rs548483084

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM5BP6

The NM_000426.4(LAMA2):​c.7058G>A​(p.Arg2353His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000782 in 1,611,652 control chromosomes in the GnomAD database, including 1 homozygotes. 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. R2353C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000080 ( 1 hom. )

Consequence

LAMA2
NM_000426.4 missense

Scores

4
12
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:2

Conservation

PhyloP100: 9.48
Variant links:
Genes affected
LAMA2 (HGNC:6482): (laminin subunit alpha 2) Laminin, an extracellular protein, is a major component of the basement membrane. It is thought to mediate the attachment, migration, and organization of cells into tissues during embryonic development by interacting with other extracellular matrix components. It is composed of three subunits, alpha, beta, and gamma, which are bound to each other by disulfide bonds into a cross-shaped molecule. This gene encodes the alpha 2 chain, which constitutes one of the subunits of laminin 2 (merosin) and laminin 4 (s-merosin). Mutations in this gene have been identified as the cause of congenital merosin-deficient muscular dystrophy. Two transcript variants encoding different proteins have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr6-129464354-C-T is described in Lovd as [Likely_pathogenic].
BP6
Variant 6-129464355-G-A is Benign according to our data. Variant chr6-129464355-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 384649.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=2, Likely_benign=2}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LAMA2NM_000426.4 linkuse as main transcriptc.7058G>A p.Arg2353His missense_variant 50/65 ENST00000421865.3
LAMA2NM_001079823.2 linkuse as main transcriptc.7058G>A p.Arg2353His missense_variant 50/64

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LAMA2ENST00000421865.3 linkuse as main transcriptc.7058G>A p.Arg2353His missense_variant 50/655 NM_000426.4
ENST00000665046.1 linkuse as main transcriptn.976-23103C>T intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.0000593
AC:
9
AN:
151870
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000132
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000589
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000140
AC:
35
AN:
250754
Hom.:
0
AF XY:
0.000111
AC XY:
15
AN XY:
135506
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000464
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000115
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.0000802
AC:
117
AN:
1459664
Hom.:
1
Cov.:
31
AF XY:
0.0000716
AC XY:
52
AN XY:
726250
show subpopulations
Gnomad4 AFR exome
AF:
0.0000300
Gnomad4 AMR exome
AF:
0.000426
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000116
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.0000549
Gnomad4 OTH exome
AF:
0.0000664
GnomAD4 genome
AF:
0.0000592
AC:
9
AN:
151988
Hom.:
0
Cov.:
32
AF XY:
0.0000943
AC XY:
7
AN XY:
74266
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000589
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.0000283
Hom.:
0
Bravo
AF:
0.000113
ExAC
AF:
0.0000824
AC:
10
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxMar 07, 2019- -
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityAug 02, 2023- -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 13, 2023The c.7058G>A (p.R2353H) alteration is located in exon 50 (coding exon 50) of the LAMA2 gene. This alteration results from a G to A substitution at nucleotide position 7058, causing the arginine (R) at amino acid position 2353 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
LAMA2-related muscular dystrophy Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 13, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.48
BayesDel_addAF
Uncertain
0.017
T
BayesDel_noAF
Uncertain
0.13
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.056
.;T;T
Eigen
Pathogenic
0.76
Eigen_PC
Pathogenic
0.81
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D;D;D
M_CAP
Uncertain
0.16
D
MetaRNN
Uncertain
0.73
D;D;D
MetaSVM
Uncertain
-0.27
T
MutationAssessor
Uncertain
2.4
.;.;M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.75
T
PROVEAN
Uncertain
-3.2
.;.;D
REVEL
Uncertain
0.62
Sift
Uncertain
0.0030
.;.;D
Polyphen
1.0
.;.;D
Vest4
0.86
MutPred
0.56
.;Loss of MoRF binding (P = 0.0283);Loss of MoRF binding (P = 0.0283);
MVP
0.93
MPC
0.53
ClinPred
0.39
T
GERP RS
5.9
Varity_R
0.32
gMVP
0.62

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: rs548483084; hg19: chr6-129785500; COSMIC: COSV70341509; API