12-49040280-G-A

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 1P and 8B. PP2BP4_ModerateBP6_ModerateBS2

The NM_003482.4(KMT2D):​c.7490C>T​(p.Ala2497Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000234 in 1,455,532 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★). Synonymous variant affecting the same amino acid position (i.e. A2497A) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.000023 ( 0 hom. )

Consequence

KMT2D
NM_003482.4 missense

Scores

1
5
12

Clinical Significance

Benign criteria provided, single submitter B:1O:1

Conservation

PhyloP100: 3.42
Variant links:
Genes affected
KMT2D (HGNC:7133): (lysine methyltransferase 2D) The protein encoded by this gene is a histone methyltransferase that methylates the Lys-4 position of histone H3. The encoded protein is part of a large protein complex called ASCOM, which has been shown to be a transcriptional regulator of the beta-globin and estrogen receptor genes. Mutations in this gene have been shown to be a cause of Kabuki syndrome. [provided by RefSeq, Oct 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), KMT2D. . Gene score misZ 3.7288 (greater than the threshold 3.09). Trascript score misZ 4.6964 (greater than threshold 3.09). GenCC has associacion of gene with Kabuki syndrome, branchial arch abnormalities, choanal atresia, athelia, hearing loss, and hypothyroidism syndrome, Kabuki syndrome 1, choanal atresia-athelia-hypothyroidism-delayed puberty-short stature syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.25595367).
BP6
Variant 12-49040280-G-A is Benign according to our data. Variant chr12-49040280-G-A is described in ClinVar as [Benign]. Clinvar id is 134692.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAdExome4 at 34 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KMT2DNM_003482.4 linkuse as main transcriptc.7490C>T p.Ala2497Val missense_variant 32/55 ENST00000301067.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KMT2DENST00000301067.12 linkuse as main transcriptc.7490C>T p.Ala2497Val missense_variant 32/555 NM_003482.4 A2O14686-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000375
AC:
9
AN:
240030
Hom.:
0
AF XY:
0.0000382
AC XY:
5
AN XY:
130832
show subpopulations
Gnomad AFR exome
AF:
0.0000682
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000432
Gnomad EAS exome
AF:
0.000224
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000234
AC:
34
AN:
1455532
Hom.:
0
Cov.:
32
AF XY:
0.0000318
AC XY:
23
AN XY:
723438
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000312
Gnomad4 EAS exome
AF:
0.000303
Gnomad4 SAS exome
AF:
0.0000819
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000361
Gnomad4 OTH exome
AF:
0.0000499
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.0000574
Hom.:
0
Bravo
AF:
0.00000378
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000123
AC:
1
ExAC
AF:
0.0000332
AC:
4

ClinVar

Significance: Benign
Submissions summary: Benign:1Other:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Kabuki syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 11, 2023- -
not specified Other:1
not provided, no classification providedreference populationITMISep 19, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
23
DANN
Benign
0.95
DEOGEN2
Benign
0.045
T
Eigen
Benign
0.15
Eigen_PC
Uncertain
0.25
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.81
T
M_CAP
Pathogenic
0.43
D
MetaRNN
Benign
0.26
T
MetaSVM
Benign
-0.59
T
MutationAssessor
Benign
0.34
N
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.64
T
PROVEAN
Benign
-1.1
N
REVEL
Uncertain
0.35
Sift
Uncertain
0.0030
D
Polyphen
0.81
P
Vest4
0.46
MVP
0.27
MPC
0.54
ClinPred
0.091
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.9
Varity_R
0.099
gMVP
0.062

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: rs376603595; hg19: chr12-49434063; API