14-36520101-C-T

Variant summary

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

The NM_001079668.3(NKX2-1):​c.29G>A​(p.Arg10Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000529 in 1,613,170 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00053 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00053 ( 3 hom. )

Consequence

NKX2-1
NM_001079668.3 missense

Scores

4
2
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.0360
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]

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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=0.007312238).
BP6
Variant 14-36520101-C-T is Benign according to our data. Variant chr14-36520101-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 313147.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-36520101-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000525 (80/152288) while in subpopulation AMR AF= 0.000392 (6/15308). AF 95% confidence interval is 0.00017. There are 1 homozygotes in gnomad4. There are 42 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 80 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NKX2-1NM_001079668.3 linkuse as main transcriptc.29G>A p.Arg10Gln missense_variant 1/3 ENST00000354822.7 NP_001073136.1 P43699-3
NKX2-1-AS1NR_103710.1 linkuse as main transcriptn.402+422C>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NKX2-1ENST00000354822.7 linkuse as main transcriptc.29G>A p.Arg10Gln missense_variant 1/31 NM_001079668.3 ENSP00000346879.6 P43699-3
SFTA3ENST00000546983.2 linkuse as main transcriptn.-14+456G>A intron_variant 4 ENSP00000449302.2 F8VVG2

Frequencies

GnomAD3 genomes
AF:
0.000526
AC:
80
AN:
152170
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000392
Gnomad ASJ
AF:
0.0161
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.000959
GnomAD3 exomes
AF:
0.00102
AC:
244
AN:
239806
Hom.:
1
AF XY:
0.000896
AC XY:
118
AN XY:
131636
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000818
Gnomad ASJ exome
AF:
0.0183
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000230
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000188
Gnomad OTH exome
AF:
0.00170
GnomAD4 exome
AF:
0.000530
AC:
774
AN:
1460882
Hom.:
3
Cov.:
31
AF XY:
0.000508
AC XY:
369
AN XY:
726782
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00110
Gnomad4 ASJ exome
AF:
0.0159
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000255
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000176
Gnomad4 OTH exome
AF:
0.00139
GnomAD4 genome
AF:
0.000525
AC:
80
AN:
152288
Hom.:
1
Cov.:
33
AF XY:
0.000564
AC XY:
42
AN XY:
74446
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.0161
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000191
Gnomad4 OTH
AF:
0.000949
Alfa
AF:
0.00179
Hom.:
0
Bravo
AF:
0.000638
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000969
AC:
8
ExAC
AF:
0.000706
AC:
85
EpiCase
AF:
0.000382
EpiControl
AF:
0.000237

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Brain-lung-thyroid syndrome Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Likely benign, criteria provided, single submitterclinical testingJohns Hopkins Genomics, Johns Hopkins UniversityApr 18, 2019- -
not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 15, 2023- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 24, 2020- -
NKX2-1-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 25, 2024This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Benign hereditary chorea Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
22
DANN
Uncertain
1.0
Eigen
Benign
-0.43
Eigen_PC
Benign
-0.34
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.65
T;T
M_CAP
Pathogenic
0.89
D
MetaRNN
Benign
0.0073
T;T
MetaSVM
Benign
-0.60
T
PrimateAI
Pathogenic
0.81
D
PROVEAN
Benign
-0.34
N;D
REVEL
Benign
0.18
Sift
Pathogenic
0.0
D;.
Sift4G
Pathogenic
0.0
D;.
Polyphen
0.0
B;.
Vest4
0.18
MVP
0.83
ClinPred
0.071
T
GERP RS
0.89
gMVP
0.16

Splicing

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: rs201979429; hg19: chr14-36989306; COSMIC: COSV61389658; COSMIC: COSV61389658; API