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GeneBe

11-64809895-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 1P and 0B. PP2

The NM_001370259.2(MEN1):​c.215C>A​(p.Pro72His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000376 in 1,593,644 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P72L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 30)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

MEN1
NM_001370259.2 missense

Scores

3
9
6

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 3.17
Variant links:
Genes affected
MEN1 (HGNC:7010): (menin 1) This gene encodes menin, a tumor suppressor associated with a syndrome known as multiple endocrine neoplasia type 1. Menin is a scaffold protein that functions in histone modification and epigenetic gene regulation. It is thought to regulate several pathways and processes by altering chromatin structure through the modification of histones. [provided by RefSeq, May 2019]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PP2
Missense variant where missense usually causes diseases, MEN1

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MEN1NM_001370259.2 linkuse as main transcriptc.215C>A p.Pro72His missense_variant 2/10 ENST00000450708.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MEN1ENST00000450708.7 linkuse as main transcriptc.215C>A p.Pro72His missense_variant 2/105 NM_001370259.2 P3O00255-2

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152098
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000966
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000139
AC:
2
AN:
1441546
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
715628
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000182
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152098
Hom.:
0
Cov.:
30
AF XY:
0.0000269
AC XY:
2
AN XY:
74296
show subpopulations
Gnomad4 AFR
AF:
0.0000966
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000264

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Multiple endocrine neoplasia, type 1 Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingInvitaeJan 24, 2024This sequence change replaces proline, which is neutral and non-polar, with histidine, which is basic and polar, at codon 72 of the MEN1 protein (p.Pro72His). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with multiple endocrine neoplasia type 1 (PMID: 23334809). ClinVar contains an entry for this variant (Variation ID: 573444). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt MEN1 protein function with a positive predictive value of 95%. 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. -
Uncertain significance, criteria provided, single submitterclinical testingBaylor GeneticsMar 22, 2024- -
Hereditary cancer-predisposing syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 01, 2022The p.P72H variant (also known as c.215C>A), located in coding exon 1 of the MEN1 gene, results from a C to A substitution at nucleotide position 215. The proline at codon 72 is replaced by histidine, an amino acid with similar properties. This nucleotide position is highly conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Pathogenic
0.19
D
BayesDel_noAF
Uncertain
0.040
CADD
Pathogenic
28
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.69
D;.;.;.;.;D;D;D;D;D;.;D;.;.
Eigen
Uncertain
0.33
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.61
T;T;.;.;T;.;.;T;.;T;T;T;.;T
M_CAP
Pathogenic
0.37
D
MetaRNN
Uncertain
0.58
D;D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Pathogenic
1.1
D
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-1.4
N;N;N;N;N;N;N;N;N;N;N;N;N;N
REVEL
Uncertain
0.59
Sift
Benign
0.32
T;T;T;T;T;T;T;T;T;T;T;T;T;T
Sift4G
Benign
0.57
T;T;T;T;T;T;T;T;T;.;T;T;.;.
Polyphen
1.0, 0.99
.;D;D;D;D;D;D;D;D;.;.;.;.;.
Vest4
0.36
MutPred
0.44
Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);Loss of catalytic residue at P71 (P = 0.0165);
MVP
0.83
MPC
2.3
ClinPred
0.83
D
GERP RS
4.9
Varity_R
0.49
gMVP
0.47

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: rs878856863; hg19: chr11-64577367; API