9-5126343-G-A

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004972.4(JAK2):​c.3188G>A​(p.Arg1063His) variant causes a missense change. The variant allele was found at a frequency of 0.00539 in 1,600,698 control chromosomes in the GnomAD database, including 46 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0049 ( 5 hom., cov: 32)
Exomes 𝑓: 0.0054 ( 41 hom. )

Consequence

JAK2
NM_004972.4 missense

Scores

4
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8O:1

Conservation

PhyloP100: 4.23

Publications

64 publications found
Variant links:
Genes affected
JAK2 (HGNC:6192): (Janus kinase 2) This gene encodes a non-receptor tyrosine kinase that plays a central role in cytokine and growth factor signalling. The primary isoform of this protein has an N-terminal FERM domain that is required for erythropoietin receptor association, an SH2 domain that binds STAT transcription factors, a pseudokinase domain and a C-terminal tyrosine kinase domain. Cytokine binding induces autophosphorylation and activation of this kinase. This kinase then recruits and phosphorylates signal transducer and activator of transcription (STAT) proteins. Growth factors like TGF-beta 1 also induce phosphorylation and activation of this kinase and translocation of downstream STAT proteins to the nucleus where they influence gene transcription. Mutations in this gene are associated with numerous inflammatory diseases and malignancies. This gene is a downstream target of the pleiotropic cytokine IL6 that is produced by B cells, T cells, dendritic cells and macrophages to produce an immune response or inflammation. Disregulation of the IL6/JAK2/STAT3 signalling pathways produces increased cellular proliferation and myeloproliferative neoplasms of hematopoietic stem cells. A nonsynonymous mutation in the pseudokinase domain of this gene disrupts the domains inhibitory effect and results in constitutive tyrosine phosphorylation activity and hypersensitivity to cytokine signalling. This gene and the IL6/JAK2/STAT3 signalling pathway is a therapeutic target for the treatment of excessive inflammatory responses to viral infections. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2020]
INSL6 (HGNC:6089): (insulin like 6) The protein encoded by this gene contains a classical signature of the insulin superfamily and is significantly similar to relaxin and relaxin-like factor. This gene is preferentially expressed in testis. Its expression in testis is restricted to interstitial cells surrounding seminiferous tubules, which suggests a role in sperm development and fertilization. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01177606).
BP6
Variant 9-5126343-G-A is Benign according to our data. Variant chr9-5126343-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 134555.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00489 (742/151770) while in subpopulation NFE AF = 0.00757 (512/67608). AF 95% confidence interval is 0.00703. There are 5 homozygotes in GnomAd4. There are 342 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 742 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
JAK2NM_004972.4 linkc.3188G>A p.Arg1063His missense_variant Exon 24 of 25 ENST00000381652.4 NP_004963.1 O60674

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
JAK2ENST00000381652.4 linkc.3188G>A p.Arg1063His missense_variant Exon 24 of 25 1 NM_004972.4 ENSP00000371067.4 O60674
JAK2ENST00000487310.1 linkn.379G>A non_coding_transcript_exon_variant Exon 1 of 2 2
INSL6ENST00000649639.1 linkc.*11-1832C>T intron_variant Intron 3 of 3 ENSP00000497955.1 A0A3B3ITZ2

