5-135028931-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 4P and 2B. PM2PM5BP6_Moderate

The NM_002653.5(PITX1):​c.793G>A​(p.Gly265Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000137 in 1,461,632 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G265C) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

PITX1
NM_002653.5 missense

Scores

3
10
6

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 6.02

Publications

2 publications found
Variant links:
Genes affected
PITX1 (HGNC:9004): (paired like homeodomain 1) This gene encodes a member of the RIEG/PITX homeobox family, which is in the bicoid class of homeodomain proteins. Members of this family are involved in organ development and left-right asymmetry. This protein acts as a transcriptional regulator involved in basal and hormone-regulated activity of prolactin. [provided by RefSeq, Jul 2008]
PITX1 Gene-Disease associations (from GenCC):
  • clubfoot
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • brachydactyly-elbow wrist dysplasia syndrome
    Inheritance: AD Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr5-135028931-C-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 932171.We mark this variant Likely_pathogenic, oryginal submission is: [Conflicting_classifications_of_pathogenicity].
BP6
Variant 5-135028931-C-T is Benign according to our data. Variant chr5-135028931-C-T is described in ClinVar as [Benign]. Clinvar id is 1294420.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PITX1NM_002653.5 linkc.793G>A p.Gly265Ser missense_variant Exon 3 of 3 ENST00000265340.12 NP_002644.4 P78337X5D9A5
PITX1XM_047417318.1 linkc.895G>A p.Gly299Ser missense_variant Exon 4 of 4 XP_047273274.1
PITX1XM_047417319.1 linkc.448G>A p.Gly150Ser missense_variant Exon 3 of 3 XP_047273275.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PITX1ENST00000265340.12 linkc.793G>A p.Gly265Ser missense_variant Exon 3 of 3 1 NM_002653.5 ENSP00000265340.6 P78337
PITX1ENST00000506438.5 linkc.793G>A p.Gly265Ser missense_variant Exon 4 of 4 1 ENSP00000427542.1 P78337

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD2 exomes
AF:
0.00000399
AC:
1
AN:
250326
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.00000885
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461632
Hom.:
0
Cov.:
34
AF XY:
0.00000138
AC XY:
1
AN XY:
727144
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33474
American (AMR)
AF:
0.00
AC:
0
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26116
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86252
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53332
Middle Eastern (MID)
AF:
0.000174
AC:
1
AN:
5744
European-Non Finnish (NFE)
AF:
8.99e-7
AC:
1
AN:
1111936
Other (OTH)
AF:
0.00
AC:
0
AN:
60370
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
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
Cov.:
34
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Clubfoot;C1861313:Brachydactyly-elbow wrist dysplasia syndrome Benign:1
Sep 22, 2021
Pars Genome Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Uncertain
-0.060
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Benign
0.37
T;T
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.56
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.93
.;D
M_CAP
Pathogenic
0.59
D
MetaRNN
Uncertain
0.64
D;D
MetaSVM
Uncertain
0.69
D
MutationAssessor
Uncertain
2.5
M;M
PhyloP100
6.0
PrimateAI
Pathogenic
0.84
D
PROVEAN
Benign
-0.82
N;N
REVEL
Uncertain
0.49
Sift
Benign
0.10
T;T
Sift4G
Benign
0.11
T;T
Polyphen
1.0
D;D
Vest4
0.39
MutPred
0.25
Gain of glycosylation at G265 (P = 3e-04);Gain of glycosylation at G265 (P = 3e-04);
MVP
0.94
MPC
1.6
ClinPred
0.94
D
GERP RS
4.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.31
gMVP
0.72
Mutation Taster
=57/43
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: rs141612135; hg19: chr5-134364621; COSMIC: COSV99530734; COSMIC: COSV99530734; API