12-49052104-G-T

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 3P and 4B. PM2PP2BP4_ModerateBP6_Moderate

The NM_003482.4(KMT2D):​c.1579C>A​(p.Pro527Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,536 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

KMT2D
NM_003482.4 missense

Scores

1
2
15

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 2.15
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 Likely_benign. Variant got -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
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=0.121735096).
BP6
Variant 12-49052104-G-T is Benign according to our data. Variant chr12-49052104-G-T is described in ClinVar as [Benign]. Clinvar id is 2738657.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KMT2DNM_003482.4 linkuse as main transcriptc.1579C>A p.Pro527Thr missense_variant 11/55 ENST00000301067.12 NP_003473.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KMT2DENST00000301067.12 linkuse as main transcriptc.1579C>A p.Pro527Thr missense_variant 11/555 NM_003482.4 ENSP00000301067 A2O14686-1
KMT2DENST00000683543.2 linkuse as main transcriptc.1579C>A p.Pro527Thr missense_variant 11/56 ENSP00000506726 P4
KMT2DENST00000685166.1 linkuse as main transcriptc.1579C>A p.Pro527Thr missense_variant 10/54 ENSP00000509386 A2O14686-3
KMT2DENST00000692637.1 linkuse as main transcriptc.1579C>A p.Pro527Thr missense_variant 10/54 ENSP00000509666 A2

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000403
AC:
1
AN:
248324
Hom.:
0
AF XY:
0.00000742
AC XY:
1
AN XY:
134786
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461536
Hom.:
0
Cov.:
37
AF XY:
0.00000138
AC XY:
1
AN XY:
727064
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:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31

ClinVar

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

Submissions by phenotype

Kabuki syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 08, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.060
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
18
DANN
Benign
0.45
DEOGEN2
Benign
0.038
T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.80
FATHMM_MKL
Benign
0.29
N
LIST_S2
Benign
0.72
T
M_CAP
Uncertain
0.20
D
MetaRNN
Benign
0.12
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
0.34
N
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-0.44
N
REVEL
Benign
0.15
Sift
Pathogenic
0.0
D
Polyphen
0.15
B
Vest4
0.26
MutPred
0.37
Gain of phosphorylation at P527 (P = 0.0015);
MVP
0.12
MPC
0.21
ClinPred
0.16
T
GERP RS
2.3
Varity_R
0.12
gMVP
0.28

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs587778450; hg19: chr12-49445887; API