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GeneBe

20-22582169-G-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_021784.5(FOXA2):c.1073C>A(p.Pro358Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000353 in 1,557,846 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000021 ( 0 hom. )

Consequence

FOXA2
NM_021784.5 missense

Scores

4
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.90
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 -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.05312234).
BS2
High AC in GnomAd at 25 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FOXA2NM_021784.5 linkuse as main transcriptc.1073C>A p.Pro358Gln missense_variant 2/2 ENST00000419308.7
FOXA2NM_153675.3 linkuse as main transcriptc.1055C>A p.Pro352Gln missense_variant 3/3
FOXA2XM_047440133.1 linkuse as main transcriptc.1055C>A p.Pro352Gln missense_variant 3/3
FOXA2XM_047440134.1 linkuse as main transcriptc.965C>A p.Pro322Gln missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FOXA2ENST00000419308.7 linkuse as main transcriptc.1073C>A p.Pro358Gln missense_variant 2/21 NM_021784.5 P4Q9Y261-2
FOXA2ENST00000377115.4 linkuse as main transcriptc.1055C>A p.Pro352Gln missense_variant 3/31 A1Q9Y261-1

Frequencies

GnomAD3 genomes
AF:
0.000164
AC:
25
AN:
152166
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000555
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000561
AC:
9
AN:
160490
Hom.:
0
AF XY:
0.0000705
AC XY:
6
AN XY:
85116
show subpopulations
Gnomad AFR exome
AF:
0.000331
Gnomad AMR exome
AF:
0.000160
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:
0.0000320
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000213
AC:
30
AN:
1405566
Hom.:
0
Cov.:
35
AF XY:
0.0000158
AC XY:
11
AN XY:
694060
show subpopulations
Gnomad4 AFR exome
AF:
0.000657
Gnomad4 AMR exome
AF:
0.000139
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:
0.00000277
Gnomad4 OTH exome
AF:
0.0000172
GnomAD4 genome
AF:
0.000164
AC:
25
AN:
152280
Hom.:
0
Cov.:
33
AF XY:
0.000121
AC XY:
9
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.000553
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000498
Hom.:
0
Bravo
AF:
0.000185
ExAC
AF:
0.0000367
AC:
4

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 20, 2021The c.1073C>A (p.P358Q) alteration is located in exon 2 (coding exon 2) of the FOXA2 gene. This alteration results from a C to A substitution at nucleotide position 1073, causing the proline (P) at amino acid position 358 to be replaced by a glutamine (Q). 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
0.082
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.30
Cadd
Benign
20
Dann
Uncertain
0.98
Eigen
Benign
-0.77
Eigen_PC
Benign
-0.72
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.52
T;T
M_CAP
Uncertain
0.20
D
MetaRNN
Benign
0.053
T;T
MetaSVM
Benign
-0.55
T
MutationTaster
Benign
0.99
N;N;N
PrimateAI
Uncertain
0.69
T
REVEL
Benign
0.13
Sift4G
Benign
0.48
T;T
Polyphen
0.0
.;B
Vest4
0.23
MVP
0.43
ClinPred
0.016
T
GERP RS
0.70
Varity_R
0.090
gMVP
0.33

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: rs565350443; hg19: chr20-22562807; API