rs61739679

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_015164.4(PLEKHM2):​c.1286G>A​(p.Arg429His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000802 in 1,599,116 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 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. R429C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0037 ( 2 hom., cov: 32)
Exomes 𝑓: 0.00049 ( 6 hom. )

Consequence

PLEKHM2
NM_015164.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.0890

Publications

3 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: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0027552247).
BP6
Variant 1-15727358-G-A is Benign according to our data. Variant chr1-15727358-G-A is described in ClinVar as Benign. ClinVar VariationId is 478067.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PLEKHM2NM_015164.4 linkc.1286G>A p.Arg429His missense_variant Exon 9 of 20 ENST00000375799.8 NP_055979.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PLEKHM2ENST00000375799.8 linkc.1286G>A p.Arg429His missense_variant Exon 9 of 20 1 NM_015164.4 ENSP00000364956.3

Frequencies

GnomAD3 genomes
AF:
0.00372
AC:
566
AN:
152076
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0126
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00157
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.00239
GnomAD2 exomes
AF:
0.000746
AC:
162
AN:
217134
AF XY:
0.000578
show subpopulations
Gnomad AFR exome
AF:
0.0104
Gnomad AMR exome
AF:
0.000694
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000116
Gnomad OTH exome
AF:
0.000551
GnomAD4 exome
AF:
0.000493
AC:
714
AN:
1446922
Hom.:
6
Cov.:
33
AF XY:
0.000434
AC XY:
312
AN XY:
718650
show subpopulations
African (AFR)
AF:
0.0132
AC:
437
AN:
33178
American (AMR)
AF:
0.000750
AC:
32
AN:
42652
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25788
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38996
South Asian (SAS)
AF:
0.0000238
AC:
2
AN:
84116
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50984
Middle Eastern (MID)
AF:
0.00122
AC:
7
AN:
5750
European-Non Finnish (NFE)
AF:
0.000158
AC:
175
AN:
1105726
Other (OTH)
AF:
0.00102
AC:
61
AN:
59732
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
46
92
138
184
230
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.00373
AC:
568
AN:
152194
Hom.:
2
Cov.:
32
AF XY:
0.00379
AC XY:
282
AN XY:
74414
show subpopulations
African (AFR)
AF:
0.0127
AC:
526
AN:
41546
American (AMR)
AF:
0.00157
AC:
24
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5134
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000176
AC:
12
AN:
68002
Other (OTH)
AF:
0.00237
AC:
5
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
29
58
88
117
146
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00483
Hom.:
2
Bravo
AF:
0.00442
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00969
AC:
36
ESP6500EA
AF:
0.000490
AC:
4
ExAC
AF:
0.000825
AC:
99

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Dilated Cardiomyopathy, Recessive Benign:1
Jan 28, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.057
BayesDel_addAF
Benign
-0.69
T
BayesDel_noAF
Benign
-0.76
CADD
Benign
2.4
DANN
Benign
0.95
DEOGEN2
Benign
0.0065
T;.;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.020
N
LIST_S2
Benign
0.27
T;T;T
MetaRNN
Benign
0.0028
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.2
N;.;.
PhyloP100
0.089
PrimateAI
Benign
0.23
T
PROVEAN
Benign
1.5
N;N;.
REVEL
Benign
0.019
Sift
Benign
0.65
T;T;.
Sift4G
Benign
0.16
T;T;.
Polyphen
0.0
B;.;.
Vest4
0.024
MVP
0.040
MPC
0.19
ClinPred
0.0021
T
GERP RS
-3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2
Varity_R
0.011
gMVP
0.084
Mutation Taster
=99/1
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs61739679; hg19: chr1-16053853; COSMIC: COSV105312195; COSMIC: COSV105312195; API