20-21705775-G-T

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS1

The NM_001257096.2(PAX1):​c.63G>T​(p.Ala21Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000232 in 1,260,050 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 Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A21A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00021 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00024 ( 0 hom. )

Consequence

PAX1
NM_001257096.2 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.313
Variant links:
Genes affected
PAX1 (HGNC:8615): (paired box 1) This gene is a member of the paired box (PAX) family of transcription factors. Members of the PAX family typically contain a paired box domain and a paired-type homeodomain. These genes play critical roles during fetal development. This gene plays a role in pattern formation during embryogenesis and may be essential for development of the vertebral column. This gene is silenced by methylation in ovarian and cervical cancers and may be a tumor suppressor gene. Mutations in this gene are also associated with vertebral malformations. [provided by RefSeq, Mar 2012]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.74).
BP6
Variant 20-21705775-G-T is Benign according to our data. Variant chr20-21705775-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 721776.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.313 with no splicing effect.
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.000205 (31/151170) while in subpopulation AMR AF = 0.000658 (10/15192). AF 95% confidence interval is 0.000357. There are 0 homozygotes in GnomAd4. There are 17 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PAX1NM_001257096.2 linkc.63G>T p.Ala21Ala synonymous_variant Exon 1 of 5 ENST00000613128.5 NP_001244025.1 A0A087WXV5
PAX1NM_006192.5 linkc.63G>T p.Ala21Ala synonymous_variant Exon 1 of 5 NP_006183.2 P15863-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PAX1ENST00000613128.5 linkc.63G>T p.Ala21Ala synonymous_variant Exon 1 of 5 1 NM_001257096.2 ENSP00000481334.1 A0A087WXV5
PAX1ENST00000398485.6 linkc.63G>T p.Ala21Ala synonymous_variant Exon 1 of 5 5 ENSP00000381499.2 P15863-1

Frequencies

GnomAD3 genomes
AF:
0.000205
AC:
31
AN:
151170
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000968
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000658
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000252
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000117
AC:
2
AN:
17044
AF XY:
0.000122
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000296
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000235
AC:
261
AN:
1108880
Hom.:
0
Cov.:
31
AF XY:
0.000229
AC XY:
121
AN XY:
528882
show subpopulations
African (AFR)
AF:
0.000131
AC:
3
AN:
22832
American (AMR)
AF:
0.000360
AC:
3
AN:
8330
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
14142
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26590
South Asian (SAS)
AF:
0.00
AC:
0
AN:
20640
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34770
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3078
European-Non Finnish (NFE)
AF:
0.000267
AC:
249
AN:
934290
Other (OTH)
AF:
0.000136
AC:
6
AN:
44208
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
12
24
37
49
61
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
20
40
60
80
100
<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:
0.000205
AC:
31
AN:
151170
Hom.:
0
Cov.:
32
AF XY:
0.000230
AC XY:
17
AN XY:
73768
show subpopulations
African (AFR)
AF:
0.0000968
AC:
4
AN:
41342
American (AMR)
AF:
0.000658
AC:
10
AN:
15192
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3454
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5106
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10378
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.000252
AC:
17
AN:
67566
Other (OTH)
AF:
0.00
AC:
0
AN:
2074
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.522
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.000212

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Jan 13, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PAX1: BP4, BP7 -

PAX1-related disorder Benign:1
Feb 06, 2024
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.74
CADD
Benign
3.7
DANN
Benign
0.80
PhyloP100
0.31
PromoterAI
-0.016
Neutral
Mutation Taster
=100/0
polymorphism

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: rs980789230; hg19: chr20-21686413; API