20-22581969-G-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_021784.5(FOXA2):​c.1273C>A​(p.Pro425Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00246 in 1,613,430 control chromosomes in the GnomAD database, including 121 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0046 ( 22 hom., cov: 32)
Exomes 𝑓: 0.0022 ( 99 hom. )

Consequence

FOXA2
NM_021784.5 missense

Scores

3
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 9.84
Variant links:
Genes affected
FOXA2 (HGNC:5022): (forkhead box A2) This gene encodes a member of the forkhead class of DNA-binding proteins. These hepatocyte nuclear factors are transcriptional activators for liver-specific genes such as albumin and transthyretin, and they also interact with chromatin. Similar family members in mice have roles in the regulation of metabolism and in the differentiation of the pancreas and liver. This gene has been linked to sporadic cases of maturity-onset diabetes of the young. Transcript variants encoding different isoforms have been identified for this gene. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0033374727).
BP6
Variant 20-22581969-G-T is Benign according to our data. Variant chr20-22581969-G-T is described in ClinVar as [Benign]. Clinvar id is 769996.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAdExome4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.066 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FOXA2NM_021784.5 linkuse as main transcriptc.1273C>A p.Pro425Thr missense_variant 2/2 ENST00000419308.7 NP_068556.2
FOXA2NM_153675.3 linkuse as main transcriptc.1255C>A p.Pro419Thr missense_variant 3/3 NP_710141.1
FOXA2XM_047440133.1 linkuse as main transcriptc.1255C>A p.Pro419Thr missense_variant 3/3 XP_047296089.1
FOXA2XM_047440134.1 linkuse as main transcriptc.1165C>A p.Pro389Thr missense_variant 2/2 XP_047296090.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FOXA2ENST00000419308.7 linkuse as main transcriptc.1273C>A p.Pro425Thr missense_variant 2/21 NM_021784.5 ENSP00000400341 P4Q9Y261-2
FOXA2ENST00000377115.4 linkuse as main transcriptc.1255C>A p.Pro419Thr missense_variant 3/31 ENSP00000366319 A1Q9Y261-1

Frequencies

GnomAD3 genomes
AF:
0.00461
AC:
701
AN:
152218
Hom.:
22
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00118
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0413
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00765
GnomAD3 exomes
AF:
0.00997
AC:
2504
AN:
251102
Hom.:
92
AF XY:
0.00722
AC XY:
980
AN XY:
135694
show subpopulations
Gnomad AFR exome
AF:
0.000739
Gnomad AMR exome
AF:
0.0701
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:
0.0000705
Gnomad OTH exome
AF:
0.00963
GnomAD4 exome
AF:
0.00223
AC:
3259
AN:
1461094
Hom.:
99
Cov.:
30
AF XY:
0.00181
AC XY:
1316
AN XY:
726668
show subpopulations
Gnomad4 AFR exome
AF:
0.000807
Gnomad4 AMR exome
AF:
0.0680
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:
0.0000261
Gnomad4 OTH exome
AF:
0.00270
GnomAD4 genome
AF:
0.00464
AC:
707
AN:
152336
Hom.:
22
Cov.:
32
AF XY:
0.00494
AC XY:
368
AN XY:
74492
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.0417
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00757
Alfa
AF:
0.000270
Hom.:
0
Bravo
AF:
0.00849
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00751
AC:
912
Asia WGS
AF:
0.00318
AC:
11
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
FOXA2-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 18, 2019This variant is classified as 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
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
23
DANN
Benign
0.93
DEOGEN2
Uncertain
0.43
.;T
Eigen
Benign
-0.11
Eigen_PC
Benign
0.035
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.85
D;D
MetaRNN
Benign
0.0033
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.7
.;L
MutationTaster
Benign
0.68
D;D;D
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-2.3
.;N
REVEL
Benign
0.10
Sift
Benign
0.12
.;T
Sift4G
Benign
0.18
T;T
Polyphen
0.0040
.;B
Vest4
0.68
MVP
0.57
ClinPred
0.089
T
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
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: rs149455805; hg19: chr20-22562607; API