13-28037245-T-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004119.3(FLT3):ā€‹c.1249A>Cā€‹(p.Ile417Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00178 in 1,612,380 control chromosomes in the GnomAD database, including 56 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: š‘“ 0.0093 ( 31 hom., cov: 33)
Exomes š‘“: 0.0010 ( 25 hom. )

Consequence

FLT3
NM_004119.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2O:1

Conservation

PhyloP100: 0.123
Variant links:
Genes affected
FLT3 (HGNC:3765): (fms related receptor tyrosine kinase 3) This gene encodes a class III receptor tyrosine kinase that regulates hematopoiesis. This receptor is activated by binding of the fms-related tyrosine kinase 3 ligand to the extracellular domain, which induces homodimer formation in the plasma membrane leading to autophosphorylation of the receptor. The activated receptor kinase subsequently phosphorylates and activates multiple cytoplasmic effector molecules in pathways involved in apoptosis, proliferation, and differentiation of hematopoietic cells in bone marrow. Mutations that result in the constitutive activation of this receptor result in acute myeloid leukemia and acute lymphoblastic leukemia. [provided by RefSeq, Jan 2015]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0076283813).
BP6
Variant 13-28037245-T-G is Benign according to our data. Variant chr13-28037245-T-G is described in ClinVar as [Benign]. Clinvar id is 134433.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00926 (1410/152322) while in subpopulation AFR AF= 0.0313 (1300/41572). AF 95% confidence interval is 0.0299. There are 31 homozygotes in gnomad4. There are 670 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 1410 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FLT3NM_004119.3 linkuse as main transcriptc.1249A>C p.Ile417Leu missense_variant 10/24 ENST00000241453.12 NP_004110.2 P36888-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FLT3ENST00000241453.12 linkuse as main transcriptc.1249A>C p.Ile417Leu missense_variant 10/241 NM_004119.3 ENSP00000241453.7 P36888-1
FLT3ENST00000380987.2 linkuse as main transcriptn.1249A>C non_coding_transcript_exon_variant 10/251 ENSP00000370374.2 E7ER61

Frequencies

GnomAD3 genomes
AF:
0.00926
AC:
1410
AN:
152204
Hom.:
32
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0314
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00445
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00621
GnomAD3 exomes
AF:
0.00261
AC:
656
AN:
251338
Hom.:
11
AF XY:
0.00194
AC XY:
263
AN XY:
135858
show subpopulations
Gnomad AFR exome
AF:
0.0332
Gnomad AMR exome
AF:
0.00214
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000343
Gnomad OTH exome
AF:
0.000489
GnomAD4 exome
AF:
0.000999
AC:
1458
AN:
1460058
Hom.:
25
Cov.:
28
AF XY:
0.000880
AC XY:
639
AN XY:
726480
show subpopulations
Gnomad4 AFR exome
AF:
0.0303
Gnomad4 AMR exome
AF:
0.00253
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.000140
Gnomad4 OTH exome
AF:
0.00267
GnomAD4 genome
AF:
0.00926
AC:
1410
AN:
152322
Hom.:
31
Cov.:
33
AF XY:
0.00900
AC XY:
670
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.0313
Gnomad4 AMR
AF:
0.00444
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.00615
Alfa
AF:
0.00186
Hom.:
4
Bravo
AF:
0.0103
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.0322
AC:
142
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00336
AC:
408
Asia WGS
AF:
0.000866
AC:
4
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000415

ClinVar

Significance: Benign
Submissions summary: Benign:2Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
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
0.072
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
13
DANN
Benign
0.96
DEOGEN2
Benign
0.25
T
Eigen
Benign
-0.55
Eigen_PC
Benign
-0.40
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.72
T
MetaRNN
Benign
0.0076
T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
1.5
L
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.24
N
REVEL
Benign
0.072
Sift
Benign
0.090
T
Sift4G
Benign
0.30
T
Polyphen
0.0
B
Vest4
0.26
MutPred
0.32
Gain of catalytic residue at E421 (P = 0.0037);
MVP
0.41
MPC
0.12
ClinPred
0.0053
T
GERP RS
3.6
Varity_R
0.13
gMVP
0.24

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: rs56090538; hg19: chr13-28611382; COSMIC: COSV99058810; API