3-47101597-AGTGTGTGTGTGTGTGTGTGTGTGT-AGTGTGTGTGTGTGTGTGTGTGTGTGTGTGTGT

Variant names:

• chr3-47101597-A-AGTGTGTGT
• rs61571386
• NM_014159.7:c.4918-50_4918-43dupACACACAC

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BS1 BS2

The NM_014159.7(SETD2):​c.4918-50_4918-43dupACACACAC variant causes a intron change involving the alteration of a non-conserved nucleotide. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. There are indicators that this mutation may affect the branch point..

• Frequency:
  • Genomes: 𝑓 0.00075 (0 hom., cov: 0)
  • Exomes 𝑓: 0.00042 (0 hom.)
• Consequence: SETD2 NM_014159.7 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 0.533
• Publications: 1 publications found

Genes affected

SETD2 (HGNC:18420): (SET domain containing 2, histone lysine methyltransferase) Huntington's disease (HD), a neurodegenerative disorder characterized by loss of striatal neurons, is caused by an expansion of a polyglutamine tract in the HD protein huntingtin. This gene encodes a protein belonging to a class of huntingtin interacting proteins characterized by WW motifs. This protein is a histone methyltransferase that is specific for lysine-36 of histone H3, and methylation of this residue is associated with active chromatin. This protein also contains a novel transcriptional activation domain and has been found associated with hyperphosphorylated RNA polymerase II. [provided by RefSeq, Aug 2008]

SETD2 Gene-Disease associations (from GenCC):

• Luscan-Lumish syndrome

  Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
• SETD2-related neurodevelopmental disorder without or with macrocephaly/overgrowth

  Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
• Rabin-Pappas syndrome

  Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
• SETD2-related microcephaly-severe intellectual disability-multiple congenital anomalies syndrome

  Inheritance: AD Classification: STRONG Submitted by: ClinGen
• Sotos syndrome

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• intellectual developmental disorder, autosomal dominant 70

  Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

ACMG classification

Our verdict: Benign. The variant received -8 ACMG points.

• BS1: Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.000748 (106/141664) while in subpopulation SAS AF = 0.00115 (5/4352). AF 95% confidence interval is 0.000525. There are 0 homozygotes in GnomAd4. There are 50 alleles in the male GnomAd4 subpopulation. Median coverage is 0. This position passed quality control check.
• BS2: High AC in GnomAd4 at 106 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_014159.7. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	SETD2	NM_014159.7	MANE Select	c.4918-50_4918-43dupACACACAC		intron	N/A	NP_054878.5
	SETD2	NM_001349370.3		c.4786-50_4786-43dupACACACAC		intron	N/A	NP_001336299.1
	SETD2	NR_146158.3		n.5107-50_5107-43dupACACACAC		intron	N/A

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	SETD2	ENST00000409792.4	TSL:5 MANE Select	c.4918-43_4918-42insACACACAC		intron	N/A	ENSP00000386759.3
	SETD2	ENST00000330022.11	TSL:1	n.*641-43_*641-42insACACACAC		intron	N/A	ENSP00000332415.7
	SETD2	ENST00000638947.2	TSL:5	c.4786-43_4786-42insACACACAC		intron	N/A	ENSP00000491413.2

Frequencies

GnomAD3 genomes AF: 0.000749 AC: 106 AN: 141566 Hom.: 0 Cov.: 0

Gnomad AFR AF: 0.000741

Gnomad AMI AF: 0.00

Gnomad AMR AF: 0.000568

Gnomad ASJ AF: 0.000298

Gnomad EAS AF: 0.000826

Gnomad SAS AF: 0.00115

Gnomad FIN AF: 0.00197

Gnomad MID AF: 0.00

Gnomad NFE AF: 0.000647

Gnomad OTH AF: 0.00

GnomAD4 exome AF: 0.000420 AC: 249 AN: 592402 Hom.: 0 Cov.: 0 AF XY: 0.000428 AC XY: 135 AN XY: 315676

⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.

African (AFR) AF: 0.000549 AC: 8 AN: 14572

American (AMR) AF: 0.000201 AC: 6 AN: 29782

Ashkenazi Jewish (ASJ) AF: 0.0000626 AC: 1 AN: 15972

East Asian (EAS) AF: 0.00140 AC: 44 AN: 31506

South Asian (SAS) AF: 0.000664 AC: 34 AN: 51188

European-Finnish (FIN) AF: 0.000976 AC: 44 AN: 45062

Middle Eastern (MID) AF: 0.000328 AC: 1 AN: 3048

European-Non Finnish (NFE) AF: 0.000274 AC: 102 AN: 371832

Other (OTH) AF: 0.000306 AC: 9 AN: 29440

⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.

GnomAD4 genome AF: 0.000748 AC: 106 AN: 141664 Hom.: 0 Cov.: 0 AF XY: 0.000728 AC XY: 50 AN XY: 68670

African (AFR) AF: 0.000739 AC: 28 AN: 37876

American (AMR) AF: 0.000567 AC: 8 AN: 14100

Ashkenazi Jewish (ASJ) AF: 0.000298 AC: 1 AN: 3360

East Asian (EAS) AF: 0.000828 AC: 4 AN: 4830

South Asian (SAS) AF: 0.00115 AC: 5 AN: 4352

European-Finnish (FIN) AF: 0.00197 AC: 18 AN: 9132

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 282

European-Non Finnish (NFE) AF: 0.000647 AC: 42 AN: 64908

Other (OTH) AF: 0.00 AC: 0 AN: 1952

Alfa AF: 0.000792 Hom.: 313

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
PhyloP100		0.53
BranchPoint Hunter		4.0
Mutation Taster		=100/0	polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Other links and lift over

dbSNP: rs61571386; hg19: chr3-47143087;