rs55643281

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBS1BS2

The NM_145207.3(AFG2A):​c.767T>C​(p.Ile256Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0128 in 1,614,192 control chromosomes in the GnomAD database, including 179 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I256V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0091 ( 9 hom., cov: 32)
Exomes 𝑓: 0.013 ( 170 hom. )

Consequence

AFG2A
NM_145207.3 missense

Scores

17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -1.30

Publications

6 publications found
Variant links:
Genes affected
AFG2A (HGNC:18119): (AFG2 AAA ATPase homolog A) This gene encodes a member of the ATPase associated with diverse activities family, whose members are defined by a highly conserved ATPase domain. Members of this family participate in diverse cellular processes that include membrane fusion, DNA replication, microtubule severing, and protein degradation. The protein encoded by this gene has a putative mitochondrial targeting sequence and has been proposed to function in maintenance of mitochondrial function and integrity during mouse spermatogenesis. Allelic variants in this gene have been associated with epilepsy, hearing loss, and cognitive disability syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2016]
AFG2A Gene-Disease associations (from GenCC):
  • microcephaly-intellectual disability-sensorineural hearing loss-epilepsy-abnormal muscle tone syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet, PanelApp Australia

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 22 curated pathogenic missense variants (we use a threshold of 10). The gene has 7 curated benign missense variants. Gene score misZ: 0.46019 (below the threshold of 3.09). Trascript score misZ: 1.2041 (below the threshold of 3.09). GenCC associations: The gene is linked to microcephaly-intellectual disability-sensorineural hearing loss-epilepsy-abnormal muscle tone syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.0034609437).
BP6
Variant 4-122934358-T-C is Benign according to our data. Variant chr4-122934358-T-C is described in ClinVar as Benign. ClinVar VariationId is 475734.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00909 (1385/152304) while in subpopulation NFE AF = 0.0139 (948/68030). AF 95% confidence interval is 0.0132. There are 9 homozygotes in GnomAd4. There are 629 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 9 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AFG2ANM_145207.3 linkc.767T>C p.Ile256Thr missense_variant Exon 5 of 16 ENST00000274008.5 NP_660208.2 Q8NB90-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AFG2AENST00000274008.5 linkc.767T>C p.Ile256Thr missense_variant Exon 5 of 16 1 NM_145207.3 ENSP00000274008.3 Q8NB90-1

Frequencies

GnomAD3 genomes
AF:
0.00910
AC:
1385
AN:
152186
Hom.:
9
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00360
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00982
Gnomad ASJ
AF:
0.0231
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00264
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0139
Gnomad OTH
AF:
0.0124
GnomAD2 exomes
AF:
0.00916
AC:
2302
AN:
251406
AF XY:
0.00914
show subpopulations
Gnomad AFR exome
AF:
0.00369
Gnomad AMR exome
AF:
0.00584
Gnomad ASJ exome
AF:
0.0233
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00407
Gnomad NFE exome
AF:
0.0140
Gnomad OTH exome
AF:
0.0116
GnomAD4 exome
AF:
0.0131
AC:
19204
AN:
1461888
Hom.:
170
Cov.:
31
AF XY:
0.0126
AC XY:
9199
AN XY:
727248
show subpopulations
African (AFR)
AF:
0.00284
AC:
95
AN:
33480
American (AMR)
AF:
0.00682
AC:
305
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0246
AC:
644
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00143
AC:
123
AN:
86258
European-Finnish (FIN)
AF:
0.00489
AC:
261
AN:
53420
Middle Eastern (MID)
AF:
0.00208
AC:
12
AN:
5768
European-Non Finnish (NFE)
AF:
0.0153
AC:
16984
AN:
1112006
Other (OTH)
AF:
0.0129
AC:
779
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
1234
2468
3702
4936
6170
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
664
1328
1992
2656
3320
<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:
0.00909
AC:
1385
AN:
152304
Hom.:
9
Cov.:
32
AF XY:
0.00845
AC XY:
629
AN XY:
74472
show subpopulations
African (AFR)
AF:
0.00359
AC:
149
AN:
41556
American (AMR)
AF:
0.00980
AC:
150
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0231
AC:
80
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.000622
AC:
3
AN:
4824
European-Finnish (FIN)
AF:
0.00264
AC:
28
AN:
10612
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.0139
AC:
948
AN:
68030
Other (OTH)
AF:
0.0123
AC:
26
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
67
134
200
267
334
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.0131
Hom.:
71
Bravo
AF:
0.00920
TwinsUK
AF:
0.0170
AC:
63
ALSPAC
AF:
0.0145
AC:
56
ESP6500AA
AF:
0.00431
AC:
19
ESP6500EA
AF:
0.0159
AC:
137
ExAC
AF:
0.00916
AC:
1112
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.0143
EpiControl
AF:
0.0143

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Aug 06, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

AFG2A: BP4, BS1, BS2 -

not specified Benign:1
Jul 31, 2024
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

AFG2A-related disorder Benign:1
Mar 08, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

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

Microcephaly-intellectual disability-sensorineural hearing loss-epilepsy-abnormal muscle tone syndrome Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.051
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
0.37
DANN
Benign
0.41
DEOGEN2
Benign
0.010
T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.44
T
MetaRNN
Benign
0.0035
T
MetaSVM
Benign
-0.66
T
PhyloP100
-1.3
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.58
N
REVEL
Benign
0.16
Sift
Benign
1.0
T
Sift4G
Benign
0.44
T
Polyphen
0.0
B
Vest4
0.040
MVP
0.34
MPC
0.18
ClinPred
0.0037
T
GERP RS
-5.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.031
gMVP
0.17
Mutation Taster
=98/2
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: rs55643281; hg19: chr4-123855513; COSMIC: COSV99916787; API