19-2249423-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000479.5(AMH):​c.91G>T​(p.Ala31Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000691 in 1,446,596 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A31T) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

AMH
NM_000479.5 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.121

Publications

2 publications found
Variant links:
Genes affected
AMH (HGNC:464): (anti-Mullerian hormone) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate N- and C-terminal cleavage products that homodimerize and associate to form a biologically active noncovalent complex. This complex binds to the anti-Mullerian hormone receptor type 2 and causes the regression of Mullerian ducts in the male embryo that would otherwise differentiate into the uterus and fallopian tubes. This protein also plays a role in Leydig cell differentiation and function and follicular development in adult females. Mutations in this gene result in persistent Mullerian duct syndrome. [provided by RefSeq, Jul 2016]
AMH Gene-Disease associations (from GenCC):
  • persistent Mullerian duct syndrome
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.119457036).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000479.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AMH
NM_000479.5
MANE Select
c.91G>Tp.Ala31Ser
missense
Exon 1 of 5NP_000470.3P03971

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AMH
ENST00000221496.5
TSL:1 MANE Select
c.91G>Tp.Ala31Ser
missense
Exon 1 of 5ENSP00000221496.2P03971
AMH
ENST00000592877.1
TSL:3
n.115G>T
non_coding_transcript_exon
Exon 1 of 2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000450
AC:
1
AN:
222200
AF XY:
0.00000827
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000310
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.91e-7
AC:
1
AN:
1446596
Hom.:
0
Cov.:
30
AF XY:
0.00000139
AC XY:
1
AN XY:
718394
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33130
American (AMR)
AF:
0.0000232
AC:
1
AN:
43034
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25814
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38924
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83938
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50660
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5746
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1105556
Other (OTH)
AF:
0.00
AC:
0
AN:
59794
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
33

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
6.1
DANN
Benign
0.87
DEOGEN2
Benign
0.25
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.32
N
LIST_S2
Benign
0.38
T
M_CAP
Uncertain
0.19
D
MetaRNN
Benign
0.12
T
MetaSVM
Benign
-0.77
T
MutationAssessor
Benign
0.90
L
PhyloP100
0.12
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-0.69
N
REVEL
Benign
0.13
Sift
Benign
0.057
T
Sift4G
Benign
0.21
T
Polyphen
0.028
B
Vest4
0.072
MutPred
0.35
Gain of disorder (P = 0.0317)
MVP
0.67
MPC
0.0037
ClinPred
0.056
T
GERP RS
-0.23
PromoterAI
0.027
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.089
gMVP
0.23
Mutation Taster
=98/2
polymorphism

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

Other links and lift over

dbSNP: rs766829297; hg19: chr19-2249422; API