NM_001079668.3:c.584G>T

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM1PM2PM5PP3_Strong

The NM_001079668.3(NKX2-1):​c.584G>T​(p.Arg195Leu) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R195Q) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)

Consequence

NKX2-1
NM_001079668.3 missense

Scores

16
2
1

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 5.98

Publications

0 publications found
Variant links:
Genes affected
NKX2-1 (HGNC:11825): (NK2 homeobox 1) This gene encodes a protein initially identified as a thyroid-specific transcription factor. The encoded protein binds to the thyroglobulin promoter and regulates the expression of thyroid-specific genes but has also been shown to regulate the expression of genes involved in morphogenesis. Mutations and deletions in this gene are associated with benign hereditary chorea, choreoathetosis, congenital hypothyroidism, and neonatal respiratory distress, and may be associated with thyroid cancer. Multiple transcript variants encoding different isoforms have been found for this gene. This gene shares the symbol/alias 'TTF1' with another gene, transcription termination factor 1, which plays a role in ribosomal gene transcription. [provided by RefSeq, Feb 2014]
SFTA3 (HGNC:18387): (surfactant associated 3) Involved in wound healing. Located in cytoplasm and extracellular space. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 10 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 5 uncertain in NM_001079668.3
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr14-36517900-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 505233.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.991

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NKX2-1NM_001079668.3 linkc.584G>T p.Arg195Leu missense_variant Exon 3 of 3 ENST00000354822.7 NP_001073136.1 P43699-3
NKX2-1NM_003317.4 linkc.494G>T p.Arg165Leu missense_variant Exon 2 of 2 NP_003308.1 P43699-1
SFTA3NR_161364.1 linkn.89+1568G>T intron_variant Intron 1 of 4
SFTA3NR_161365.1 linkn.89+1568G>T intron_variant Intron 1 of 4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NKX2-1ENST00000354822.7 linkc.584G>T p.Arg195Leu missense_variant Exon 3 of 3 1 NM_001079668.3 ENSP00000346879.6 P43699-3
SFTA3ENST00000546983.2 linkn.373+1085G>T intron_variant Intron 2 of 3 4 ENSP00000449302.2 F8VVG2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.54
D
BayesDel_noAF
Pathogenic
0.54
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.80
D;.;D;D
Eigen
Pathogenic
0.95
Eigen_PC
Pathogenic
0.81
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
1.0
.;D;.;D
M_CAP
Pathogenic
0.95
D
MetaRNN
Pathogenic
0.99
D;D;D;D
MetaSVM
Pathogenic
0.99
D
MutationAssessor
Pathogenic
4.2
H;.;H;H
PhyloP100
6.0
PrimateAI
Pathogenic
0.95
D
PROVEAN
Pathogenic
-6.6
D;D;D;D
REVEL
Pathogenic
0.99
Sift
Uncertain
0.0010
D;D;D;D
Sift4G
Pathogenic
0.0
D;D;D;D
Polyphen
1.0
D;D;D;D
Vest4
0.96
MutPred
0.94
Loss of MoRF binding (P = 0.0367);.;Loss of MoRF binding (P = 0.0367);Loss of MoRF binding (P = 0.0367);
MVP
0.96
ClinPred
1.0
D
GERP RS
4.4
Varity_R
0.94
gMVP
0.96
Mutation Taster
=3/97
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs1555349228; hg19: chr14-36987105; API