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GeneBe

4-41744420-G-A

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_ModerateBP6_ModerateBA1

The NM_003924.4(PHOX2B):c.*1387C>T variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.25 in 230,984 control chromosomes in the GnomAD database, including 7,932 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.26 ( 5675 hom., cov: 32)
Exomes 𝑓: 0.23 ( 2257 hom. )

Consequence

PHOX2B
NM_003924.4 3_prime_UTR

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:2

Conservation

PhyloP100: 1.82
Variant links:
Genes affected
PHOX2B (HGNC:9143): (paired like homeobox 2B) The DNA-associated protein encoded by this gene is a member of the paired family of homeobox proteins localized to the nucleus. The protein functions as a transcription factor involved in the development of several major noradrenergic neuron populations and the determination of neurotransmitter phenotype. The gene product is linked to enhancement of second messenger-mediated activation of the dopamine beta-hydroylase, c-fos promoters and several enhancers, including cyclic amp-response element and serum-response element. Expansion of a 20 amino acid polyalanine tract in this protein by 5-13 aa has been associated with congenital central hypoventilation syndrome. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.46).
BP6
Variant 4-41744420-G-A is Benign according to our data. Variant chr4-41744420-G-A is described in ClinVar as [Benign]. Clinvar id is 348785.Status of the report is criteria_provided_single_submitter, 1 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.392 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PHOX2BNM_003924.4 linkuse as main transcriptc.*1387C>T 3_prime_UTR_variant 3/3 ENST00000226382.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PHOX2BENST00000226382.4 linkuse as main transcriptc.*1387C>T 3_prime_UTR_variant 3/31 NM_003924.4 P1

Frequencies

GnomAD3 genomes
AF:
0.260
AC:
39449
AN:
151868
Hom.:
5661
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.397
Gnomad AMI
AF:
0.148
Gnomad AMR
AF:
0.157
Gnomad ASJ
AF:
0.251
Gnomad EAS
AF:
0.183
Gnomad SAS
AF:
0.236
Gnomad FIN
AF:
0.210
Gnomad MID
AF:
0.203
Gnomad NFE
AF:
0.218
Gnomad OTH
AF:
0.207
GnomAD4 exome
AF:
0.232
AC:
18365
AN:
78998
Hom.:
2257
Cov.:
0
AF XY:
0.232
AC XY:
8473
AN XY:
36478
show subpopulations
Gnomad4 AFR exome
AF:
0.398
Gnomad4 AMR exome
AF:
0.150
Gnomad4 ASJ exome
AF:
0.256
Gnomad4 EAS exome
AF:
0.222
Gnomad4 SAS exome
AF:
0.274
Gnomad4 FIN exome
AF:
0.207
Gnomad4 NFE exome
AF:
0.223
Gnomad4 OTH exome
AF:
0.237
GnomAD4 genome
AF:
0.260
AC:
39482
AN:
151986
Hom.:
5675
Cov.:
32
AF XY:
0.257
AC XY:
19060
AN XY:
74278
show subpopulations
Gnomad4 AFR
AF:
0.397
Gnomad4 AMR
AF:
0.157
Gnomad4 ASJ
AF:
0.251
Gnomad4 EAS
AF:
0.183
Gnomad4 SAS
AF:
0.236
Gnomad4 FIN
AF:
0.210
Gnomad4 NFE
AF:
0.218
Gnomad4 OTH
AF:
0.206
Alfa
AF:
0.248
Hom.:
1154
Bravo
AF:
0.262
Asia WGS
AF:
0.205
AC:
712
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Neuroblastoma, susceptibility to, 2 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Congenital central hypoventilation Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.46
Cadd
Benign
8.4
Dann
Benign
0.80

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: rs11723860; hg19: chr4-41746437; API