16-49635815-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBS1BS2

The NM_001379286.1(ZNF423):​c.3361G>A​(p.Ala1121Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.015 in 1,609,014 control chromosomes in the GnomAD database, including 244 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.011 ( 7 hom., cov: 33)
Exomes 𝑓: 0.015 ( 237 hom. )

Consequence

ZNF423
NM_001379286.1 missense

Scores

1
17

Clinical Significance

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

Conservation

PhyloP100: 0.624
Variant links:
Genes affected
ZNF423 (HGNC:16762): (zinc finger protein 423) The protein encoded by this gene is a nuclear protein that belongs to the family of Kruppel-like C2H2 zinc finger proteins. It functions as a DNA-binding transcription factor by using distinct zinc fingers in different signaling pathways. Thus, it is thought that this gene may have multiple roles in signal transduction during development. Mutations in this gene are associated with nephronophthisis-14 and Joubert syndrome-19. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), ZNF423. . Gene score misZ 2.4902 (greater than the threshold 3.09). Trascript score misZ 4.2773 (greater than threshold 3.09). GenCC has associacion of gene with nephronophthisis 14, Joubert syndrome 17, nephronophthisis 2, Joubert syndrome with oculorenal defect, nephronophthisis.
BP4
Computational evidence support a benign effect (MetaRNN=0.0026418269).
BP6
Variant 16-49635815-C-T is Benign according to our data. Variant chr16-49635815-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 260535.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-49635815-C-T is described in Lovd as [Likely_benign]. Variant chr16-49635815-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0114 (1736/152268) while in subpopulation NFE AF= 0.0177 (1204/68008). AF 95% confidence interval is 0.0169. There are 7 homozygotes in gnomad4. There are 868 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 7 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ZNF423NM_001379286.1 linkuse as main transcriptc.3361G>A p.Ala1121Thr missense_variant 4/8 ENST00000563137.7 NP_001366215.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ZNF423ENST00000563137.7 linkuse as main transcriptc.3361G>A p.Ala1121Thr missense_variant 4/85 NM_001379286.1 ENSP00000455588 P1

Frequencies

GnomAD3 genomes
AF:
0.0114
AC:
1737
AN:
152150
Hom.:
7
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00278
Gnomad AMI
AF:
0.00440
Gnomad AMR
AF:
0.00753
Gnomad ASJ
AF:
0.00461
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00891
Gnomad FIN
AF:
0.0203
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.0177
Gnomad OTH
AF:
0.0100
GnomAD3 exomes
AF:
0.0129
AC:
3089
AN:
239726
Hom.:
43
AF XY:
0.0134
AC XY:
1755
AN XY:
131014
show subpopulations
Gnomad AFR exome
AF:
0.00284
Gnomad AMR exome
AF:
0.00476
Gnomad ASJ exome
AF:
0.00540
Gnomad EAS exome
AF:
0.0000562
Gnomad SAS exome
AF:
0.0100
Gnomad FIN exome
AF:
0.0265
Gnomad NFE exome
AF:
0.0177
Gnomad OTH exome
AF:
0.0148
GnomAD4 exome
AF:
0.0154
AC:
22394
AN:
1456746
Hom.:
237
Cov.:
31
AF XY:
0.0154
AC XY:
11151
AN XY:
724592
show subpopulations
Gnomad4 AFR exome
AF:
0.00213
Gnomad4 AMR exome
AF:
0.00555
Gnomad4 ASJ exome
AF:
0.00506
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00950
Gnomad4 FIN exome
AF:
0.0263
Gnomad4 NFE exome
AF:
0.0170
Gnomad4 OTH exome
AF:
0.0138
GnomAD4 genome
AF:
0.0114
AC:
1736
AN:
152268
Hom.:
7
Cov.:
33
AF XY:
0.0117
AC XY:
868
AN XY:
74464
show subpopulations
Gnomad4 AFR
AF:
0.00274
Gnomad4 AMR
AF:
0.00752
Gnomad4 ASJ
AF:
0.00461
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00913
Gnomad4 FIN
AF:
0.0203
Gnomad4 NFE
AF:
0.0177
Gnomad4 OTH
AF:
0.00993
Alfa
AF:
0.0161
Hom.:
12
Bravo
AF:
0.00972
TwinsUK
AF:
0.0146
AC:
54
ALSPAC
AF:
0.0161
AC:
62
ESP6500AA
AF:
0.00228
AC:
10
ESP6500EA
AF:
0.0206
AC:
177
ExAC
AF:
0.0130
AC:
1561
Asia WGS
AF:
0.00375
AC:
13
AN:
3478

ClinVar

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

Submissions by phenotype

Nephronophthisis 14 Benign:4
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Likely benign, criteria provided, single submitterclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical CenterJun 28, 2017- -
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, University Medical Center UtrechtOct 09, 2014- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesMar 24, 2016- -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.69
T
BayesDel_noAF
Benign
-0.75
CADD
Benign
13
DANN
Benign
0.77
DEOGEN2
Benign
0.054
T;.;.;T;.;.;.
Eigen
Benign
-0.85
Eigen_PC
Benign
-0.76
FATHMM_MKL
Benign
0.088
N
LIST_S2
Benign
0.60
.;.;.;T;.;T;T
MetaRNN
Benign
0.0026
T;T;T;T;T;T;T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
-0.34
N;.;.;N;.;.;.
MutationTaster
Benign
1.0
N;N;N;N;N;N;N
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-0.38
N;N;N;N;N;N;N
REVEL
Benign
0.014
Sift
Benign
0.96
T;T;T;T;T;T;T
Sift4G
Benign
0.49
T;T;T;T;T;T;T
Polyphen
0.016
B;.;.;B;.;.;.
Vest4
0.010
MPC
0.36
ClinPred
0.00031
T
GERP RS
1.6
Varity_R
0.014
gMVP
0.12

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: rs147898137; hg19: chr16-49669726; COSMIC: COSV52189466; API