rs764894986

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP3

The NM_015164.4(PLEKHM2):​c.461A>T​(p.Asp154Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000083 in 1,325,524 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D154H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000052 ( 0 hom., cov: 30)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

PLEKHM2
NM_015164.4 missense

Scores

2
9
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.85

Publications

0 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: MODERATE, LIMITED Submitted by: ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.819

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_015164.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
NM_015164.4
MANE Select
c.461A>Tp.Asp154Val
missense
Exon 5 of 20NP_055979.2Q8IWE5-1
PLEKHM2
NM_001410755.1
c.461A>Tp.Asp154Val
missense
Exon 5 of 19NP_001397684.1Q8IWE5-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PLEKHM2
ENST00000375799.8
TSL:1 MANE Select
c.461A>Tp.Asp154Val
missense
Exon 5 of 20ENSP00000364956.3Q8IWE5-1
PLEKHM2
ENST00000957356.1
c.461A>Tp.Asp154Val
missense
Exon 5 of 21ENSP00000627415.1
PLEKHM2
ENST00000957353.1
c.461A>Tp.Asp154Val
missense
Exon 5 of 20ENSP00000627412.1

Frequencies

GnomAD3 genomes
AF:
0.0000523
AC:
7
AN:
133738
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.000195
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
175646
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000336
AC:
4
AN:
1191786
Hom.:
0
Cov.:
30
AF XY:
0.00000341
AC XY:
2
AN XY:
586644
show subpopulations
African (AFR)
AF:
0.000156
AC:
4
AN:
25678
American (AMR)
AF:
0.00
AC:
0
AN:
31286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17254
East Asian (EAS)
AF:
0.00
AC:
0
AN:
16302
South Asian (SAS)
AF:
0.00
AC:
0
AN:
78138
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
32752
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4320
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
942152
Other (OTH)
AF:
0.00
AC:
0
AN:
43904
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000523
AC:
7
AN:
133738
Hom.:
0
Cov.:
30
AF XY:
0.0000784
AC XY:
5
AN XY:
63812
show subpopulations
African (AFR)
AF:
0.000195
AC:
7
AN:
35830
American (AMR)
AF:
0.00
AC:
0
AN:
12268
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3326
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3756
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
7622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
300
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
64070
Other (OTH)
AF:
0.00
AC:
0
AN:
1870
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.0000529
ExAC
AF:
0.00000859
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Dilated Cardiomyopathy, Recessive (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.13
CADD
Pathogenic
30
DANN
Uncertain
0.99
DEOGEN2
Benign
0.14
T
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.56
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.96
D
M_CAP
Benign
0.017
T
MetaRNN
Pathogenic
0.82
D
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.2
L
PhyloP100
8.8
PrimateAI
Uncertain
0.58
T
PROVEAN
Uncertain
-4.3
D
REVEL
Uncertain
0.31
Sift
Uncertain
0.013
D
Sift4G
Uncertain
0.0040
D
Polyphen
0.92
P
Vest4
0.64
MutPred
0.72
Gain of loop (P = 0.1069)
MVP
0.29
MPC
0.64
ClinPred
0.99
D
GERP RS
5.2
Varity_R
0.33
gMVP
0.49
Mutation Taster
=63/37
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: rs764894986; hg19: chr1-16045116; API