rs373741350

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_015164.4(PLEKHM2):​c.632C>A​(p.Ala211Glu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,810 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A211T) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

PLEKHM2
NM_015164.4 missense

Scores

3
9
7

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 7.66
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]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PLEKHM2NM_015164.4 linkc.632C>A p.Ala211Glu missense_variant Exon 6 of 20 ENST00000375799.8 NP_055979.2
PLEKHM2NM_001410755.1 linkc.632C>A p.Ala211Glu missense_variant Exon 6 of 19 NP_001397684.1
PLEKHM2XM_017000757.1 linkc.671C>A p.Ala224Glu missense_variant Exon 6 of 20 XP_016856246.1
PLEKHM2XM_017000758.1 linkc.671C>A p.Ala224Glu missense_variant Exon 6 of 19 XP_016856247.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PLEKHM2ENST00000375799.8 linkc.632C>A p.Ala211Glu missense_variant Exon 6 of 20 1 NM_015164.4 ENSP00000364956.3 Q8IWE5-1
PLEKHM2ENST00000375793.2 linkc.632C>A p.Ala211Glu missense_variant Exon 6 of 19 5 ENSP00000364950.2 Q8IWE5-2
PLEKHM2ENST00000642363.1 linkc.632C>A p.Ala211Glu missense_variant Exon 6 of 21 ENSP00000494591.1 A0A2R8Y575
PLEKHM2ENST00000462455.1 linkn.*31C>A downstream_gene_variant 5

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460810
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
726636
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Uncertain
0.11
CADD
Pathogenic
28
DANN
Uncertain
0.99
DEOGEN2
Benign
0.034
T;.;.
Eigen
Uncertain
0.57
Eigen_PC
Uncertain
0.62
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.96
D;D;D
M_CAP
Benign
0.048
D
MetaRNN
Uncertain
0.49
T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Uncertain
2.1
M;.;.
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
-1.2
N;N;.
REVEL
Benign
0.29
Sift
Uncertain
0.0020
D;D;.
Sift4G
Benign
0.10
T;D;.
Polyphen
1.0
D;.;.
Vest4
0.77
MutPred
0.20
Gain of solvent accessibility (P = 0.0261);Gain of solvent accessibility (P = 0.0261);Gain of solvent accessibility (P = 0.0261);
MVP
0.67
MPC
0.57
ClinPred
0.91
D
GERP RS
5.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.87
gMVP
0.79

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr1-16046395; API