20-22581995-T-G

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_021784.5(FOXA2):ā€‹c.1247A>Cā€‹(p.His416Pro) variant causes a missense change. The variant allele was found at a frequency of 0.0000211 in 1,614,186 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.00011 ( 0 hom., cov: 32)
Exomes š‘“: 0.000012 ( 0 hom. )

Consequence

FOXA2
NM_021784.5 missense

Scores

6
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 4.11
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 -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.1477747).
BP6
Variant 20-22581995-T-G is Benign according to our data. Variant chr20-22581995-T-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 2299558.We mark this variant Likely_benign, oryginal submissions are: {Benign=1, Uncertain_significance=1}.
BS2
High AC in GnomAd4 at 16 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FOXA2NM_021784.5 linkc.1247A>C p.His416Pro missense_variant Exon 2 of 2 ENST00000419308.7 NP_068556.2 Q9Y261-2B0ZTD4
FOXA2NM_153675.3 linkc.1229A>C p.His410Pro missense_variant Exon 3 of 3 NP_710141.1 Q9Y261-1
FOXA2XM_047440133.1 linkc.1229A>C p.His410Pro missense_variant Exon 3 of 3 XP_047296089.1
FOXA2XM_047440134.1 linkc.1139A>C p.His380Pro missense_variant Exon 2 of 2 XP_047296090.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FOXA2ENST00000419308.7 linkc.1247A>C p.His416Pro missense_variant Exon 2 of 2 1 NM_021784.5 ENSP00000400341.3 Q9Y261-2
FOXA2ENST00000377115.4 linkc.1229A>C p.His410Pro missense_variant Exon 3 of 3 1 ENSP00000366319.4 Q9Y261-1

Frequencies

GnomAD3 genomes
AF:
0.000105
AC:
16
AN:
152184
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00105
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000477
AC:
12
AN:
251334
Hom.:
0
AF XY:
0.0000515
AC XY:
7
AN XY:
135840
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000347
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000123
AC:
18
AN:
1461884
Hom.:
0
Cov.:
30
AF XY:
0.0000151
AC XY:
11
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000380
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:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.000105
AC:
16
AN:
152302
Hom.:
0
Cov.:
32
AF XY:
0.000148
AC XY:
11
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00105
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000170
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Sep 21, 2021
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.1247A>C (p.H416P) alteration is located in exon 2 (coding exon 2) of the FOXA2 gene. This alteration results from a A to C substitution at nucleotide position 1247, causing the histidine (H) at amino acid position 416 to be replaced by a proline (P). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

not provided Benign:1
Oct 23, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.31
CADD
Uncertain
25
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.43
.;T
Eigen
Benign
-0.043
Eigen_PC
Benign
0.078
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.78
T;T
M_CAP
Benign
0.049
D
MetaRNN
Benign
0.15
T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Uncertain
2.2
.;M
PrimateAI
Uncertain
0.69
T
PROVEAN
Uncertain
-2.4
.;N
REVEL
Benign
0.18
Sift
Benign
0.066
.;T
Sift4G
Benign
0.28
T;T
Polyphen
0.012
.;B
Vest4
0.44
MVP
0.57
ClinPred
0.19
T
GERP RS
4.2
Varity_R
0.42
gMVP
0.68

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: rs186945948; hg19: chr20-22562633; API