rs797045803

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_015080.4(NRXN2):​c.598G>A​(p.Ala200Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00169 in 1,333,942 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0010 ( 2 hom., cov: 34)
Exomes 𝑓: 0.0018 ( 2 hom. )

Consequence

NRXN2
NM_015080.4 missense

Scores

2
2
15

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 2.17
Variant links:
Genes affected
NRXN2 (HGNC:8009): (neurexin 2) This gene encodes a member of the neurexin gene family. The products of these genes function as cell adhesion molecules and receptors in the vertebrate nervous system. These genes utilize two promoters. The majority of transcripts are produced from the upstream promoter and encode alpha-neurexin isoforms while a smaller number of transcripts are produced from the downstream promoter and encode beta-neuresin isoforms. The alpha-neurexins contain epidermal growth factor-like (EGF-like) sequences and laminin G domains, and have been shown to interact with neurexophilins. The beta-neurexins lack EGF-like sequences and contain fewer laminin G domains than alpha-neurexins. Alternative splicing and the use of alternative promoters may generate thousands of transcript variants (PMID: 12036300, PMID: 11944992).[provided by RefSeq, Jun 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005836159).
BP6
Variant 11-64713102-C-T is Benign according to our data. Variant chr11-64713102-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 211712.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 159 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NRXN2NM_015080.4 linkuse as main transcriptc.598G>A p.Ala200Thr missense_variant 2/23 ENST00000265459.11 NP_055895.1 Q9P2S2-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NRXN2ENST00000265459.11 linkuse as main transcriptc.598G>A p.Ala200Thr missense_variant 2/235 NM_015080.4 ENSP00000265459.5 Q9P2S2-1
NRXN2ENST00000704782.1 linkuse as main transcriptc.598G>A p.Ala200Thr missense_variant 1/22 ENSP00000516031.1 A0A994J5C3
NRXN2ENST00000704781.1 linkuse as main transcriptc.598G>A p.Ala200Thr missense_variant 1/22 ENSP00000516029.1 A0A994J4N8

Frequencies

GnomAD3 genomes
AF:
0.00105
AC:
159
AN:
151558
Hom.:
2
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000314
Gnomad AMI
AF:
0.0252
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:
0.00181
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000719
AC:
20
AN:
27812
Hom.:
0
AF XY:
0.000888
AC XY:
16
AN XY:
18024
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:
0.00161
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00177
AC:
2089
AN:
1182276
Hom.:
2
Cov.:
29
AF XY:
0.00169
AC XY:
973
AN XY:
576432
show subpopulations
Gnomad4 AFR exome
AF:
0.000430
Gnomad4 AMR exome
AF:
0.0000949
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000366
Gnomad4 NFE exome
AF:
0.00203
Gnomad4 OTH exome
AF:
0.00177
GnomAD4 genome
AF:
0.00105
AC:
159
AN:
151666
Hom.:
2
Cov.:
34
AF XY:
0.000782
AC XY:
58
AN XY:
74132
show subpopulations
Gnomad4 AFR
AF:
0.000313
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00181
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00139
Hom.:
1
Bravo
AF:
0.00113

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoNov 08, 2016- -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
NRXN2-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 01, 2022This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.082
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.52
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0028
T;.;T;.
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.28
FATHMM_MKL
Benign
0.58
D
LIST_S2
Uncertain
0.92
.;D;D;D
M_CAP
Pathogenic
0.50
D
MetaRNN
Benign
0.0058
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.55
N;N;N;.
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
-0.18
N;N;N;N
REVEL
Benign
0.029
Sift
Benign
0.58
T;T;T;T
Sift4G
Benign
0.54
T;T;T;T
Polyphen
0.022
B;B;B;.
Vest4
0.11
MutPred
0.32
Gain of glycosylation at A200 (P = 0.0155);Gain of glycosylation at A200 (P = 0.0155);Gain of glycosylation at A200 (P = 0.0155);Gain of glycosylation at A200 (P = 0.0155);
MVP
0.068
MPC
0.60
ClinPred
0.056
T
GERP RS
3.3
Varity_R
0.071
gMVP
0.15

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: rs797045803; hg19: chr11-64480574; COSMIC: COSV105040694; COSMIC: COSV105040694; API