19-45768177-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_175875.5(SIX5):ā€‹c.668A>Gā€‹(p.Asn223Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,460,574 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000021 ( 0 hom. )

Consequence

SIX5
NM_175875.5 missense

Scores

4
12
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.32
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]
DM1-AS (HGNC:53125): (DM1 locus antisense RNA)

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.762

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SIX5NM_175875.5 linkuse as main transcriptc.668A>G p.Asn223Ser missense_variant 1/3 ENST00000317578.7
DM1-ASNR_147193.1 linkuse as main transcriptn.336+46T>C intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SIX5ENST00000317578.7 linkuse as main transcriptc.668A>G p.Asn223Ser missense_variant 1/31 NM_175875.5 P1
ENST00000559756.1 linkuse as main transcriptn.1181-655T>C intron_variant, non_coding_transcript_variant 3
DM1-ASENST00000590076.2 linkuse as main transcriptn.336+46T>C intron_variant, non_coding_transcript_variant 4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000405
AC:
1
AN:
246702
Hom.:
0
AF XY:
0.00000745
AC XY:
1
AN XY:
134200
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000903
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1460574
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
726664
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.00000825
AC:
1

ClinVar

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

Submissions by phenotype

Branchiootorenal syndrome 2 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMVZ Medizinische Genetik MainzJul 09, 2021ACMG Criteria: PM2_SUP, PP3 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Uncertain
0.077
D
BayesDel_noAF
Benign
-0.13
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.87
D;D
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.47
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.94
.;D
M_CAP
Uncertain
0.26
D
MetaRNN
Pathogenic
0.76
D;D
MetaSVM
Uncertain
0.25
D
MutationAssessor
Benign
1.8
L;L
MutationTaster
Benign
1.0
D;N
PrimateAI
Pathogenic
0.83
D
PROVEAN
Pathogenic
-4.7
.;D
REVEL
Uncertain
0.64
Sift
Uncertain
0.0060
.;D
Sift4G
Uncertain
0.014
.;D
Polyphen
0.99
D;D
Vest4
0.48
MutPred
0.54
Gain of phosphorylation at N223 (P = 0.005);Gain of phosphorylation at N223 (P = 0.005);
MVP
0.94
MPC
1.3
ClinPred
0.98
D
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.9
Varity_R
0.65
gMVP
0.74

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: rs776155687; hg19: chr19-46271435; API