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GeneBe

19-19569579-T-C

Variant summary

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

The NM_025245.3(PBX4):c.638A>G(p.Lys213Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0000089 in 1,461,088 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

PBX4
NM_025245.3 missense

Scores

9
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.03
Variant links:
Genes affected
PBX4 (HGNC:13403): (PBX homeobox 4) This gene encodes a member of the pre-B cell leukemia transcription factor family. These proteins are homeobox proteins that play critical roles in embryonic development and cellular differentiation both as Hox cofactors and through Hox-independent pathways. The encoded protein contains a homeobox DNA-binding domain, but specific functions of the protein have not been determined. Alternatively spliced transcript variants have been observed for this gene. [provided by RefSeq, May 2011]

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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 UniProt
PBX4NM_025245.3 linkuse as main transcriptc.638A>G p.Lys213Arg missense_variant 5/8 ENST00000251203.14

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PBX4ENST00000251203.14 linkuse as main transcriptc.638A>G p.Lys213Arg missense_variant 5/81 NM_025245.3 P1
PBX4ENST00000557978.6 linkuse as main transcriptc.*196A>G 3_prime_UTR_variant, NMD_transcript_variant 5/81
PBX4ENST00000558222.1 linkuse as main transcriptc.*186A>G 3_prime_UTR_variant, NMD_transcript_variant 5/62

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
250606
Hom.:
0
AF XY:
0.00000738
AC XY:
1
AN XY:
135442
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.0000655
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000890
AC:
13
AN:
1461088
Hom.:
0
Cov.:
30
AF XY:
0.00000826
AC XY:
6
AN XY:
726828
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.000133
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.0000227
ExAC
AF:
0.00000824
AC:
1
Asia WGS
AF:
0.00231
AC:
8
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 31, 2022The c.638A>G (p.K213R) alteration is located in exon 5 (coding exon 5) of the PBX4 gene. This alteration results from a A to G substitution at nucleotide position 638, causing the lysine (K) at amino acid position 213 to be replaced by an arginine (R). 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
Benign
0.11
BayesDel_addAF
Benign
-0.0047
T
BayesDel_noAF
Uncertain
-0.060
Cadd
Pathogenic
30
Dann
Uncertain
1.0
DEOGEN2
Uncertain
0.67
D
Eigen
Benign
-0.33
Eigen_PC
Benign
-0.23
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.97
D
M_CAP
Benign
0.047
D
MetaRNN
Benign
0.36
T
MetaSVM
Uncertain
0.099
D
MutationAssessor
Benign
0.58
N
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.63
T
PROVEAN
Uncertain
-2.8
D
REVEL
Uncertain
0.37
Sift
Benign
0.044
D
Sift4G
Benign
0.11
T
Polyphen
0.051
B
Vest4
0.32
MutPred
0.54
Gain of methylation at R212 (P = 0.1314);
MVP
0.95
MPC
0.59
ClinPred
0.71
D
GERP RS
2.5
Varity_R
0.26
gMVP
0.52

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.37
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.37
Position offset: -1

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: rs369430064; hg19: chr19-19680388; API