1-165205980-G-A

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP3

The NM_177398.4(LMX1A):​c.872C>T​(p.Thr291Met) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000061 in 1,606,524 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 (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000065 ( 0 hom. )

Consequence

LMX1A
NM_177398.4 missense

Scores

2
12
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.38

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: Uncertain_significance. The variant received 1 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.776

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LMX1ANM_177398.4 linkc.872C>T p.Thr291Met missense_variant Exon 8 of 9 ENST00000342310.7 NP_796372.1 Q8TE12-1
LMX1ANM_001174069.2 linkc.872C>T p.Thr291Met missense_variant Exon 8 of 9 NP_001167540.1 Q8TE12-1
LMX1AXM_011509538.4 linkc.632C>T p.Thr211Met missense_variant Exon 6 of 7 XP_011507840.1
LMX1A-AS2XR_922234.2 linkn.366+210G>A intron_variant Intron 2 of 5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LMX1AENST00000342310.7 linkc.872C>T p.Thr291Met missense_variant Exon 8 of 9 2 NM_177398.4 ENSP00000340226.3 Q8TE12-1
LMX1AENST00000367893.4 linkc.872C>T p.Thr291Met missense_variant Exon 7 of 8 1 ENSP00000356868.4 Q8TE12-1
LMX1AENST00000489443.2 linkn.506C>T non_coding_transcript_exon_variant Exon 6 of 7 1
LMX1AENST00000294816.6 linkc.872C>T p.Thr291Met missense_variant Exon 8 of 9 2 ENSP00000294816.2 Q8TE12-1

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152156
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000409
AC:
10
AN:
244292
AF XY:
0.0000531
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000557
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000814
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000653
AC:
95
AN:
1454368
Hom.:
0
Cov.:
31
AF XY:
0.0000664
AC XY:
48
AN XY:
723130
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33006
American (AMR)
AF:
0.00
AC:
0
AN:
43324
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25678
East Asian (EAS)
AF:
0.0000254
AC:
1
AN:
39374
South Asian (SAS)
AF:
0.0000587
AC:
5
AN:
85138
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53280
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5722
European-Non Finnish (NFE)
AF:
0.0000794
AC:
88
AN:
1108850
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59996
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
6
11
17
22
28
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.0000197
AC:
3
AN:
152156
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74336
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41434
American (AMR)
AF:
0.00
AC:
0
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68030
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.0000283
Hom.:
0
Bravo
AF:
0.0000189
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Sep 06, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.872C>T (p.T291M) alteration is located in exon 8 (coding exon 7) of the LMX1A gene. This alteration results from a C to T substitution at nucleotide position 872, causing the threonine (T) at amino acid position 291 to be replaced by a methionine (M). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.015
T
BayesDel_noAF
Uncertain
-0.070
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.51
D;D;D
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.74
.;.;T
M_CAP
Uncertain
0.12
D
MetaRNN
Pathogenic
0.78
D;D;D
MetaSVM
Uncertain
0.28
D
MutationAssessor
Uncertain
2.2
M;M;M
PhyloP100
7.4
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-1.7
N;N;N
REVEL
Uncertain
0.35
Sift
Uncertain
0.0090
D;D;D
Sift4G
Uncertain
0.038
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.73
MVP
0.67
MPC
0.82
ClinPred
0.61
D
GERP RS
5.4
Varity_R
0.097
gMVP
0.32
Mutation Taster
=87/13
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs370226701; hg19: chr1-165175217; COSMIC: COSV54229222; COSMIC: COSV54229222; API