19-45766866-C-T

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 1P and 5B. PP5BP4BS2

The NM_175875.5(SIX5):​c.1093G>A​(p.Gly365Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000388 in 1,544,552 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 Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000036 ( 0 hom. )

Consequence

SIX5
NM_175875.5 missense

Scores

2
6
11

Clinical Significance

Pathogenic no assertion criteria provided P:1O:1

Conservation

PhyloP100: 0.465

Publications

5 publications found
Variant links:
Genes affected
SIX5 (HGNC:10891): (SIX homeobox 5) The protein encoded by this gene is a homeodomain-containing transcription factor that appears to function in the regulation of organogenesis. This gene is located downstream of the dystrophia myotonica-protein kinase gene. Mutations in this gene are a cause of branchiootorenal syndrome type 2. [provided by RefSeq, Jul 2009]
SIX5 Gene-Disease associations (from GenCC):
  • branchiootorenal syndrome 2
    Inheritance: AD, Unknown Classification: DEFINITIVE, LIMITED Submitted by: PanelApp Australia, G2P, Labcorp Genetics (formerly Invitae)
  • branchio-oto-renal syndrome
    Inheritance: AD Classification: SUPPORTIVE, NO_KNOWN Submitted by: Orphanet, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

PP5
Variant 19-45766866-C-T is Pathogenic according to our data. Variant chr19-45766866-C-T is described in ClinVar as Pathogenic. ClinVar VariationId is 8600.Status of the report is no_assertion_criteria_provided, 0 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.34370086). . Strength limited to SUPPORTING due to the PP5.
BS2
High AC in GnomAdExome4 at 5 AD,Unknown gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SIX5NM_175875.5 linkc.1093G>A p.Gly365Arg missense_variant Exon 2 of 3 ENST00000317578.7 NP_787071.3 Q8N196

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SIX5ENST00000317578.7 linkc.1093G>A p.Gly365Arg missense_variant Exon 2 of 3 1 NM_175875.5 ENSP00000316842.4 Q8N196
SIX5ENST00000560168.1 linkc.*281G>A 3_prime_UTR_variant Exon 3 of 3 4 ENSP00000453189.2 H0YLF6
SIX5ENST00000560160.1 linkc.585-755G>A intron_variant Intron 1 of 1 2 ENSP00000453239.2 H0YLK1
ENSG00000259605ENST00000559756.1 linkn.1180+902C>T intron_variant Intron 1 of 1 3

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152188
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000140
AC:
2
AN:
143016
AF XY:
0.0000129
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000892
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000185
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000359
AC:
5
AN:
1392246
Hom.:
0
Cov.:
34
AF XY:
0.00000291
AC XY:
2
AN XY:
686998
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31622
American (AMR)
AF:
0.00
AC:
0
AN:
36228
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25102
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35900
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79592
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
41700
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4714
European-Non Finnish (NFE)
AF:
0.00000371
AC:
4
AN:
1079606
Other (OTH)
AF:
0.0000173
AC:
1
AN:
57782
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00000657
AC:
1
AN:
152306
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74470
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41574
American (AMR)
AF:
0.00
AC:
0
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.0000941
AC:
1
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67998
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000178
AC:
2

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Branchiootorenal syndrome 2 Pathogenic:1Other:1
Apr 01, 2007
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

-
GeneReviews
Significance:not provided
Review Status:no classification provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.080
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.15
T;T
Eigen
Benign
-0.64
Eigen_PC
Benign
-0.77
FATHMM_MKL
Benign
0.047
N
LIST_S2
Benign
0.67
.;T
M_CAP
Pathogenic
0.32
D
MetaRNN
Benign
0.34
T;T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Benign
0.55
N;N
PhyloP100
0.47
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-0.96
.;N
REVEL
Uncertain
0.57
Sift
Uncertain
0.0010
.;D
Sift4G
Benign
0.18
.;T
Polyphen
0.94
P;P
Vest4
0.81
MutPred
0.42
Gain of solvent accessibility (P = 0.006);Gain of solvent accessibility (P = 0.006);
MVP
0.79
MPC
0.17
ClinPred
0.13
T
GERP RS
0.52
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.16
gMVP
0.32
Mutation Taster
=95/5
disease causing (ClinVar)

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: rs80356463; hg19: chr19-46270124; API