rs375318012

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_020435.4(GJC2):​c.575C>G​(p.Pro192Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00147 in 1,564,994 control chromosomes in the GnomAD database, including 3 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 Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P192L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0011 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0015 ( 3 hom. )

Consequence

GJC2
NM_020435.4 missense

Scores

1
3
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:7

Conservation

PhyloP100: -0.479
Variant links:
Genes affected
GJC2 (HGNC:17494): (gap junction protein gamma 2) This gene encodes a gap junction protein. Gap junction proteins are members of a large family of homologous connexins and comprise 4 transmembrane, 2 extracellular, and 3 cytoplasmic domains. This gene plays a key role in central myelination and is involved in peripheral myelination in humans. Defects in this gene are the cause of autosomal recessive Pelizaeus-Merzbacher-like disease-1. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01837939).
BP6
Variant 1-228158333-C-G is Benign according to our data. Variant chr1-228158333-C-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 429631.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=2}. Variant chr1-228158333-C-G is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAdExome4 at 3 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GJC2NM_020435.4 linkc.575C>G p.Pro192Arg missense_variant Exon 2 of 2 ENST00000366714.3 NP_065168.2 Q5T442A0A654IBV7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GJC2ENST00000366714.3 linkc.575C>G p.Pro192Arg missense_variant Exon 2 of 2 1 NM_020435.4 ENSP00000355675.2 Q5T442

Frequencies

GnomAD3 genomes
AF:
0.00109
AC:
166
AN:
151828
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.000289
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.000287
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00200
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00118
AC:
206
AN:
174694
Hom.:
0
AF XY:
0.00124
AC XY:
119
AN XY:
96352
show subpopulations
Gnomad AFR exome
AF:
0.000200
Gnomad AMR exome
AF:
0.000109
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000680
Gnomad FIN exome
AF:
0.0000938
Gnomad NFE exome
AF:
0.00241
Gnomad OTH exome
AF:
0.00105
GnomAD4 exome
AF:
0.00151
AC:
2129
AN:
1413048
Hom.:
3
Cov.:
36
AF XY:
0.00149
AC XY:
1040
AN XY:
699918
show subpopulations
Gnomad4 AFR exome
AF:
0.000215
Gnomad4 AMR exome
AF:
0.000130
Gnomad4 ASJ exome
AF:
0.0000394
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00115
Gnomad4 FIN exome
AF:
0.000194
Gnomad4 NFE exome
AF:
0.00178
Gnomad4 OTH exome
AF:
0.00114
GnomAD4 genome
AF:
0.00109
AC:
166
AN:
151946
Hom.:
0
Cov.:
32
AF XY:
0.000969
AC XY:
72
AN XY:
74288
show subpopulations
Gnomad4 AFR
AF:
0.000409
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.000289
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000622
Gnomad4 FIN
AF:
0.000287
Gnomad4 NFE
AF:
0.00200
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00154
Hom.:
0
Bravo
AF:
0.000918
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00145
AC:
12
ExAC
AF:
0.00112
AC:
131

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:7
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:3Benign:4
Feb 26, 2021
Mayo Clinic Laboratories, Mayo Clinic
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

Nov 03, 2023
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

-
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

The GJC2 p.Pro192Arg variant was not identified in the literature nor was it identified in Cosmic. The variant was also identified in dbSNP (ID: rs375318012), ClinVar (classified as a VUS by GeneDx and as likely benign by Invitae for spastic paraplegia) and LOVD 3.0. The variant was identified in control databases in 252 of 205450 chromosomes at a frequency of 0.001227 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: European (non-Finnish) in 210 of 88836 chromosomes (freq: 0.002364), Other in 7 of 5768 chromosomes (freq: 0.001214), South Asian in 18 of 26482 chromosomes (freq: 0.00068), African in 10 of 18612 chromosomes (freq: 0.000537), European (Finnish) in 4 of 13868 chromosomes (freq: 0.000288) and Latino in 3 of 28306 chromosomes (freq: 0.000106); it was not observed in the Ashkenazi Jewish and East Asian populations. The p.Pro192 residue is conserved in mammals but not in more distantly related organisms however four out of five computational analyses (PolyPhen-2, SIFT, AlignGVGD, MutationTaster) do not suggest a high likelihood of impact to the protein; this information is not predictive enough to rule out pathogenicity. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as a variant of uncertain significance. -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jun 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

GJC2: PP3, BS1 -

Spastic paraplegia Benign:1
Jan 06, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Inborn genetic diseases Benign:1
Jan 16, 2025
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

GJC2-related disorder Benign:1
Aug 10, 2022
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
3.7
DANN
Benign
0.92
DEOGEN2
Uncertain
0.42
T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.33
T
M_CAP
Pathogenic
0.72
D
MetaRNN
Benign
0.018
T
MetaSVM
Uncertain
0.13
D
MutationAssessor
Benign
1.7
L
PrimateAI
Uncertain
0.78
T
PROVEAN
Benign
-0.58
N
REVEL
Benign
0.21
Sift
Benign
0.092
T
Sift4G
Benign
0.24
T
Polyphen
0.049
B
Vest4
0.20
MVP
0.52
ClinPred
0.023
T
GERP RS
-4.0
Varity_R
0.061
gMVP
0.29

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: rs375318012; hg19: chr1-228346034; COSMIC: COSV100813030; API