rs7247284

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_006397.3(RNASEH2A):​c.605T>C​(p.Leu202Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0396 in 1,613,998 control chromosomes in the GnomAD database, including 1,949 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 nucleotide change resulting in same amino acid change has been previously reported as Likely benignin ClinVar. Synonymous variant affecting the same amino acid position (i.e. L202L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.066 ( 540 hom., cov: 32)
Exomes 𝑓: 0.037 ( 1409 hom. )

Consequence

RNASEH2A
NM_006397.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.940
Variant links:
Genes affected
RNASEH2A (HGNC:18518): (ribonuclease H2 subunit A) The protein encoded by this gene is a component of the heterotrimeric type II ribonuclease H enzyme (RNAseH2). RNAseH2 is the major source of ribonuclease H activity in mammalian cells and endonucleolytically cleaves ribonucleotides. It is predicted to remove Okazaki fragment RNA primers during lagging strand DNA synthesis and to excise single ribonucleotides from DNA-DNA duplexes. Mutations in this gene cause Aicardi-Goutieres Syndrome (AGS), a an autosomal recessive neurological disorder characterized by progressive microcephaly and psychomotor retardation, intracranial calcifications, elevated levels of interferon-alpha and white blood cells in the cerebrospinal fluid.[provided by RefSeq, Aug 2009]
THSD8 (HGNC:53785): (thrombospondin type 1 domain containing 8)
HOOK2 (HGNC:19885): (hook microtubule tethering protein 2) Hook proteins are cytosolic coiled-coil proteins that contain conserved N-terminal domains, which attach to microtubules, and more divergent C-terminal domains, which mediate binding to organelles. The Drosophila Hook protein is a component of the endocytic compartment.[supplied by OMIM, Apr 2004]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a domain RNase H type-2 (size 222) in uniprot entity RNH2A_HUMAN there are 22 pathogenic changes around while only 8 benign (73%) in NM_006397.3
BP4
Computational evidence support a benign effect (MetaRNN=0.0019553006).
BP6
Variant 19-12810372-T-C is Benign according to our data. Variant chr19-12810372-T-C is described in ClinVar as [Benign]. Clinvar id is 259974.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-12810372-T-C is described in Lovd as [Benign]. Variant chr19-12810372-T-C is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.142 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RNASEH2ANM_006397.3 linkuse as main transcriptc.605T>C p.Leu202Ser missense_variant 6/8 ENST00000221486.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RNASEH2AENST00000221486.6 linkuse as main transcriptc.605T>C p.Leu202Ser missense_variant 6/81 NM_006397.3 P1

Frequencies

GnomAD3 genomes
AF:
0.0661
AC:
10056
AN:
152050
Hom.:
534
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.145
Gnomad AMI
AF:
0.0461
Gnomad AMR
AF:
0.0701
Gnomad ASJ
AF:
0.0427
Gnomad EAS
AF:
0.0172
Gnomad SAS
AF:
0.0271
Gnomad FIN
AF:
0.0283
Gnomad MID
AF:
0.0696
Gnomad NFE
AF:
0.0315
Gnomad OTH
AF:
0.0546
GnomAD3 exomes
AF:
0.0474
AC:
11915
AN:
251458
Hom.:
471
AF XY:
0.0426
AC XY:
5795
AN XY:
135908
show subpopulations
Gnomad AFR exome
AF:
0.142
Gnomad AMR exome
AF:
0.109
Gnomad ASJ exome
AF:
0.0433
Gnomad EAS exome
AF:
0.0176
Gnomad SAS exome
AF:
0.0269
Gnomad FIN exome
AF:
0.0275
Gnomad NFE exome
AF:
0.0301
Gnomad OTH exome
AF:
0.0398
GnomAD4 exome
AF:
0.0368
AC:
53751
AN:
1461830
Hom.:
1409
Cov.:
33
AF XY:
0.0360
AC XY:
26188
AN XY:
727214
show subpopulations
Gnomad4 AFR exome
AF:
0.150
Gnomad4 AMR exome
AF:
0.105
Gnomad4 ASJ exome
AF:
0.0420
Gnomad4 EAS exome
AF:
0.0110
Gnomad4 SAS exome
AF:
0.0283
Gnomad4 FIN exome
AF:
0.0273
Gnomad4 NFE exome
AF:
0.0321
Gnomad4 OTH exome
AF:
0.0420
GnomAD4 genome
AF:
0.0663
AC:
10093
AN:
152168
Hom.:
540
Cov.:
32
AF XY:
0.0656
AC XY:
4878
AN XY:
74398
show subpopulations
Gnomad4 AFR
AF:
0.145
Gnomad4 AMR
AF:
0.0699
Gnomad4 ASJ
AF:
0.0427
Gnomad4 EAS
AF:
0.0172
Gnomad4 SAS
AF:
0.0276
Gnomad4 FIN
AF:
0.0283
Gnomad4 NFE
AF:
0.0315
Gnomad4 OTH
AF:
0.0545
Alfa
AF:
0.0381
Hom.:
444
Bravo
AF:
0.0742
TwinsUK
AF:
0.0348
AC:
129
ALSPAC
AF:
0.0353
AC:
136
ESP6500AA
AF:
0.140
AC:
616
ESP6500EA
AF:
0.0326
AC:
280
ExAC
AF:
0.0465
AC:
5651
Asia WGS
AF:
0.0320
AC:
111
AN:
3478
EpiCase
AF:
0.0314
EpiControl
AF:
0.0343

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 29, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanNov 12, 2023This variant is classified as Benign based on local population frequency. This variant was detected in 20% of patients studied by a panel of primary immunodeficiencies. Number of patients: 19. Only high quality variants are reported. -
Aicardi-Goutieres syndrome 4 Benign:2
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
3.9
DANN
Benign
0.25
DEOGEN2
Benign
0.31
T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.44
N
LIST_S2
Benign
0.18
T
MetaRNN
Benign
0.0020
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.7
L
MutationTaster
Benign
1.0
P
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-0.42
N
REVEL
Benign
0.15
Sift
Benign
0.74
T
Sift4G
Benign
0.75
T
Polyphen
0.0060
B
Vest4
0.089
MPC
0.30
ClinPred
0.0012
T
GERP RS
2.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.057
gMVP
0.61

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: rs7247284; hg19: chr19-12921186; COSMIC: COSV55551431; COSMIC: COSV55551431; API