rs922179017

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_024870.4(PREX2):​c.244G>A​(p.Ala82Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,262 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

PREX2
NM_024870.4 missense

Scores

2
17

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.85
Variant links:
Genes affected
PREX2 (HGNC:22950): (phosphatidylinositol-3,4,5-trisphosphate dependent Rac exchange factor 2) The protein encoded by this gene belongs to the phosphatidylinositol 3,4,5-trisphosphate (PIP3)-dependent Rac exchanger (PREX) family, which are Dbl-type guanine-nucleotide exchange factors for Rac family small G proteins. Structural domains of this protein include the catalytic diffuse B-cell lymphoma homology and pleckstrin homology (DHPH) domain, two disheveled, EGL-10, and pleckstrin homology (DEP) domains, two PDZ domains, and a C-terminal inositol polyphosphate-4 phosphatase (IP4P) domain that is found in one of the isoforms. This protein facilitates the exchange of GDP for GTP on Rac1, allowing the GTP-bound Rac1 to activate downstream effectors. Studies also show that the pleckstrin homology domain of this protein interacts with the phosphatase and tensin homolog (PTEN) gene product to inhibit PTEN phosphatase activity, thus activating the phosphoinositide-3 kinase (PI3K) signaling pathway. Conversely, the PTEN gene product has also been shown to inhibit the GEF activity of this protein. This gene plays a role in insulin-signaling pathways, and either mutations or overexpression of this gene have been observed in some cancers. [provided by RefSeq, Apr 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.13481504).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PREX2NM_024870.4 linkc.244G>A p.Ala82Thr missense_variant Exon 3 of 40 ENST00000288368.5 NP_079146.2 Q70Z35-1
PREX2NM_025170.6 linkc.244G>A p.Ala82Thr missense_variant Exon 3 of 24 NP_079446.3 Q70Z35-3
PREX2XM_047422267.1 linkc.109G>A p.Ala37Thr missense_variant Exon 3 of 40 XP_047278223.1
PREX2XM_047422268.1 linkc.244G>A p.Ala82Thr missense_variant Exon 3 of 28 XP_047278224.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PREX2ENST00000288368.5 linkc.244G>A p.Ala82Thr missense_variant Exon 3 of 40 1 NM_024870.4 ENSP00000288368.4 Q70Z35-1
PREX2ENST00000529398.5 linkn.271G>A non_coding_transcript_exon_variant Exon 3 of 24 1
PREX2ENST00000517617.1 linkn.48-2457G>A intron_variant Intron 1 of 23 2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000400
AC:
1
AN:
249690
Hom.:
0
AF XY:
0.00000741
AC XY:
1
AN XY:
134966
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:
0.00000886
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460262
Hom.:
0
Cov.:
29
AF XY:
0.00000138
AC XY:
1
AN XY:
726448
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:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.046
T
Eigen
Benign
-0.23
Eigen_PC
Benign
-0.067
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.75
T
M_CAP
Benign
0.027
D
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
1.5
L
PrimateAI
Benign
0.45
T
PROVEAN
Benign
-0.65
N
REVEL
Benign
0.040
Sift
Benign
0.42
T
Sift4G
Benign
0.42
T
Polyphen
0.0060
B
Vest4
0.38
MVP
0.45
MPC
0.56
ClinPred
0.14
T
GERP RS
2.7
Varity_R
0.032
gMVP
0.11

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: rs922179017; hg19: chr8-68931814; API