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GeneBe

11-125367939-A-C

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BP4_Strong

The NM_001382323.2(PKNOX2):c.181A>C(p.Ile61Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000128 in 1,613,270 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00013 ( 2 hom. )

Consequence

PKNOX2
NM_001382323.2 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.62
Variant links:
Genes affected
PKNOX2 (HGNC:16714): (PBX/knotted 1 homeobox 2) Homeodomain proteins are sequence-specific transcription factors that share a highly conserved DNA-binding domain and play fundamental roles in cell proliferation, differentiation, and death. PKNOX2 belongs to the TALE (3-amino acid loop extension) class of homeodomain proteins characterized by a 3-amino acid extension between alpha helices 1 and 2 within the homeodomain (Imoto et al., 2001 [PubMed 11549286]).[supplied by OMIM, Oct 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009838104).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PKNOX2NM_001382323.2 linkuse as main transcriptc.181A>C p.Ile61Leu missense_variant 5/13 ENST00000298282.14

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PKNOX2ENST00000298282.14 linkuse as main transcriptc.181A>C p.Ile61Leu missense_variant 5/131 NM_001382323.2 P1Q96KN3-1

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152046
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000966
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00125
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000258
AC:
64
AN:
248030
Hom.:
1
AF XY:
0.000319
AC XY:
43
AN XY:
134664
show subpopulations
Gnomad AFR exome
AF:
0.0000648
Gnomad AMR exome
AF:
0.0000292
Gnomad ASJ exome
AF:
0.0000998
Gnomad EAS exome
AF:
0.00101
Gnomad SAS exome
AF:
0.00105
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000889
Gnomad OTH exome
AF:
0.000166
GnomAD4 exome
AF:
0.000127
AC:
185
AN:
1461104
Hom.:
2
Cov.:
31
AF XY:
0.000149
AC XY:
108
AN XY:
726844
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000429
Gnomad4 SAS exome
AF:
0.000871
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000585
Gnomad4 OTH exome
AF:
0.000182
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
152166
Hom.:
0
Cov.:
33
AF XY:
0.000202
AC XY:
15
AN XY:
74394
show subpopulations
Gnomad4 AFR
AF:
0.0000963
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00125
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000147
Hom.:
0
Bravo
AF:
0.000147
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000238
AC:
2
ExAC
AF:
0.000322
AC:
39
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 01, 2021The c.181A>C (p.I61L) alteration is located in exon 5 (coding exon 2) of the PKNOX2 gene. This alteration results from a A to C substitution at nucleotide position 181, causing the isoleucine (I) at amino acid position 61 to be replaced by a leucine (L). 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
0.058
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.52
Cadd
Benign
13
Dann
Benign
0.91
DEOGEN2
Benign
0.0086
T;T
Eigen
Benign
-0.47
Eigen_PC
Benign
-0.17
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.72
T;T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.0098
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.7
N;.
MutationTaster
Benign
0.99
D;D;D;D;D
PrimateAI
Benign
0.47
T
PROVEAN
Benign
0.12
N;N
REVEL
Benign
0.082
Sift
Benign
0.90
T;T
Sift4G
Benign
0.79
T;T
Polyphen
0.0
B;.
Vest4
0.20
MVP
0.36
MPC
0.30
ClinPred
0.027
T
GERP RS
5.5
Varity_R
0.070
gMVP
0.13

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: rs201213983; hg19: chr11-125237835; API