5-135033813-T-TGGC

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PM4_SupportingBS2

The NM_002653.5(PITX1):​c.68_69insGCC​(p.Pro23dup) variant causes a inframe insertion change. The variant allele was found at a frequency of 0.0000457 in 1,553,550 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000050 ( 0 hom. )

Consequence

PITX1
NM_002653.5 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.71
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 -3 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_002653.5. Strenght limited to Supporting due to length of the change: 1aa.
BS2
High AC in GnomAdExome4 at 70 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PITX1NM_002653.5 linkuse as main transcriptc.68_69insGCC p.Pro23dup inframe_insertion 1/3 ENST00000265340.12 NP_002644.4
PITX1-AS1NR_161235.1 linkuse as main transcriptn.267+286_267+288dup intron_variant, non_coding_transcript_variant
PITX1XM_047417318.1 linkuse as main transcriptc.170_171insGCC p.Pro57dup inframe_insertion 2/4 XP_047273274.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PITX1ENST00000265340.12 linkuse as main transcriptc.68_69insGCC p.Pro23dup inframe_insertion 1/31 NM_002653.5 ENSP00000265340 P1
PITX1-AS1ENST00000624272.3 linkuse as main transcriptn.261+286_261+288dup intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
AF:
0.00000662
AC:
1
AN:
151168
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000656
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000506
AC:
8
AN:
158042
Hom.:
0
AF XY:
0.0000559
AC XY:
5
AN XY:
89438
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:
0.000251
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000142
Gnomad OTH exome
AF:
0.000250
GnomAD4 exome
AF:
0.0000499
AC:
70
AN:
1402382
Hom.:
0
Cov.:
31
AF XY:
0.0000575
AC XY:
40
AN XY:
695838
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000281
Gnomad4 SAS exome
AF:
0.000234
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000440
Gnomad4 OTH exome
AF:
0.0000344
GnomAD4 genome
AF:
0.00000662
AC:
1
AN:
151168
Hom.:
0
Cov.:
31
AF XY:
0.0000136
AC XY:
1
AN XY:
73764
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000656
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000189

ClinVar

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

Submissions by phenotype

PITX1-related disorder Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesFeb 28, 2023The PITX1 c.66_68dupGCC variant is predicted to result in an in-frame duplication (p.Pro24dup). To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.025% of alleles in individuals of South Asian descent in gnomAD (http://gnomad.broadinstitute.org/variant/5-134369503-T-TGGC). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs752690307; hg19: chr5-134369503; API