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rs727504957

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_002294.3(LAMP2):​c.1211A>T​(p.His404Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000547 in 1,096,450 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. 11/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000055 ( 0 hom. 4 hem. )

Consequence

LAMP2
NM_002294.3 missense

Scores

1
4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.951
Variant links:
Genes affected
LAMP2 (HGNC:6501): (lysosomal associated membrane protein 2) The protein encoded by this gene is a member of a family of membrane glycoproteins. This glycoprotein provides selectins with carbohydrate ligands. It may play a role in tumor cell metastasis. It may also function in the protection, maintenance, and adhesion of the lysosome. Alternative splicing of this gene results in multiple transcript variants encoding distinct proteins. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 4 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LAMP2NM_002294.3 linkuse as main transcriptc.1211A>T p.His404Leu missense_variant 9/9 ENST00000200639.9
LAMP2NM_001122606.1 linkuse as main transcriptc.1094-2719A>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LAMP2ENST00000200639.9 linkuse as main transcriptc.1211A>T p.His404Leu missense_variant 9/91 NM_002294.3 P3P13473-1
LAMP2ENST00000434600.6 linkuse as main transcriptc.1094-2719A>T intron_variant 1 A1P13473-3
LAMP2ENST00000706600.1 linkuse as main transcriptc.*1070A>T 3_prime_UTR_variant 9/9
LAMP2ENST00000486593.5 linkuse as main transcriptc.*196A>T 3_prime_UTR_variant, NMD_transcript_variant 7/75

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000551
AC:
1
AN:
181378
Hom.:
0
AF XY:
0.0000149
AC XY:
1
AN XY:
67212
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000125
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000547
AC:
6
AN:
1096450
Hom.:
0
Cov.:
29
AF XY:
0.0000110
AC XY:
4
AN XY:
362028
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000714
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
Bravo
AF:
0.00000756

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineNov 10, 2014The p.His404Leu variant in LAMP2 has been identified by our laboratory in 1 adul t with non-ischemic cardiomyopathy, hypokinesis, and T-wave abnormalities; howev er, this individual also carried a pathogenic variant in another gene. It was ab sent from large population studies. Computational prediction tools and conservat ion analysis do not provide strong support for or against an impact the protein. In summary, the clinical significance of the p.His404Leu variant is uncertain. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
CardioboostCm
Benign
0.019
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
19
DANN
Benign
0.94
DEOGEN2
Uncertain
0.46
T
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.45
T
M_CAP
Benign
0.064
D
MetaRNN
Uncertain
0.55
D
MetaSVM
Benign
-0.93
T
MutationAssessor
Uncertain
2.8
M
MutationTaster
Benign
1.0
N;N;N
PROVEAN
Pathogenic
-7.3
D
REVEL
Benign
0.15
Sift
Uncertain
0.011
D
Sift4G
Benign
0.15
T
Polyphen
0.083
B
Vest4
0.32
MutPred
0.85
Gain of catalytic residue at H404 (P = 0.0309);
MVP
0.56
ClinPred
0.18
T
GERP RS
2.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.53

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: rs727504957; hg19: chrX-119565200; API