17-46171464-C-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.680G>A​(p.Ser227Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000771 in 1,613,838 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 11/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00076 ( 0 hom., cov: 35)
Exomes 𝑓: 0.00077 ( 0 hom. )

Consequence

KANSL1
NM_015443.4 missense

Scores

5
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 3.30
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]

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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=0.020188063).
BP6
Variant 17-46171464-C-T is Benign according to our data. Variant chr17-46171464-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 205773.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-46171464-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000762 (116/152204) while in subpopulation AMR AF= 0.00216 (33/15300). AF 95% confidence interval is 0.00158. There are 0 homozygotes in gnomad4. There are 54 alleles in male gnomad4 subpopulation. Median coverage is 35. This position pass quality control queck.
BS2
High AC in GnomAd4 at 116 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KANSL1NM_015443.4 linkuse as main transcriptc.680G>A p.Ser227Asn 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.680G>A p.Ser227Asn missense_variant 2/151 NM_015443.4 ENSP00000387393.3 Q7Z3B3-1

Frequencies

GnomAD3 genomes
AF:
0.000763
AC:
116
AN:
152086
Hom.:
0
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.0000725
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00216
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00107
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000712
AC:
179
AN:
251310
Hom.:
0
AF XY:
0.000780
AC XY:
106
AN XY:
135820
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000810
Gnomad ASJ exome
AF:
0.000795
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000370
Gnomad NFE exome
AF:
0.00114
Gnomad OTH exome
AF:
0.000490
GnomAD4 exome
AF:
0.000772
AC:
1129
AN:
1461634
Hom.:
0
Cov.:
51
AF XY:
0.000792
AC XY:
576
AN XY:
727116
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.000850
Gnomad4 ASJ exome
AF:
0.00126
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000468
Gnomad4 NFE exome
AF:
0.000891
Gnomad4 OTH exome
AF:
0.000563
GnomAD4 genome
AF:
0.000762
AC:
116
AN:
152204
Hom.:
0
Cov.:
35
AF XY:
0.000726
AC XY:
54
AN XY:
74414
show subpopulations
Gnomad4 AFR
AF:
0.0000723
Gnomad4 AMR
AF:
0.00216
Gnomad4 ASJ
AF:
0.000865
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000377
Gnomad4 NFE
AF:
0.00107
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000912
Hom.:
0
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.000791
AC:
96
EpiCase
AF:
0.00125
EpiControl
AF:
0.00136

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxFeb 28, 2019- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2024KANSL1: BS1 -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 15, 2018- -
Koolen-de Vries syndrome Benign:2
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 03, 2023- -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 23, 2021- -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 16, 2021This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.65
CADD
Uncertain
23
DANN
Uncertain
0.98
Eigen
Benign
0.019
Eigen_PC
Uncertain
0.24
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.90
.;.;.;.;D;D;D;D;D
M_CAP
Benign
0.0099
T
MetaRNN
Benign
0.020
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.62
N;.;.;.;.;N;.;.;.
REVEL
Benign
0.14
Sift
Benign
0.047
D;.;.;.;.;D;.;.;.
Sift4G
Benign
0.11
T;T;T;.;T;T;.;.;.
Vest4
0.37
MVP
0.10
MPC
0.018
ClinPred
0.013
T
GERP RS
6.0
gMVP
0.23

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: rs150345690; hg19: chr17-44248830; COSMIC: COSV99294361; COSMIC: COSV99294361; API