NM_000184.3(HBG2):​c.38C>G​(p.Thr13Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000384 in 781,212 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as other (no stars).

Frequency

Genomes: 𝑓 0.000014 ( 0 hom., cov: 23)
Exomes 𝑓: 0.0000016 ( 0 hom. )

Consequence

HBG2
NM_000184.3 missense

Scores

1
5
11

Clinical Significance

other no assertion criteria provided O:1

Conservation

PhyloP100: 0.373

Publications

1 publications found
Variant links:
Genes affected
HBG2 (HGNC:4832): (hemoglobin subunit gamma 2) The gamma globin genes (HBG1 and HBG2) are normally expressed in the fetal liver, spleen and bone marrow. Two gamma chains together with two alpha chains constitute fetal hemoglobin (HbF) which is normally replaced by adult hemoglobin (HbA) at birth. In some beta-thalassemias and related conditions, gamma chain production continues into adulthood. The two types of gamma chains differ at residue 136 where glycine is found in the G-gamma product (HBG2) and alanine is found in the A-gamma product (HBG1). The former is predominant at birth. The order of the genes in the beta-globin cluster is: 5'- epsilon -- gamma-G -- gamma-A -- delta -- beta--3'. [provided by RefSeq, Jul 2008]
HBG2 Gene-Disease associations (from GenCC):
  • hemoglobinopathy Toms River
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hereditary persistence of fetal hemoglobin-beta-thalassemia syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hereditary persistence of fetal hemoglobin-sickle cell disease syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • cyanosis, transient neonatal
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM1
In a modified_residue Phosphothreonine (size 0) in uniprot entity HBG2_HUMAN
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.27287346).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000184.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HBG2
NM_000184.3
MANE Select
c.38C>Gp.Thr13Arg
missense
Exon 1 of 3NP_000175.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HBG2
ENST00000336906.6
TSL:1 MANE Select
c.38C>Gp.Thr13Arg
missense
Exon 1 of 3ENSP00000338082.4
ENSG00000284931
ENST00000642908.1
c.38C>Gp.Thr13Arg
missense
Exon 1 of 3ENSP00000495346.1
ENSG00000239920
ENST00000380259.7
TSL:5
n.*1341C>G
non_coding_transcript_exon
Exon 7 of 8ENSP00000369609.3

Frequencies

GnomAD3 genomes
AF:
0.0000138
AC:
2
AN:
144880
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000696
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:
0.0000151
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000157
AC:
1
AN:
636332
Hom.:
0
Cov.:
8
AF XY:
0.00
AC XY:
0
AN XY:
332698
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
17238
American (AMR)
AF:
0.00
AC:
0
AN:
29642
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17204
East Asian (EAS)
AF:
0.00
AC:
0
AN:
32570
South Asian (SAS)
AF:
0.00
AC:
0
AN:
56540
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
35806
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2450
European-Non Finnish (NFE)
AF:
0.00000242
AC:
1
AN:
412456
Other (OTH)
AF:
0.00
AC:
0
AN:
32426
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.325
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
AF:
0.0000138
AC:
2
AN:
144880
Hom.:
0
Cov.:
23
AF XY:
0.0000286
AC XY:
2
AN XY:
69950
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
39122
American (AMR)
AF:
0.0000696
AC:
1
AN:
14370
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3416
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5122
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4310
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9308
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
306
European-Non Finnish (NFE)
AF:
0.0000151
AC:
1
AN:
66132
Other (OTH)
AF:
0.00
AC:
0
AN:
1916
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.300
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
0

ClinVar

ClinVar submissions as Germline

Significance:other
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
-
HEMOGLOBIN F (HEATHER) (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
20
DANN
Benign
0.94
DEOGEN2
Benign
0.061
T
Eigen
Benign
-0.20
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.074
N
LIST_S2
Uncertain
0.86
D
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.27
T
MetaSVM
Uncertain
-0.26
T
MutationAssessor
Benign
1.8
L
PhyloP100
0.37
PROVEAN
Uncertain
-3.0
D
REVEL
Uncertain
0.41
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.16
T
Polyphen
0.75
P
Vest4
0.17
MutPred
0.47
Loss of methylation at K18 (P = 0.0597)
MVP
0.89
ClinPred
0.63
D
GERP RS
1.7
PromoterAI
-0.011
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.73
gMVP
0.23
Mutation Taster
=22/78
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs281864890; hg19: chr11-5275921; API