21-34792309-G-A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BS1BP7BP4

This summary comes from the ClinGen Evidence Repository: NM_001754.5(RUNX1):c.1269C>T (p.Arg423=) is a synonymous variant which has a MAF of 0.0003400 (0.034%, 23/67652 alleles) in the European non-Finnish subpopulation of the gnomAD v3 cohort, meeting the threshold for BS1. This variant has a SpliceAI score ≤ 0.20 (0.0) (BP4), and evolutionary conservation algorithms predict the site as not being conserved (PhyloP score ≤ 2.0 (0.62)) (BP7). In summary, this variant meets criteria to be classified as likely benign. ACMG/AMP criteria applied, as specified by the Myeloid Malignancy Variant Curation Expert Panel for RUNX1: BS1, BP4, BP7. LINK:https://erepo.genome.network/evrepo/ui/classification/CA10014189/MONDO:0011071/008

Frequency

Genomes: 𝑓 0.00041 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00056 ( 2 hom. )

Consequence

RUNX1
NM_001754.5 synonymous

Scores

2

Clinical Significance

Likely benign reviewed by expert panel U:1B:10

Conservation

PhyloP100: 0.642

Publications

0 publications found
Variant links:
Genes affected
RUNX1 (HGNC:10471): (RUNX family transcription factor 1) Core binding factor (CBF) is a heterodimeric transcription factor that binds to the core element of many enhancers and promoters. The protein encoded by this gene represents the alpha subunit of CBF and is thought to be involved in the development of normal hematopoiesis. Chromosomal translocations involving this gene are well-documented and have been associated with several types of leukemia. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
RUNX1 Gene-Disease associations (from GenCC):
  • hereditary thrombocytopenia and hematologic cancer predisposition syndrome
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae)
  • acute myeloid leukemia
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
For more information check the summary or visit ClinGen Evidence Repository.
BP7
For more information check the summary or visit ClinGen Evidence Repository.
BS1
For more information check the summary or visit ClinGen Evidence Repository.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001754.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RUNX1
NM_001754.5
MANE Select
c.1269C>Tp.Arg423Arg
synonymous
Exon 9 of 9NP_001745.2
RUNX1
NM_001001890.3
c.1188C>Tp.Arg396Arg
synonymous
Exon 6 of 6NP_001001890.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RUNX1
ENST00000675419.1
MANE Select
c.1269C>Tp.Arg423Arg
synonymous
Exon 9 of 9ENSP00000501943.1
RUNX1
ENST00000300305.7
TSL:1
c.1269C>Tp.Arg423Arg
synonymous
Exon 8 of 8ENSP00000300305.3
RUNX1
ENST00000344691.8
TSL:1
c.1188C>Tp.Arg396Arg
synonymous
Exon 6 of 6ENSP00000340690.4

Frequencies

GnomAD3 genomes
AF:
0.000410
AC:
62
AN:
151100
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000243
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.00896
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000210
Gnomad FIN
AF:
0.000190
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000340
Gnomad OTH
AF:
0.000482
GnomAD2 exomes
AF:
0.000696
AC:
100
AN:
143620
AF XY:
0.000608
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000325
Gnomad ASJ exome
AF:
0.00698
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000493
Gnomad OTH exome
AF:
0.00119
GnomAD4 exome
AF:
0.000559
AC:
778
AN:
1391264
Hom.:
2
Cov.:
37
AF XY:
0.000549
AC XY:
377
AN XY:
687008
show subpopulations
African (AFR)
AF:
0.0000316
AC:
1
AN:
31614
American (AMR)
AF:
0.000281
AC:
10
AN:
35632
Ashkenazi Jewish (ASJ)
AF:
0.00810
AC:
202
AN:
24926
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35738
South Asian (SAS)
AF:
0.000176
AC:
14
AN:
79364
European-Finnish (FIN)
AF:
0.0000233
AC:
1
AN:
42916
Middle Eastern (MID)
AF:
0.00463
AC:
26
AN:
5616
European-Non Finnish (NFE)
AF:
0.000439
AC:
473
AN:
1077760
Other (OTH)
AF:
0.000884
AC:
51
AN:
57698
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.588
Heterozygous variant carriers
0
36
72
109
145
181
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:
0.000410
AC:
62
AN:
151222
Hom.:
0
Cov.:
32
AF XY:
0.000325
AC XY:
24
AN XY:
73906
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41252
American (AMR)
AF:
0.000197
AC:
3
AN:
15246
Ashkenazi Jewish (ASJ)
AF:
0.00896
AC:
31
AN:
3460
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5048
South Asian (SAS)
AF:
0.000210
AC:
1
AN:
4772
European-Finnish (FIN)
AF:
0.000190
AC:
2
AN:
10512
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
286
European-Non Finnish (NFE)
AF:
0.000340
AC:
23
AN:
67644
Other (OTH)
AF:
0.000477
AC:
1
AN:
2096
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.535
Heterozygous variant carriers
0
3
6
9
12
15
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:
0.000964
Hom.:
0
Bravo
AF:
0.000419

ClinVar

ClinVar submissions as Germline

Significance:Likely benign
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
Hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1 (3)
-
1
1
Acute myeloid leukemia (2)
-
-
2
not provided (2)
-
-
1
Hereditary cancer-predisposing syndrome (1)
-
-
1
Hereditary thrombocytopenia and hematologic cancer predisposition syndrome (1)
-
-
1
Inborn genetic diseases (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.60
CADD
Benign
7.1
DANN
Benign
0.73
PhyloP100
0.64
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=96/4
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: rs544247912; hg19: chr21-36164606; API