12-120979061-C-T

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_000545.8(HNF1A):​c.293C>T​(p.Ala98Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0292 in 1,611,476 control chromosomes in the GnomAD database, including 921 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in UniProt.

Frequency

Genomes: 𝑓 0.022 ( 52 hom., cov: 32)
Exomes 𝑓: 0.030 ( 869 hom. )

Consequence

HNF1A
NM_000545.8 missense

Scores

1
9
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:16O:1

Conservation

PhyloP100: 7.35
Variant links:
Genes affected
HNF1A (HGNC:11621): (HNF1 homeobox A) The protein encoded by this gene is a transcription factor required for the expression of several liver-specific genes. The encoded protein functions as a homodimer and binds to the inverted palindrome 5'-GTTAATNATTAAC-3'. Defects in this gene are a cause of maturity onset diabetes of the young type 3 (MODY3) and also can result in the appearance of hepatic adenomas. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Apr 2015]
HNF1A-AS1 (HGNC:26785): (HNF1A antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a domain POU-specific atypical (size 95) in uniprot entity HNF1A_HUMAN there are 52 pathogenic changes around while only 3 benign (95%) in NM_000545.8
BP4
Computational evidence support a benign effect (MetaRNN=0.0042442083).
BP6
Variant 12-120979061-C-T is Benign according to our data. Variant chr12-120979061-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 129233.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-120979061-C-T is described in Lovd as [Benign]. Variant chr12-120979061-C-T is described in Lovd as [Pathogenic].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0591 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HNF1ANM_000545.8 linkc.293C>T p.Ala98Val missense_variant Exon 1 of 10 ENST00000257555.11 NP_000536.6 P20823E0YMI7
HNF1ANM_001306179.2 linkc.293C>T p.Ala98Val missense_variant Exon 1 of 10 NP_001293108.2 P20823E0YMI7
HNF1ANM_001406915.1 linkc.293C>T p.Ala98Val missense_variant Exon 1 of 9 NP_001393844.1
HNF1AXM_024449168.2 linkc.293C>T p.Ala98Val missense_variant Exon 1 of 9 XP_024304936.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HNF1AENST00000257555.11 linkc.293C>T p.Ala98Val missense_variant Exon 1 of 10 1 NM_000545.8 ENSP00000257555.5 A0A0A0MQU7

Frequencies

GnomAD3 genomes
AF:
0.0220
AC:
3342
AN:
152192
Hom.:
52
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00543
Gnomad AMI
AF:
0.0253
Gnomad AMR
AF:
0.0135
Gnomad ASJ
AF:
0.0320
Gnomad EAS
AF:
0.000577
Gnomad SAS
AF:
0.0656
Gnomad FIN
AF:
0.0475
Gnomad MID
AF:
0.0348
Gnomad NFE
AF:
0.0278
Gnomad OTH
AF:
0.0234
GnomAD3 exomes
AF:
0.0290
AC:
6974
AN:
240478
Hom.:
164
AF XY:
0.0322
AC XY:
4227
AN XY:
131112
show subpopulations
Gnomad AFR exome
AF:
0.00543
Gnomad AMR exome
AF:
0.0115
Gnomad ASJ exome
AF:
0.0361
Gnomad EAS exome
AF:
0.0000551
Gnomad SAS exome
AF:
0.0660
Gnomad FIN exome
AF:
0.0416
Gnomad NFE exome
AF:
0.0295
Gnomad OTH exome
AF:
0.0277
GnomAD4 exome
AF:
0.0300
AC:
43743
AN:
1459166
Hom.:
869
Cov.:
35
AF XY:
0.0313
AC XY:
22689
AN XY:
725618
show subpopulations
Gnomad4 AFR exome
AF:
0.00487
Gnomad4 AMR exome
AF:
0.0121
Gnomad4 ASJ exome
AF:
0.0348
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.0670
Gnomad4 FIN exome
AF:
0.0427
Gnomad4 NFE exome
AF:
0.0290
Gnomad4 OTH exome
AF:
0.0275
GnomAD4 genome
AF:
0.0219
AC:
3337
AN:
152310
Hom.:
52
Cov.:
32
AF XY:
0.0232
AC XY:
1725
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.00544
Gnomad4 AMR
AF:
0.0134
Gnomad4 ASJ
AF:
0.0320
Gnomad4 EAS
AF:
0.000578
Gnomad4 SAS
AF:
0.0650
Gnomad4 FIN
AF:
0.0475
Gnomad4 NFE
AF:
0.0278
Gnomad4 OTH
AF:
0.0227
Alfa
AF:
0.0280
Hom.:
77
Bravo
AF:
0.0181
TwinsUK
AF:
0.0275
AC:
102
ALSPAC
AF:
0.0270
AC:
104
ESP6500AA
AF:
0.00477
AC:
21
ESP6500EA
AF:
0.0257
AC:
220
ExAC
AF:
0.0288
AC:
3492
Asia WGS
AF:
0.0240
AC:
84
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:16Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6Other:1
Mar 04, 2013
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

May 19, 2014
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Apr 26, 2017
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 19, 2013
ITMI
Significance: not provided
Review Status: no classification provided
Collection Method: reference population

- -

not provided Benign:3
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Aug 31, 2017
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Maturity onset diabetes mellitus in young Benign:2
Sep 18, 2018
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

-
Clinical Genomics, Uppaluri K&H Personalized Medicine Clinic
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: research

Mutations in this gene can predispose to MODY3. It is associated with both micro and macrovascular complications of diabetes, especially cardiovascular complications. Associated with glucosuria. Good response to sulfonylureas. However, rs1800574 localized in the DNA-binding domain of the HNF1A gene (p.Ala98Val) doesn't directly predispose to early-onset Diabetes Mellitus even if the prevalence of the variant is high. -

Maturity-onset diabetes of the young type 3 Benign:2
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Feb 01, 2025
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Ovarian cancer Benign:1
Jan 01, 2022
Laboratory of Molecular Epidemiology of Birth Defects, West China Second University Hospital, Sichuan University
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Monogenic diabetes Benign:1
Feb 01, 2019
Personalized Diabetes Medicine Program, University of Maryland School of Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: research

ACMG criteria: BA1 (overall MAF in gnomAD 3%, 6.6% in South Asian in gnomAD, ~3% in other subpop), BS2 (346 cases and 404 controls in T2DM ) [Revel score 0.597, PP3 (6), BP4 (4)= conflicting evidence, not using] [not using BP6]: benign -

Nonpapillary renal cell carcinoma Benign:1
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.099
T
BayesDel_noAF
Uncertain
0.13
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.78
.;D;T;D;T;.
Eigen
Uncertain
0.23
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.93
D;D;D;D;D;D
MetaRNN
Benign
0.0042
T;T;T;T;T;T
MetaSVM
Uncertain
0.40
D
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-2.2
N;.;.;.;N;N
REVEL
Uncertain
0.60
Sift
Benign
0.063
T;.;.;.;T;T
Sift4G
Benign
0.090
T;T;T;T;T;T
Polyphen
0.21
.;.;.;.;.;B
Vest4
0.46
MPC
0.27
ClinPred
0.086
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.9
gMVP
0.90

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: rs1800574; hg19: chr12-121416864; COSMIC: COSV57462748; API