rs72470545

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_013247.5(HTRA2):​c.1195G>A​(p.Gly399Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00383 in 1,613,838 control chromosomes in the GnomAD database, including 29 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0027 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0040 ( 28 hom. )

Consequence

HTRA2
NM_013247.5 missense

Scores

1
10
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:6

Conservation

PhyloP100: 4.92

Publications

81 publications found
Variant links:
Genes affected
HTRA2 (HGNC:14348): (HtrA serine peptidase 2) This gene encodes a serine protease. The protein has been localized in the endoplasmic reticulum and interacts with an alternatively spliced form of mitogen-activated protein kinase 14. The protein has also been localized to the mitochondria with release to the cytosol following apoptotic stimulus. The protein is thought to induce apoptosis by binding the apoptosis inhibitory protein baculoviral IAP repeat-containing 4. Nuclear localization of this protein has also been observed. Alternate splicing of this gene results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Mar 2016]
LOXL3 (HGNC:13869): (lysyl oxidase like 3) This gene encodes a lysyl oxidase, which likely functions as an amine oxidase and plays a role in the formation of crosslinks in collagens and elastin. Deletion of the related gene in mouse causes neonatal mortality with cleft palate, spine deformity, and defects in collagen organization. A mutation in this gene was found in a family with Stickler syndrome. [provided by RefSeq, Sep 2016]
LOXL3 Gene-Disease associations (from GenCC):
  • myopia 28, autosomal recessive
    Inheritance: AR, Unknown Classification: STRONG, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • Stickler syndrome
    Inheritance: AR Classification: MODERATE, LIMITED Submitted by: Ambry Genetics, Genomics England PanelApp
  • autosomal recessive Stickler syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009953827).
BP6
Variant 2-74532698-G-A is Benign according to our data. Variant chr2-74532698-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 4341.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00265 (404/152218) while in subpopulation SAS AF = 0.0129 (62/4820). AF 95% confidence interval is 0.0103. There are 1 homozygotes in GnomAd4. There are 207 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 28 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HTRA2NM_013247.5 linkc.1195G>A p.Gly399Ser missense_variant Exon 7 of 8 ENST00000258080.8 NP_037379.1 O43464-1A0A384MDW9
LOXL3NM_032603.5 linkc.*908C>T 3_prime_UTR_variant Exon 14 of 14 ENST00000264094.8 NP_115992.1 P58215-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HTRA2ENST00000258080.8 linkc.1195G>A p.Gly399Ser missense_variant Exon 7 of 8 1 NM_013247.5 ENSP00000258080.3 O43464-1
LOXL3ENST00000264094.8 linkc.*908C>T 3_prime_UTR_variant Exon 14 of 14 1 NM_032603.5 ENSP00000264094.3 P58215-1

Frequencies

GnomAD3 genomes
AF:
0.00266
AC:
404
AN:
152100
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000676
Gnomad AMI
AF:
0.00220
Gnomad AMR
AF:
0.00190
Gnomad ASJ
AF:
0.00432
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0126
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.00376
Gnomad OTH
AF:
0.00239
GnomAD2 exomes
AF:
0.00400
AC:
1007
AN:
251470
AF XY:
0.00478
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.00139
Gnomad ASJ exome
AF:
0.00357
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.000139
Gnomad NFE exome
AF:
0.00411
Gnomad OTH exome
AF:
0.00309
GnomAD4 exome
AF:
0.00395
AC:
5774
AN:
1461620
Hom.:
28
Cov.:
31
AF XY:
0.00438
AC XY:
3182
AN XY:
727126
show subpopulations
African (AFR)
AF:
0.000717
AC:
24
AN:
33472
American (AMR)
AF:
0.00163
AC:
73
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00329
AC:
86
AN:
26134
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39700
South Asian (SAS)
AF:
0.0145
AC:
1249
AN:
86242
European-Finnish (FIN)
AF:
0.000131
AC:
7
AN:
53410
Middle Eastern (MID)
AF:
0.00801
AC:
45
AN:
5618
European-Non Finnish (NFE)
AF:
0.00365
AC:
4062
AN:
1111952
Other (OTH)
AF:
0.00374
AC:
226
AN:
60372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
327
654
981
1308
1635
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
162
324
486
648
810
<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:
0.00265
AC:
404
AN:
152218
Hom.:
1
Cov.:
32
AF XY:
0.00278
AC XY:
207
AN XY:
74426
show subpopulations
African (AFR)
AF:
0.000674
AC:
28
AN:
41536
American (AMR)
AF:
0.00190
AC:
29
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00432
AC:
15
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.0129
AC:
62
AN:
4820
European-Finnish (FIN)
AF:
0.0000942
AC:
1
AN:
10612
Middle Eastern (MID)
AF:
0.0204
AC:
6
AN:
294
European-Non Finnish (NFE)
AF:
0.00377
AC:
256
AN:
67994
Other (OTH)
AF:
0.00237
AC:
5
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
21
42
63
84
105
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.00353
Hom.:
7
Bravo
AF:
0.00274
TwinsUK
AF:
0.00485
AC:
18
ALSPAC
AF:
0.00389
AC:
15
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00488
AC:
42
ExAC
AF:
0.00437
AC:
531
Asia WGS
AF:
0.00549
AC:
19
AN:
3478
EpiCase
AF:
0.00425
EpiControl
AF:
0.00445

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Aug 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

HTRA2: BS1, BS2; LOXL3: BS1, BS2 -

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 05, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 15961413, 18364387, 21701498, 27535533, 26264438, 27884173, 25422467, 25504046) -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Parkinson disease 13, autosomal dominant, susceptibility to Uncertain:1Benign:2
-
Broad Center for Mendelian Genomics, Broad Institute of MIT and Harvard
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:research

The heterozygous p.Gly399Ser variant in HTRA2 has been identified in 4 individuals with Parkinson disease and individuals without Parkinson disease (PMID: 15961413, 18364387, 25422467), but has also been identified in >1% of South Asian chromosomes and 4 homozoygotes by ExAC (http://gnomad.broadinstitute.org/). In summary, although additional studies are required to fully establish its clinical significance, this variant meets criteria to be classified as likely benign for Parkinson disease. -

Jul 01, 2008
OMIM
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Uncertain
0.080
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
T
Eigen
Uncertain
0.63
Eigen_PC
Uncertain
0.56
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.94
D
MetaRNN
Benign
0.010
T
MetaSVM
Uncertain
0.54
D
MutationAssessor
Uncertain
2.3
M
PhyloP100
4.9
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-2.1
N
REVEL
Pathogenic
0.79
Sift
Uncertain
0.020
D
Sift4G
Uncertain
0.021
D
Polyphen
0.99
D
Vest4
0.30
MVP
0.94
MPC
1.4
ClinPred
0.028
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.42
gMVP
0.77
Mutation Taster
=84/16
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: rs72470545; hg19: chr2-74759825; COSMIC: COSV51210330; COSMIC: COSV51210330; API