rs534045338

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_015164.4(PLEKHM2):​c.2458A>C​(p.Asn820His) variant causes a missense change. The variant allele was found at a frequency of 0.0000359 in 1,587,214 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000038 ( 0 hom. )

Consequence

PLEKHM2
NM_015164.4 missense

Scores

10
8

Clinical Significance

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

Conservation

PhyloP100: 6.51

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 -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.18700877).

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

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
NM_015164.4
MANE Select
c.2458A>Cp.Asn820His
missense
Exon 16 of 20NP_055979.2
PLEKHM2
NM_001410755.1
c.2398A>Cp.Asn800His
missense
Exon 15 of 19NP_001397684.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
ENST00000375799.8
TSL:1 MANE Select
c.2458A>Cp.Asn820His
missense
Exon 16 of 20ENSP00000364956.3
PLEKHM2
ENST00000957356.1
c.2566A>Cp.Asn856His
missense
Exon 17 of 21ENSP00000627415.1
PLEKHM2
ENST00000957353.1
c.2564A>Cp.Glu855Ala
missense
Exon 16 of 20ENSP00000627412.1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152056
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000820
AC:
17
AN:
207294
AF XY:
0.0000804
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000331
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000664
Gnomad OTH exome
AF:
0.000187
GnomAD4 exome
AF:
0.0000376
AC:
54
AN:
1435040
Hom.:
0
Cov.:
30
AF XY:
0.0000393
AC XY:
28
AN XY:
711564
show subpopulations
African (AFR)
AF:
0.0000911
AC:
3
AN:
32928
American (AMR)
AF:
0.000410
AC:
17
AN:
41484
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25668
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38402
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82308
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51042
Middle Eastern (MID)
AF:
0.000349
AC:
2
AN:
5732
European-Non Finnish (NFE)
AF:
0.0000273
AC:
30
AN:
1098070
Other (OTH)
AF:
0.0000337
AC:
2
AN:
59406
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
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:
0.0000197
AC:
3
AN:
152174
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74412
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41526
American (AMR)
AF:
0.0000654
AC:
1
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4814
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
67970
Other (OTH)
AF:
0.00
AC:
0
AN:
2098
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.000113
Hom.:
0
Bravo
AF:
0.0000491
ExAC
AF:
0.0000333
AC:
4

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
0.21
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.25
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.25
T
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Uncertain
0.94
D
M_CAP
Benign
0.080
D
MetaRNN
Benign
0.19
T
MetaSVM
Uncertain
-0.20
T
MutationAssessor
Benign
1.4
L
PhyloP100
6.5
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-1.6
N
REVEL
Uncertain
0.49
Sift
Uncertain
0.013
D
Sift4G
Uncertain
0.012
D
Polyphen
1.0
D
Vest4
0.74
MutPred
0.57
Loss of stability (P = 0.0617)
MVP
0.76
MPC
0.66
ClinPred
0.16
T
GERP RS
5.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.26
gMVP
0.26
Mutation Taster
=79/21
polymorphism

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

Other links and lift over

dbSNP: rs534045338; hg19: chr1-16057745; API