21-34834566-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.

This summary comes from the ClinGen Evidence Repository: NM_001754.5(RUNX1):c.649G>A (p.Gly217Arg) is a missense variant which does not meet any ACMG/AMP criteria. In summary, the clinical significance of this variant is uncertain. ACMG/AMP criteria applied, as specified by the Myeloid Malignancy Variant Curation Expert Panel for RUNX1: None. LINK:https://erepo.genome.network/evrepo/ui/classification/CA10014385/MONDO:0011071/008

Frequency

Genomes: 𝑓 0.000056 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000046 ( 0 hom. )

Consequence

RUNX1
NM_001754.5 missense

Scores

9
7
2

Clinical Significance

Uncertain significance reviewed by expert panel U:7

Conservation

PhyloP100: 6.18

Publications

13 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

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

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.649G>Ap.Gly217Arg
missense
Exon 7 of 9NP_001745.2
RUNX1
NM_001001890.3
c.568G>Ap.Gly190Arg
missense
Exon 4 of 6NP_001001890.1
RUNX1
NM_001122607.2
c.568G>Ap.Gly190Arg
missense
Exon 4 of 5NP_001116079.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RUNX1
ENST00000675419.1
MANE Select
c.649G>Ap.Gly217Arg
missense
Exon 7 of 9ENSP00000501943.1
RUNX1
ENST00000300305.7
TSL:1
c.649G>Ap.Gly217Arg
missense
Exon 6 of 8ENSP00000300305.3
RUNX1
ENST00000344691.8
TSL:1
c.568G>Ap.Gly190Arg
missense
Exon 4 of 6ENSP00000340690.4

Frequencies

GnomAD3 genomes
AF:
0.0000557
AC:
8
AN:
143546
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000253
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:
0.000106
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000319
AC:
8
AN:
250576
AF XY:
0.0000443
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000442
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000455
AC:
56
AN:
1229800
Hom.:
0
Cov.:
33
AF XY:
0.0000476
AC XY:
29
AN XY:
609848
show subpopulations
African (AFR)
AF:
0.0000751
AC:
2
AN:
26624
American (AMR)
AF:
0.00
AC:
0
AN:
37746
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17396
East Asian (EAS)
AF:
0.000108
AC:
2
AN:
18444
South Asian (SAS)
AF:
0.0000713
AC:
6
AN:
84156
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33234
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3622
European-Non Finnish (NFE)
AF:
0.0000477
AC:
46
AN:
963706
Other (OTH)
AF:
0.00
AC:
0
AN:
44872
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.461
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000557
AC:
8
AN:
143546
Hom.:
0
Cov.:
31
AF XY:
0.0000719
AC XY:
5
AN XY:
69582
show subpopulations
African (AFR)
AF:
0.0000253
AC:
1
AN:
39580
American (AMR)
AF:
0.00
AC:
0
AN:
14374
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3380
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4286
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4068
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8880
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
310
European-Non Finnish (NFE)
AF:
0.000106
AC:
7
AN:
65790
Other (OTH)
AF:
0.00
AC:
0
AN:
2018
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
1
2
3
4
5
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:
0.0000806
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Acute myeloid leukemia (1)
-
1
-
Acute myeloid leukemia;C1832388:Hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1 (1)
-
1
-
Hereditary thrombocytopenia and hematologic cancer predisposition syndrome (1)
-
1
-
Hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1 (1)
-
1
-
Inborn genetic diseases (1)
-
1
-
not provided (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.74
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Pathogenic
0.28
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.85
D
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.62
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.89
D
M_CAP
Pathogenic
0.74
D
MetaRNN
Pathogenic
0.75
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Uncertain
2.0
M
PhyloP100
6.2
PrimateAI
Pathogenic
0.90
D
PROVEAN
Uncertain
-2.7
D
REVEL
Uncertain
0.62
Sift
Benign
0.059
T
Sift4G
Benign
0.39
T
Polyphen
1.0
D
Vest4
0.89
MutPred
0.21
Loss of ubiquitination at K188 (P = 0.0148)
MVP
0.95
MPC
1.7
ClinPred
0.46
T
GERP RS
4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.33
gMVP
0.56
Mutation Taster
=69/31
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs749004431; hg19: chr21-36206863; COSMIC: COSV105879018; API