19-2250529-G-A

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000479.5(AMH):​c.555+50G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.58 in 1,540,218 control chromosomes in the GnomAD database, including 263,320 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.52 ( 21429 hom., cov: 33)
Exomes 𝑓: 0.59 ( 241891 hom. )

Consequence

AMH
NM_000479.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.0860

Publications

11 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]
MIR4321 (HGNC:38244): (microRNA 4321) microRNAs (miRNAs) are short (20-24 nt) non-coding RNAs that are involved in post-transcriptional regulation of gene expression in multicellular organisms by affecting both the stability and translation of mRNAs. miRNAs are transcribed by RNA polymerase II as part of capped and polyadenylated primary transcripts (pri-miRNAs) that can be either protein-coding or non-coding. The primary transcript is cleaved by the Drosha ribonuclease III enzyme to produce an approximately 70-nt stem-loop precursor miRNA (pre-miRNA), which is further cleaved by the cytoplasmic Dicer ribonuclease to generate the mature miRNA and antisense miRNA star (miRNA*) products. The mature miRNA is incorporated into a RNA-induced silencing complex (RISC), which recognizes target mRNAs through imperfect base pairing with the miRNA and most commonly results in translational inhibition or destabilization of the target mRNA. The RefSeq represents the predicted microRNA stem-loop. [provided by RefSeq, Sep 2009]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.73).
BP6
Variant 19-2250529-G-A is Benign according to our data. Variant chr19-2250529-G-A is described in ClinVar as Benign. ClinVar VariationId is 1262695.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.602 is higher than 0.05.

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.555+50G>A
intron
N/ANP_000470.3P03971
MIR4321
NR_036207.1
n.-110G>A
upstream_gene
N/A

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AMH
ENST00000221496.5
TSL:1 MANE Select
c.555+50G>A
intron
N/AENSP00000221496.2P03971
AMH
ENST00000589313.2
TSL:5
n.786G>A
non_coding_transcript_exon
Exon 1 of 3
AMH
ENST00000592877.1
TSL:3
n.437-123G>A
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.517
AC:
78486
AN:
151900
Hom.:
21440
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.353
Gnomad AMI
AF:
0.701
Gnomad AMR
AF:
0.555
Gnomad ASJ
AF:
0.638
Gnomad EAS
AF:
0.409
Gnomad SAS
AF:
0.502
Gnomad FIN
AF:
0.519
Gnomad MID
AF:
0.608
Gnomad NFE
AF:
0.607
Gnomad OTH
AF:
0.551
GnomAD2 exomes
AF:
0.534
AC:
77166
AN:
144390
AF XY:
0.539
show subpopulations
Gnomad AFR exome
AF:
0.334
Gnomad AMR exome
AF:
0.480
Gnomad ASJ exome
AF:
0.623
Gnomad EAS exome
AF:
0.396
Gnomad FIN exome
AF:
0.526
Gnomad NFE exome
AF:
0.607
Gnomad OTH exome
AF:
0.583
GnomAD4 exome
AF:
0.587
AC:
814215
AN:
1388200
Hom.:
241891
Cov.:
50
AF XY:
0.585
AC XY:
400179
AN XY:
684476
show subpopulations
African (AFR)
AF:
0.339
AC:
10688
AN:
31492
American (AMR)
AF:
0.495
AC:
17663
AN:
35674
Ashkenazi Jewish (ASJ)
AF:
0.629
AC:
15811
AN:
25122
East Asian (EAS)
AF:
0.421
AC:
15020
AN:
35642
South Asian (SAS)
AF:
0.511
AC:
40451
AN:
79092
European-Finnish (FIN)
AF:
0.531
AC:
22527
AN:
42448
Middle Eastern (MID)
AF:
0.626
AC:
2590
AN:
4138
European-Non Finnish (NFE)
AF:
0.610
AC:
656605
AN:
1076962
Other (OTH)
AF:
0.570
AC:
32860
AN:
57630
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
20899
41799
62698
83598
104497
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
17890
35780
53670
71560
89450
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.516
AC:
78488
AN:
152018
Hom.:
21429
Cov.:
33
AF XY:
0.513
AC XY:
38159
AN XY:
74318
show subpopulations
African (AFR)
AF:
0.352
AC:
14606
AN:
41462
American (AMR)
AF:
0.555
AC:
8478
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.638
AC:
2213
AN:
3470
East Asian (EAS)
AF:
0.409
AC:
2109
AN:
5158
South Asian (SAS)
AF:
0.502
AC:
2422
AN:
4820
European-Finnish (FIN)
AF:
0.519
AC:
5502
AN:
10596
Middle Eastern (MID)
AF:
0.605
AC:
178
AN:
294
European-Non Finnish (NFE)
AF:
0.606
AC:
41191
AN:
67920
Other (OTH)
AF:
0.547
AC:
1150
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
1862
3724
5587
7449
9311
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
692
1384
2076
2768
3460
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.577
Hom.:
34812
Bravo
AF:
0.510
Asia WGS
AF:
0.388
AC:
1353
AN:
3478

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.73
CADD
Benign
5.9
DANN
Benign
0.90
PhyloP100
0.086
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs8112524; hg19: chr19-2250528; COSMIC: COSV55556302; COSMIC: COSV55556302; API