2-197402635-C-G
Variant summary
Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PS1_Very_StrongPP3PP5_Moderate
The NM_012433.4(SF3B1):c.1998G>C(p.Lys666Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000204 in 1,613,824 control chromosomes in the GnomAD database, with no homozygous occurrence. There is a variant allele frequency bias in the population database for this variant (GnomAd4), which may indicate mosaicism or somatic mutations in the reference population data. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely pathogenic in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. K666R) has been classified as Uncertain significance.
Frequency
Consequence
NM_012433.4 missense
Scores
Clinical Significance
Conservation
Publications
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ACMG classification
Our verdict: Pathogenic. The variant received 11 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| SF3B1 | NM_012433.4 | c.1998G>C | p.Lys666Asn | missense_variant | Exon 14 of 25 | ENST00000335508.11 | NP_036565.2 | |
| SF3B1 | XM_047443838.1 | c.1560G>C | p.Lys520Asn | missense_variant | Exon 11 of 22 | XP_047299794.1 | ||
| SF3B1 | XM_047443839.1 | c.1560G>C | p.Lys520Asn | missense_variant | Exon 11 of 22 | XP_047299795.1 | ||
| SF3B1 | XM_047443840.1 | c.1998G>C | p.Lys666Asn | missense_variant | Exon 14 of 22 | XP_047299796.1 | 
Ensembl
Frequencies
GnomAD3 genomes  0.0000329  AC: 5AN: 152180Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000398  AC: 10AN: 251338 AF XY:  0.0000589   show subpopulations 
GnomAD4 exome  AF:  0.0000192  AC: 28AN: 1461644Hom.:  0  Cov.: 34 AF XY:  0.0000344  AC XY: 25AN XY: 727112 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
Age Distribution
GnomAD4 genome  0.0000329  AC: 5AN: 152180Hom.:  0  Cov.: 32 AF XY:  0.0000538  AC XY: 4AN XY: 74340 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. 
Age Distribution
ClinVar
Submissions by phenotype
Myelodysplastic syndrome    Pathogenic:1 
It is observed in the gnomAD v2.1.1 (https://gnomad.broadinstitute.org) dataset at total allele frequency of 0.004%. Predicted Consequence/Location: Missense changes are a common disease-causing mechanism. In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.51; 3Cnet: 0.99). Different nucleotide change resulting in same amino acid change has been previously reported as pathogenic/likely pathogenic with strong evidence (ClinVar ID: VCV000219098). Different missense changes at the same codon (p.Lys666Arg, p.Lys666Gln, p.Lys666Glu, p.Lys666Thr) have been reported to be associated with SF3B1 related disorder (ClinVar ID: VCV000376006, VCV000376007, VCV000376008, VCV000376532). Therefore, this variant is classified as Likely pathogenic according to the recommendation of ACMG/AMP guideline. -
Acute myeloid leukemia    Pathogenic:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at