ClinVar Miner

Submissions for variant NM_005670.4(EPM2A):c.490A>G (p.Ile164Val)

gnomAD frequency: 0.00011  dbSNP: rs199856913
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Total submissions: 4
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Invitae RCV000688022 SCV000815618 uncertain significance Progressive myoclonic epilepsy 2022-08-23 criteria provided, single submitter clinical testing This sequence change replaces isoleucine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 164 of the EPM2A protein (p.Ile164Val). This variant is present in population databases (rs199856913, gnomAD 0.006%). This variant has not been reported in the literature in individuals affected with EPM2A-related conditions. ClinVar contains an entry for this variant (Variation ID: 567836). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.
Ambry Genetics RCV002317915 SCV000849793 uncertain significance Inborn genetic diseases 2017-05-31 criteria provided, single submitter clinical testing The p.I164V variant (also known as c.490A>G), located in coding exon 3 of the EPM2A gene, results from an A to G substitution at nucleotide position 490. The isoleucine at codon 164 is replaced by valine, an amino acid with highly similar properties. This amino acid position is not well conserved in available vertebrate species; however, valine is the reference amino acid in other vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear.
Athena Diagnostics Inc RCV000991960 SCV001143865 uncertain significance not provided 2018-12-28 criteria provided, single submitter clinical testing
GeneDx RCV000991960 SCV001782506 uncertain significance not provided 2022-04-28 criteria provided, single submitter clinical testing Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge

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