12-49041197-C-T

Variant summary

Our verdict is Benign. Variant got -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_003482.4(KMT2D):​c.6573G>A​(p.Thr2191Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00347 in 1,513,392 control chromosomes in the GnomAD database, including 14 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0023 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0036 ( 13 hom. )

Consequence

KMT2D
NM_003482.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -0.938
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 -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.67).
BP6
Variant 12-49041197-C-T is Benign according to our data. Variant chr12-49041197-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 94238.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-49041197-C-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=-0.938 with no splicing effect.
BS2
High AC in GnomAd4 at 344 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KMT2DNM_003482.4 linkuse as main transcriptc.6573G>A p.Thr2191Thr synonymous_variant 32/55 ENST00000301067.12 NP_003473.3 O14686-1Q59FG6Q6PIA1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KMT2DENST00000301067.12 linkuse as main transcriptc.6573G>A p.Thr2191Thr synonymous_variant 32/555 NM_003482.4 ENSP00000301067.7 O14686-1

Frequencies

GnomAD3 genomes
AF:
0.00227
AC:
344
AN:
151846
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000798
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000524
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000661
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00433
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.00202
AC:
310
AN:
153410
Hom.:
1
AF XY:
0.00205
AC XY:
168
AN XY:
82076
show subpopulations
Gnomad AFR exome
AF:
0.000580
Gnomad AMR exome
AF:
0.000212
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000615
Gnomad NFE exome
AF:
0.00384
Gnomad OTH exome
AF:
0.00198
GnomAD4 exome
AF:
0.00361
AC:
4914
AN:
1361428
Hom.:
13
Cov.:
35
AF XY:
0.00352
AC XY:
2346
AN XY:
667046
show subpopulations
Gnomad4 AFR exome
AF:
0.000598
Gnomad4 AMR exome
AF:
0.000216
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000517
Gnomad4 SAS exome
AF:
0.0000143
Gnomad4 FIN exome
AF:
0.000962
Gnomad4 NFE exome
AF:
0.00436
Gnomad4 OTH exome
AF:
0.00351
GnomAD4 genome
AF:
0.00226
AC:
344
AN:
151964
Hom.:
1
Cov.:
32
AF XY:
0.00217
AC XY:
161
AN XY:
74276
show subpopulations
Gnomad4 AFR
AF:
0.000796
Gnomad4 AMR
AF:
0.000524
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000661
Gnomad4 NFE
AF:
0.00433
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.00254
Hom.:
0
Bravo
AF:
0.00213
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:6
Benign, criteria provided, single submitterclinical testingGeneDxApr 11, 2019- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 09, 2023- -
Likely benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024KMT2D: BP4, BP7, BS2 -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:3
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Apr 26, 2013- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMar 06, 2017- -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoNov 13, 2017- -
Kabuki syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.67
CADD
Benign
4.8
DANN
Benign
0.68
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs202085637; hg19: chr12-49434980; COSMIC: COSV104396931; COSMIC: COSV104396931; API