Frequencies

GnomAD3 genomes
AF:
0.00489
AC:
742
AN:
151652
Hom.:
5
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000869
Gnomad AMI
AF:
0.00877
Gnomad AMR
AF:
0.00329
Gnomad ASJ
AF:
0.00145
Gnomad EAS
AF:
0.000770
Gnomad SAS
AF:
0.00248
Gnomad FIN
AF:
0.0101
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00757
Gnomad OTH
AF:
0.00383
GnomAD2 exomes
AF:
0.00437
AC:
1063
AN:
243412
AF XY:
0.00432
show subpopulations
Gnomad AFR exome
AF:
0.000886
Gnomad AMR exome
AF:
0.00170
Gnomad ASJ exome
AF:
0.000819
Gnomad EAS exome
AF:
0.000278
Gnomad FIN exome
AF:
0.0107
Gnomad NFE exome
AF:
0.00596
Gnomad OTH exome
AF:
0.00470
GnomAD4 exome
AF:
0.00544
AC:
7888
AN:
1448928
Hom.:
41
Cov.:
28
AF XY:
0.00547
AC XY:
3944
AN XY:
720816
show subpopulations
African (AFR)
AF:
0.000760
AC:
25
AN:
32882
American (AMR)
AF:
0.00197
AC:
85
AN:
43164
Ashkenazi Jewish (ASJ)
AF:
0.000891
AC:
23
AN:
25818
East Asian (EAS)
AF:
0.000153
AC:
6
AN:
39308
South Asian (SAS)
AF:
0.00249
AC:
210
AN:
84200
European-Finnish (FIN)
AF:
0.0110
AC:
584
AN:
53282
Middle Eastern (MID)
AF:
0.000349
AC:
2
AN:
5724
European-Non Finnish (NFE)
AF:
0.00603
AC:
6665
AN:
1104628
Other (OTH)
AF:
0.00481
AC:
288
AN:
59922
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.455
Heterozygous variant carriers
0
327
654
980
1307
1634
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
222
444
666
888
1110
<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
AF:
0.00489
AC:
742
AN:
151770
Hom.:
5
Cov.:
32
AF XY:
0.00461
AC XY:
342
AN XY:
74214
show subpopulations
African (AFR)
AF:
0.000867
AC:
36
AN:
41532
American (AMR)
AF:
0.00335
AC:
51
AN:
15240
Ashkenazi Jewish (ASJ)
AF:
0.00145
AC:
5
AN:
3460
East Asian (EAS)
AF:
0.000772
AC:
4
AN:
5182
South Asian (SAS)
AF:
0.00228
AC:
11
AN:
4826
European-Finnish (FIN)
AF:
0.0101
AC:
107
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00757
AC:
512
AN:
67608
Other (OTH)
AF:
0.00379
AC:
8
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
40
80
119
159
199
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00488
Hom.:
6
Bravo
AF:
0.00365
TwinsUK
AF:
0.00458
AC:
17
ALSPAC
AF:
0.00493
AC:
19
ESP6500AA
AF:
0.00182
AC:
8
ESP6500EA
AF:
0.00558
AC:
48
ExAC
AF:
0.00432
AC:
525
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.00644
EpiControl
AF:
0.00646

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 06, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

JAK2: BS1, BS2 -

Jan 29, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 32172663, 30377194, 27389715, 23670291, 31135094, 19643476, 29296762) -

not specified Benign:1Other:1
May 18, 2021
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 19, 2013
ITMI
Significance:not provided
Review Status:no classification provided
Collection Method:reference population

- -

JAK2-related disorder Benign:1
Oct 06, 2021
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Primary myelofibrosis;C0023467:Acute myeloid leukemia;C0032463:Acquired polycythemia vera;C0856761:Budd-Chiari syndrome;C3281125:Thrombocythemia 3;C4551637:Primary familial polycythemia due to EPO receptor mutation Benign:1
Apr 22, 2022
Fulgent Genetics, Fulgent Genetics
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
0.11
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.19
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.58
D
Eigen
Benign
0.0072
Eigen_PC
Benign
0.18
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.76
T
M_CAP
Benign
0.031
D
MetaRNN
Benign
0.012
T
MetaSVM
Benign
-0.59
T
MutationAssessor
Benign
0.93
L
PhyloP100
4.2
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-0.95
N
REVEL
Benign
0.28
Sift
Benign
0.058
T
Sift4G
Benign
0.083
T
Polyphen
0.060
B
Vest4
0.82
MVP
0.76
MPC
0.51
ClinPred
0.018
T
GERP RS
5.1
Varity_R
0.27
gMVP
0.46
Mutation Taster
=66/34
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: rs41316003; hg19: chr9-5126343; API