rs375845025

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_015164.4(PLEKHM2):​c.1738A>G​(p.Met580Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000039 in 1,591,144 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M580T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000026 ( 0 hom. )

Consequence

PLEKHM2
NM_015164.4 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.280

Publications

0 publications found
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]
PLEKHM2 Gene-Disease associations (from GenCC):
  • dilated cardiomyopathy
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.016168207).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_015164.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
NM_015164.4
MANE Select
c.1738A>Gp.Met580Val
missense
Exon 9 of 20NP_055979.2
PLEKHM2
NM_001410755.1
c.1678A>Gp.Met560Val
missense
Exon 8 of 19NP_001397684.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
ENST00000375799.8
TSL:1 MANE Select
c.1738A>Gp.Met580Val
missense
Exon 9 of 20ENSP00000364956.3
PLEKHM2
ENST00000850891.1
c.1777A>Gp.Met593Val
missense
Exon 9 of 20ENSP00000520968.1
PLEKHM2
ENST00000375793.3
TSL:5
c.1678A>Gp.Met560Val
missense
Exon 8 of 19ENSP00000364950.2

Frequencies

GnomAD3 genomes
AF:
0.000158
AC:
24
AN:
152072
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000579
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000235
AC:
5
AN:
212342
AF XY:
0.0000173
show subpopulations
Gnomad AFR exome
AF:
0.000401
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000264
AC:
38
AN:
1439072
Hom.:
0
Cov.:
33
AF XY:
0.0000294
AC XY:
21
AN XY:
713084
show subpopulations
African (AFR)
AF:
0.000694
AC:
23
AN:
33126
American (AMR)
AF:
0.0000239
AC:
1
AN:
41898
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25440
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38898
South Asian (SAS)
AF:
0.0000121
AC:
1
AN:
82766
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51082
Middle Eastern (MID)
AF:
0.000350
AC:
2
AN:
5714
European-Non Finnish (NFE)
AF:
0.00000454
AC:
5
AN:
1100684
Other (OTH)
AF:
0.000101
AC:
6
AN:
59464
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000158
AC:
24
AN:
152072
Hom.:
0
Cov.:
32
AF XY:
0.0000943
AC XY:
7
AN XY:
74252
show subpopulations
African (AFR)
AF:
0.000579
AC:
24
AN:
41426
American (AMR)
AF:
0.00
AC:
0
AN:
15268
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5160
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10604
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68008
Other (OTH)
AF:
0.00
AC:
0
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.000262
Hom.:
0
Bravo
AF:
0.000136
ESP6500AA
AF:
0.000478
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000663
AC:
8

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Dilated Cardiomyopathy, Recessive (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.56
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
0.51
DANN
Benign
0.62
DEOGEN2
Benign
0.010
T
Eigen
Benign
-0.96
Eigen_PC
Benign
-0.86
FATHMM_MKL
Benign
0.25
N
LIST_S2
Benign
0.77
T
M_CAP
Benign
0.0039
T
MetaRNN
Benign
0.016
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.0
L
PhyloP100
0.28
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-0.87
N
REVEL
Benign
0.055
Sift
Benign
0.37
T
Sift4G
Benign
1.0
T
Polyphen
0.0
B
Vest4
0.054
MVP
0.31
MPC
0.15
ClinPred
0.025
T
GERP RS
2.0
RBP_binding_hub_radar
1.0
RBP_regulation_power_radar
3.8
Varity_R
0.040
gMVP
0.11
Mutation Taster
=97/3
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs375845025; hg19: chr1-16054305; API