14-36519338-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001079668.3(NKX2-1):ā€‹c.110A>Cā€‹(p.His37Pro) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,702 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

NKX2-1
NM_001079668.3 missense

Scores

5
12
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.54
Variant links:
Genes affected
NKX2-1 (HGNC:11825): (NK2 homeobox 1) This gene encodes a protein initially identified as a thyroid-specific transcription factor. The encoded protein binds to the thyroglobulin promoter and regulates the expression of thyroid-specific genes but has also been shown to regulate the expression of genes involved in morphogenesis. Mutations and deletions in this gene are associated with benign hereditary chorea, choreoathetosis, congenital hypothyroidism, and neonatal respiratory distress, and may be associated with thyroid cancer. Multiple transcript variants encoding different isoforms have been found for this gene. This gene shares the symbol/alias 'TTF1' with another gene, transcription termination factor 1, which plays a role in ribosomal gene transcription. [provided by RefSeq, Feb 2014]
NKX2-1-AS1 (HGNC:40585): (NKX2-1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NKX2-1NM_001079668.3 linkuse as main transcriptc.110A>C p.His37Pro missense_variant 2/3 ENST00000354822.7 NP_001073136.1
NKX2-1-AS1NR_103710.1 linkuse as main transcriptn.61T>G non_coding_transcript_exon_variant 1/2
SFTA3NR_161364.1 linkuse as main transcriptn.89+130A>C intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NKX2-1ENST00000354822.7 linkuse as main transcriptc.110A>C p.His37Pro missense_variant 2/31 NM_001079668.3 ENSP00000346879 P4P43699-3
NKX2-1-AS1ENST00000521292.2 linkuse as main transcriptn.61T>G non_coding_transcript_exon_variant 1/22
ENST00000634305.1 linkuse as main transcriptn.322+70501T>G intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460702
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726648
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 10, 2022The c.20A>C (p.H7P) alteration is located in exon 1 (coding exon 1) of the NKX2-1 gene. This alteration results from a A to C substitution at nucleotide position 20, causing the histidine (H) at amino acid position 7 to be replaced by a proline (P). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.72
BayesDel_addAF
Pathogenic
0.19
D
BayesDel_noAF
Uncertain
0.040
CADD
Pathogenic
31
DANN
Benign
0.97
DEOGEN2
Uncertain
0.56
D;.;D;D
Eigen
Uncertain
0.51
Eigen_PC
Uncertain
0.54
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
.;D;.;D
M_CAP
Uncertain
0.26
D
MetaRNN
Uncertain
0.65
D;D;D;D
MetaSVM
Uncertain
-0.20
T
MutationAssessor
Uncertain
2.0
M;.;M;M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Pathogenic
0.95
D
PROVEAN
Pathogenic
-5.6
D;D;D;D
REVEL
Uncertain
0.53
Sift
Uncertain
0.0030
D;D;D;D
Sift4G
Uncertain
0.041
D;D;D;D
Polyphen
0.84
P;D;P;P
Vest4
0.68
MutPred
0.20
Gain of glycosylation at H7 (P = 0.0359);.;Gain of glycosylation at H7 (P = 0.0359);Gain of glycosylation at H7 (P = 0.0359);
MVP
0.73
ClinPred
1.0
D
GERP RS
5.1
Varity_R
0.92
gMVP
0.71

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs1881229890; hg19: chr14-36988543; API