10-102230682-C-CGCG

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP3BS1_SupportingBS2

The NM_005029.4(PITX3):​c.740_741insCGC​(p.Ala249dup) variant causes a inframe insertion change. The variant allele was found at a frequency of 0.000537 in 1,578,622 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00057 ( 0 hom. )

Consequence

PITX3
NM_005029.4 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.42
Variant links:
Genes affected
PITX3 (HGNC:9006): (paired like homeodomain 3) This gene encodes a member of the RIEG/PITX homeobox family, which is in the bicoid class of homeodomain proteins. Members of this family act as transcription factors. This protein is involved in lens formation during eye development. Mutations of this gene have been associated with anterior segment mesenchymal dysgenesis and congenital cataracts. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_005029.4
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000243 (37/152214) while in subpopulation NFE AF= 0.000382 (26/67980). AF 95% confidence interval is 0.000267. There are 0 homozygotes in gnomad4. There are 13 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 37 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PITX3NM_005029.4 linkuse as main transcriptc.740_741insCGC p.Ala249dup inframe_insertion 4/4 ENST00000370002.8 NP_005020.1
PITX3XM_047425352.1 linkuse as main transcriptc.740_741insCGC p.Ala249dup inframe_insertion 3/3 XP_047281308.1
GBF1NM_001391923.1 linkuse as main transcriptc.-230_-228dup 5_prime_UTR_variant 1/40 NP_001378852.1
GBF1NM_001391924.1 linkuse as main transcriptc.-368_-366dup 5_prime_UTR_variant 1/41 NP_001378853.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PITX3ENST00000370002.8 linkuse as main transcriptc.740_741insCGC p.Ala249dup inframe_insertion 4/41 NM_005029.4 ENSP00000359019 P1

Frequencies

GnomAD3 genomes
AF:
0.000243
AC:
37
AN:
152100
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000382
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000256
AC:
45
AN:
175826
Hom.:
0
AF XY:
0.000230
AC XY:
22
AN XY:
95526
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000275
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000407
Gnomad FIN exome
AF:
0.0000606
Gnomad NFE exome
AF:
0.000469
Gnomad OTH exome
AF:
0.000218
GnomAD4 exome
AF:
0.000568
AC:
810
AN:
1426408
Hom.:
0
Cov.:
32
AF XY:
0.000536
AC XY:
379
AN XY:
706706
show subpopulations
Gnomad4 AFR exome
AF:
0.000153
Gnomad4 AMR exome
AF:
0.000234
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000244
Gnomad4 FIN exome
AF:
0.0000600
Gnomad4 NFE exome
AF:
0.000708
Gnomad4 OTH exome
AF:
0.000271
GnomAD4 genome
AF:
0.000243
AC:
37
AN:
152214
Hom.:
0
Cov.:
33
AF XY:
0.000175
AC XY:
13
AN XY:
74430
show subpopulations
Gnomad4 AFR
AF:
0.000192
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.000382
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000264

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 31, 2022This variant, c.738_740dup, results in the insertion of 1 amino acid(s) of the PITX3 protein (p.Ala250dup), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (rs775510715, gnomAD 0.04%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with PITX3-related conditions. ClinVar contains an entry for this variant (Variation ID: 665913). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs749538425; hg19: chr10-103990439; API