5-135033743-C-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_ModerateBS2

The NM_002653.5(PITX1):​c.139G>T​(p.Ala47Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000346 in 1,443,678 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000035 ( 0 hom. )

Consequence

PITX1
NM_002653.5 missense

Scores

2
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.18
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-AS1 (HGNC:48332): (PITX1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.18234721).
BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PITX1NM_002653.5 linkuse as main transcriptc.139G>T p.Ala47Ser missense_variant 1/3 ENST00000265340.12
PITX1-AS1NR_161235.1 linkuse as main transcriptn.267+203C>A intron_variant, non_coding_transcript_variant
PITX1XM_047417318.1 linkuse as main transcriptc.241G>T p.Ala81Ser missense_variant 2/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PITX1ENST00000265340.12 linkuse as main transcriptc.139G>T p.Ala47Ser missense_variant 1/31 NM_002653.5 P1
PITX1-AS1ENST00000624272.3 linkuse as main transcriptn.261+203C>A intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000461
AC:
1
AN:
217076
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
121488
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000104
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000346
AC:
5
AN:
1443678
Hom.:
0
Cov.:
31
AF XY:
0.00000139
AC XY:
1
AN XY:
718566
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000451
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
ExAC
AF:
0.00000858
AC:
1

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxOct 19, 2022Not observed at a significant frequency in large population cohorts (gnomAD); In silico analysis supports that this variant does not alter splicing; Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Uncertain
0.024
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
22
DANN
Benign
0.96
DEOGEN2
Benign
0.14
T;T;.;T
Eigen
Benign
-0.62
Eigen_PC
Benign
-0.43
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.82
.;T;T;T
M_CAP
Pathogenic
0.62
D
MetaRNN
Benign
0.18
T;T;T;T
MetaSVM
Benign
-0.39
T
MutationAssessor
Benign
0.90
L;L;.;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-0.26
N;N;N;N
REVEL
Benign
0.25
Sift
Benign
0.81
T;T;T;T
Sift4G
Benign
0.75
T;T;.;T
Polyphen
0.0030
B;B;.;.
Vest4
0.15
MutPred
0.18
Gain of phosphorylation at A47 (P = 0.0024);Gain of phosphorylation at A47 (P = 0.0024);Gain of phosphorylation at A47 (P = 0.0024);Gain of phosphorylation at A47 (P = 0.0024);
MVP
0.73
MPC
0.96
ClinPred
0.45
T
GERP RS
3.3
Varity_R
0.15
gMVP
0.26

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: rs780516973; hg19: chr5-134369433; API