17-46171417-G-T

Variant summary

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

The NM_015443.4(KANSL1):​c.727C>A​(p.Gln243Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00226 in 1,612,980 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0017 ( 0 hom., cov: 35)
Exomes 𝑓: 0.0023 ( 1 hom. )

Consequence

KANSL1
NM_015443.4 missense

Scores

1
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 2.40
Variant links:
Genes affected
KANSL1 (HGNC:24565): (KAT8 regulatory NSL complex subunit 1) This gene encodes a nuclear protein that is a subunit of two protein complexes involved with histone acetylation, the MLL1 complex and the NSL1 complex. The encoded protein has been implicated in a variety of cellular processes including enhancer regulation, cell proliferation, and mitosis. Mutations in this gene are associated with Koolen-de Vries Syndrome. [provided by RefSeq, May 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005876094).
BP6
Variant 17-46171417-G-T is Benign according to our data. Variant chr17-46171417-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 205776.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-46171417-G-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00167 (254/152228) while in subpopulation NFE AF= 0.00249 (169/67996). AF 95% confidence interval is 0.00218. There are 0 homozygotes in gnomad4. There are 114 alleles in male gnomad4 subpopulation. Median coverage is 35. This position pass quality control queck.
BS2
High AC in GnomAd4 at 254 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KANSL1NM_015443.4 linkuse as main transcriptc.727C>A p.Gln243Lys missense_variant 2/15 ENST00000432791.7 NP_056258.1 Q7Z3B3-1A0A024R9Y2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KANSL1ENST00000432791.7 linkuse as main transcriptc.727C>A p.Gln243Lys missense_variant 2/151 NM_015443.4 ENSP00000387393.3 Q7Z3B3-1

Frequencies

GnomAD3 genomes
AF:
0.00167
AC:
254
AN:
152110
Hom.:
0
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00157
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00340
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00249
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00188
AC:
471
AN:
251178
Hom.:
0
AF XY:
0.00187
AC XY:
254
AN XY:
135744
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.00130
Gnomad ASJ exome
AF:
0.00238
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00269
Gnomad NFE exome
AF:
0.00283
Gnomad OTH exome
AF:
0.00261
GnomAD4 exome
AF:
0.00233
AC:
3398
AN:
1460752
Hom.:
1
Cov.:
54
AF XY:
0.00229
AC XY:
1662
AN XY:
726716
show subpopulations
Gnomad4 AFR exome
AF:
0.000299
Gnomad4 AMR exome
AF:
0.00132
Gnomad4 ASJ exome
AF:
0.00214
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00230
Gnomad4 NFE exome
AF:
0.00270
Gnomad4 OTH exome
AF:
0.00214
GnomAD4 genome
AF:
0.00167
AC:
254
AN:
152228
Hom.:
0
Cov.:
35
AF XY:
0.00153
AC XY:
114
AN XY:
74420
show subpopulations
Gnomad4 AFR
AF:
0.000409
Gnomad4 AMR
AF:
0.00157
Gnomad4 ASJ
AF:
0.00115
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00340
Gnomad4 NFE
AF:
0.00249
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00278
Hom.:
0
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.00181
AC:
220
EpiCase
AF:
0.00382
EpiControl
AF:
0.00415

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Benign, criteria provided, single submitterclinical testingGeneDxMay 03, 2021Missense variant in a gene in which most reported pathogenic variants are truncating/loss-of-function; In silico analysis supports that this missense variant does not alter protein structure/function; Located in a region that tolerates variation and lacks pathogenic variants -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024KANSL1: BP4, BS1 -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJun 29, 2018- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:1
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsMar 29, 2022This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Koolen-de Vries syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 11, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.092
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
20
DANN
Benign
0.96
Eigen
Benign
-0.12
Eigen_PC
Benign
0.12
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.85
.;.;.;.;T;T;T;T;T
M_CAP
Benign
0.0044
T
MetaRNN
Benign
0.0059
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.98
T
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.2
N;.;.;.;.;N;.;.;.
REVEL
Benign
0.088
Sift
Benign
0.039
D;.;.;.;.;D;.;.;.
Sift4G
Benign
0.66
T;T;T;.;T;T;.;.;.
Vest4
0.31
MVP
0.11
MPC
0.021
ClinPred
0.0093
T
GERP RS
6.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
gMVP
0.22

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: rs142096969; hg19: chr17-44248783; API