1-165205915-G-A

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PVS1PP5_Moderate

The NM_177398.4(LMX1A):​c.937C>T​(p.Arg313*) variant causes a stop gained change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000109 in 1,461,844 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 Likely pathogenic (★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000011 ( 0 hom. )

Consequence

LMX1A
NM_177398.4 stop_gained

Scores

5
1
1

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 9.34

Publications

2 publications found
Variant links:
Genes affected
LMX1A (HGNC:6653): (LIM homeobox transcription factor 1 alpha) This gene encodes a homeodomain and LIM-domain containing protein. The encoded protein is a transcription factor that acts as a positive regulator of insulin gene transcription. This gene also plays a role in the development of dopamine producing neurons during embryogenesis. Mutations in this gene are associated with an increased risk of developing Parkinson's disease. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Feb 2012]
LMX1A-AS2 (HGNC:40343): (LMX1A antisense RNA 2)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 10 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 1-165205915-G-A is Pathogenic according to our data. Variant chr1-165205915-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 2503455.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LMX1ANM_177398.4 linkc.937C>T p.Arg313* stop_gained Exon 8 of 9 ENST00000342310.7 NP_796372.1 Q8TE12-1
LMX1ANM_001174069.2 linkc.937C>T p.Arg313* stop_gained Exon 8 of 9 NP_001167540.1 Q8TE12-1
LMX1AXM_011509538.4 linkc.697C>T p.Arg233* stop_gained Exon 6 of 7 XP_011507840.1
LMX1A-AS2XR_922234.2 linkn.366+145G>A intron_variant Intron 2 of 5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LMX1AENST00000342310.7 linkc.937C>T p.Arg313* stop_gained Exon 8 of 9 2 NM_177398.4 ENSP00000340226.3 Q8TE12-1
LMX1AENST00000367893.4 linkc.937C>T p.Arg313* stop_gained Exon 7 of 8 1 ENSP00000356868.4 Q8TE12-1
LMX1AENST00000489443.2 linkn.571C>T non_coding_transcript_exon_variant Exon 6 of 7 1
LMX1AENST00000294816.6 linkc.937C>T p.Arg313* stop_gained Exon 8 of 9 2 ENSP00000294816.2 Q8TE12-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000199
AC:
5
AN:
251412
AF XY:
0.0000147
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 FIN exome
AF:
0.000139
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000109
AC:
16
AN:
1461844
Hom.:
0
Cov.:
31
AF XY:
0.0000124
AC XY:
9
AN XY:
727228
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33478
American (AMR)
AF:
0.00
AC:
0
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000232
AC:
2
AN:
86256
European-Finnish (FIN)
AF:
0.0000936
AC:
5
AN:
53420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5738
European-Non Finnish (NFE)
AF:
0.00000809
AC:
9
AN:
1112004
Other (OTH)
AF:
0.00
AC:
0
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
2
4
5
6
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
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Autosomal dominant nonsyndromic hearing loss 7 Pathogenic:1
May 31, 2023
Department of Human Genetics, Hannover Medical School
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration leads to a premature stop signal, most likely resulting in degradation of the formed mRNA via nonsense-mediated mRNA decay (NMD) and/or expression of a truncated protein. The population database gnomAD reports an allele frequency of 0.002% for the variant (gnomAD; ALL). Literature data are currently not available. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.61
D
BayesDel_noAF
Pathogenic
0.66
CADD
Pathogenic
58
DANN
Uncertain
1.0
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
0.99
FATHMM_MKL
Pathogenic
0.99
D
PhyloP100
9.3
Vest4
0.91
GERP RS
5.4
Mutation Taster
=10/190
disease causing

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: rs776905403; hg19: chr1-165175152; COSMIC: COSV54225521; COSMIC: COSV54225521; API