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GeneBe

4-41744443-C-T

Variant summary

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

The NM_003924.4(PHOX2B):c.*1364G>A variant causes a 3 prime UTR change. The variant allele was found at a frequency of 0.398 in 231,700 control chromosomes in the GnomAD database, including 21,373 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.43 ( 16300 hom., cov: 33)
Exomes 𝑓: 0.34 ( 5073 hom. )

Consequence

PHOX2B
NM_003924.4 3_prime_UTR

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:2

Conservation

PhyloP100: 5.57
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=-0.31).
BP6
Variant 4-41744443-C-T is Benign according to our data. Variant chr4-41744443-C-T is described in ClinVar as [Benign]. Clinvar id is 348787.Status of the report is criteria_provided_single_submitter, 1 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.7 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PHOX2BNM_003924.4 linkuse as main transcriptc.*1364G>A 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.*1364G>A 3_prime_UTR_variant 3/31 NM_003924.4 P1

Frequencies

GnomAD3 genomes
AF:
0.428
AC:
64992
AN:
151854
Hom.:
16259
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.706
Gnomad AMI
AF:
0.206
Gnomad AMR
AF:
0.269
Gnomad ASJ
AF:
0.372
Gnomad EAS
AF:
0.185
Gnomad SAS
AF:
0.414
Gnomad FIN
AF:
0.375
Gnomad MID
AF:
0.361
Gnomad NFE
AF:
0.331
Gnomad OTH
AF:
0.362
GnomAD4 exome
AF:
0.341
AC:
27225
AN:
79728
Hom.:
5073
Cov.:
0
AF XY:
0.340
AC XY:
12504
AN XY:
36728
show subpopulations
Gnomad4 AFR exome
AF:
0.709
Gnomad4 AMR exome
AF:
0.280
Gnomad4 ASJ exome
AF:
0.377
Gnomad4 EAS exome
AF:
0.222
Gnomad4 SAS exome
AF:
0.453
Gnomad4 FIN exome
AF:
0.379
Gnomad4 NFE exome
AF:
0.334
Gnomad4 OTH exome
AF:
0.369
GnomAD4 genome
AF:
0.428
AC:
65080
AN:
151972
Hom.:
16300
Cov.:
33
AF XY:
0.425
AC XY:
31551
AN XY:
74254
show subpopulations
Gnomad4 AFR
AF:
0.706
Gnomad4 AMR
AF:
0.269
Gnomad4 ASJ
AF:
0.372
Gnomad4 EAS
AF:
0.186
Gnomad4 SAS
AF:
0.413
Gnomad4 FIN
AF:
0.375
Gnomad4 NFE
AF:
0.331
Gnomad4 OTH
AF:
0.359
Alfa
AF:
0.346
Hom.:
15185
Bravo
AF:
0.430
Asia WGS
AF:
0.330
AC:
1147
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
-0.31
Cadd
Benign
15
Dann
Benign
0.94

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: rs6826373; hg19: chr4-41746460; COSMIC: COSV56932479; COSMIC: COSV56932479; API