19-868897-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_005481.3(MED16):​c.2365G>A​(p.Ala789Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000468 in 1,551,506 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00075 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00044 ( 5 hom. )

Consequence

MED16
NM_005481.3 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.50
Variant links:
Genes affected
MED16 (HGNC:17556): (mediator complex subunit 16) Enables thyroid hormone receptor binding activity and transcription coactivator activity. Involved in positive regulation of transcription initiation from RNA polymerase II promoter. Located in membrane. Part of mediator complex. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.021963388).
BS2
High Homozygotes in GnomAdExome4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MED16NM_005481.3 linkuse as main transcriptc.2365G>A p.Ala789Thr missense_variant 14/16 ENST00000325464.6 NP_005472.2 Q9Y2X0-1
MED16XM_017026120.3 linkuse as main transcriptc.2158G>A p.Ala720Thr missense_variant 13/15 XP_016881609.1
MED16XM_047438010.1 linkuse as main transcriptc.2158G>A p.Ala720Thr missense_variant 13/14 XP_047293966.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MED16ENST00000325464.6 linkuse as main transcriptc.2365G>A p.Ala789Thr missense_variant 14/165 NM_005481.3 ENSP00000325612.1 Q9Y2X0-1

Frequencies

GnomAD3 genomes
AF:
0.000749
AC:
114
AN:
152216
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00164
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.000828
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00107
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000689
AC:
111
AN:
161102
Hom.:
1
AF XY:
0.000777
AC XY:
67
AN XY:
86264
show subpopulations
Gnomad AFR exome
AF:
0.000294
Gnomad AMR exome
AF:
0.000832
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00110
Gnomad SAS exome
AF:
0.00143
Gnomad FIN exome
AF:
0.000371
Gnomad NFE exome
AF:
0.000490
Gnomad OTH exome
AF:
0.000895
GnomAD4 exome
AF:
0.000437
AC:
612
AN:
1399172
Hom.:
5
Cov.:
32
AF XY:
0.000464
AC XY:
321
AN XY:
691668
show subpopulations
Gnomad4 AFR exome
AF:
0.000278
Gnomad4 AMR exome
AF:
0.000626
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000322
Gnomad4 SAS exome
AF:
0.00126
Gnomad4 FIN exome
AF:
0.000190
Gnomad4 NFE exome
AF:
0.000387
Gnomad4 OTH exome
AF:
0.000515
GnomAD4 genome
AF:
0.000748
AC:
114
AN:
152334
Hom.:
1
Cov.:
33
AF XY:
0.000738
AC XY:
55
AN XY:
74494
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.00163
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.000829
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.00107
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00104
Hom.:
0
Bravo
AF:
0.000521
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000353
AC:
3
ExAC
AF:
0.000379
AC:
43

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 GeneticsDec 13, 2021The c.2365G>A (p.A789T) alteration is located in exon 14 (coding exon 13) of the MED16 gene. This alteration results from a G to A substitution at nucleotide position 2365, causing the alanine (A) at amino acid position 789 to be replaced by a threonine (T). 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
0.084
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.048
.;.;T;T
Eigen
Benign
0.025
Eigen_PC
Benign
0.052
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.86
D;D;.;D
M_CAP
Benign
0.023
T
MetaRNN
Benign
0.022
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.46
N;.;N;N
MutationTaster
Benign
0.99
D;D;D;D;D
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-0.90
N;N;.;N
REVEL
Benign
0.072
Sift
Benign
0.38
T;T;.;T
Sift4G
Benign
0.36
T;T;T;T
Polyphen
0.94, 0.95
.;P;P;P
Vest4
0.25
MVP
0.43
ClinPred
0.026
T
GERP RS
4.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.13
gMVP
0.42

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: rs201531363; hg19: chr19-868897; API