21-32278794-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_018944.3(MIS18A):​c.221C>T​(p.Ala74Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000126 in 1,585,188 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00015 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

MIS18A
NM_018944.3 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.873
Variant links:
Genes affected
MIS18A (HGNC:1286): (MIS18 kinetochore protein A) Enables identical protein binding activity. Predicted to be involved in CENP-A containing chromatin assembly and chromosome segregation. Predicted to act upstream of or within regulation of DNA methylation. Located in cytosol and nucleoplasm. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0047287047).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MIS18ANM_018944.3 linkuse as main transcriptc.221C>T p.Ala74Val missense_variant 1/5 ENST00000290130.4 NP_061817.1 Q9NYP9
MIS18AXM_017028400.2 linkuse as main transcriptc.221C>T p.Ala74Val missense_variant 1/5 XP_016883889.1
MIS18AXM_017028401.2 linkuse as main transcriptc.221C>T p.Ala74Val missense_variant 1/5 XP_016883890.1
MIS18AXR_002958619.2 linkuse as main transcriptn.256C>T non_coding_transcript_exon_variant 1/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MIS18AENST00000290130.4 linkuse as main transcriptc.221C>T p.Ala74Val missense_variant 1/51 NM_018944.3 ENSP00000290130.3 Q9NYP9
MIS18A-AS1ENST00000453549.1 linkuse as main transcriptn.373+263G>A intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.000151
AC:
23
AN:
152192
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00606
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:
0.000323
AC:
65
AN:
201122
Hom.:
0
AF XY:
0.000273
AC XY:
30
AN XY:
109900
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00598
Gnomad EAS exome
AF:
0.000131
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000672
Gnomad OTH exome
AF:
0.000385
GnomAD4 exome
AF:
0.000123
AC:
176
AN:
1432996
Hom.:
0
Cov.:
31
AF XY:
0.000112
AC XY:
80
AN XY:
711362
show subpopulations
Gnomad4 AFR exome
AF:
0.0000302
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00491
Gnomad4 EAS exome
AF:
0.0000258
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000200
Gnomad4 OTH exome
AF:
0.000437
GnomAD4 genome
AF:
0.000151
AC:
23
AN:
152192
Hom.:
0
Cov.:
33
AF XY:
0.000161
AC XY:
12
AN XY:
74356
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00606
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:
0.000934
Hom.:
0
Bravo
AF:
0.000174
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000350
AC:
3
ExAC
AF:
0.000149
AC:
18

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 03, 2022The c.221C>T (p.A74V) alteration is located in exon 1 (coding exon 1) of the MIS18A gene. This alteration results from a C to T substitution at nucleotide position 221, causing the alanine (A) at amino acid position 74 to be replaced by a valine (V). 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
0.095
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
7.6
DANN
Uncertain
0.99
DEOGEN2
Benign
0.061
T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.043
N
LIST_S2
Benign
0.33
T
M_CAP
Benign
0.0060
T
MetaRNN
Benign
0.0047
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
N
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.015
Sift
Benign
0.17
T
Sift4G
Benign
0.068
T
Polyphen
0.022
B
Vest4
0.17
MVP
0.15
MPC
0.35
ClinPred
0.023
T
GERP RS
-4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.5
Varity_R
0.035
gMVP
0.20

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: rs202079835; hg19: chr21-33651105; COSMIC: COSV99267119; API