19-871106-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_005481.3(MED16):​c.2246G>A​(p.Arg749His) variant causes a missense change. The variant allele was found at a frequency of 0.0000497 in 1,548,606 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000085 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000046 ( 0 hom. )

Consequence

MED16
NM_005481.3 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.22
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 Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.047286272).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MED16NM_005481.3 linkuse as main transcriptc.2246G>A p.Arg749His missense_variant 13/16 ENST00000325464.6 NP_005472.2
MED16XM_017026120.3 linkuse as main transcriptc.2039G>A p.Arg680His missense_variant 12/15 XP_016881609.1
MED16XM_047438010.1 linkuse as main transcriptc.2039G>A p.Arg680His missense_variant 12/14 XP_047293966.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MED16ENST00000325464.6 linkuse as main transcriptc.2246G>A p.Arg749His missense_variant 13/165 NM_005481.3 ENSP00000325612 Q9Y2X0-1

Frequencies

GnomAD3 genomes
AF:
0.0000854
AC:
13
AN:
152210
Hom.:
0
Cov.:
34
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:
0.00193
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000300
AC:
44
AN:
146614
Hom.:
0
AF XY:
0.000166
AC XY:
13
AN XY:
78196
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00380
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000661
Gnomad NFE exome
AF:
0.0000376
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000458
AC:
64
AN:
1396396
Hom.:
0
Cov.:
33
AF XY:
0.0000334
AC XY:
23
AN XY:
688542
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00115
Gnomad4 SAS exome
AF:
0.0000505
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000121
Gnomad4 OTH exome
AF:
0.000104
GnomAD4 genome
AF:
0.0000854
AC:
13
AN:
152210
Hom.:
0
Cov.:
34
AF XY:
0.0000807
AC XY:
6
AN XY:
74344
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00193
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000162
Hom.:
0
Bravo
AF:
0.000147
ExAC
AF:
0.0000453
AC:
3

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 GeneticsJun 30, 2022The c.2246G>A (p.R749H) alteration is located in exon 13 (coding exon 12) of the MED16 gene. This alteration results from a G to A substitution at nucleotide position 2246, causing the arginine (R) at amino acid position 749 to be replaced by a histidine (H). 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
0.15
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.25
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.076
.;.;T;T
Eigen
Benign
-0.62
Eigen_PC
Benign
-0.50
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.97
D;D;.;D
M_CAP
Benign
0.042
D
MetaRNN
Benign
0.047
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.7
L;.;L;L
MutationTaster
Benign
1.0
D;D;D;D;N
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-1.4
N;N;.;N
REVEL
Benign
0.24
Sift
Benign
0.030
D;D;.;D
Sift4G
Uncertain
0.020
D;D;D;D
Polyphen
0.99, 0.99
.;D;D;D
Vest4
0.70
MutPred
0.49
Gain of ubiquitination at K745 (P = 0.0556);.;Gain of ubiquitination at K745 (P = 0.0556);Gain of ubiquitination at K745 (P = 0.0556);
MVP
0.16
ClinPred
0.18
T
GERP RS
3.0
Varity_R
0.11
gMVP
0.56

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: rs764958390; hg19: chr19-871106; API