NM_001197104.2:c.1A>T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PVS1_StrongPM2

The NM_001197104.2(KMT2A):​c.1A>T​(p.Met1?) variant causes a initiator codon change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)

Consequence

KMT2A
NM_001197104.2 initiator_codon

Scores

6
2
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.16
Variant links:
Genes affected
KMT2A (HGNC:7132): (lysine methyltransferase 2A) This gene encodes a transcriptional coactivator that plays an essential role in regulating gene expression during early development and hematopoiesis. The encoded protein contains multiple conserved functional domains. One of these domains, the SET domain, is responsible for its histone H3 lysine 4 (H3K4) methyltransferase activity which mediates chromatin modifications associated with epigenetic transcriptional activation. This protein is processed by the enzyme Taspase 1 into two fragments, MLL-C and MLL-N. These fragments reassociate and further assemble into different multiprotein complexes that regulate the transcription of specific target genes, including many of the HOX genes. Multiple chromosomal translocations involving this gene are the cause of certain acute lymphoid leukemias and acute myeloid leukemias. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Oct 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 6 pathogenic variants. Next in-frame start position is after 411 codons. Genomic position: 118472390. Lost 0.103 part of the original CDS.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KMT2ANM_001197104.2 linkc.1A>T p.Met1? initiator_codon_variant Exon 1 of 36 ENST00000534358.8 NP_001184033.1 Q03164-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KMT2AENST00000534358.8 linkc.1A>T p.Met1? initiator_codon_variant Exon 1 of 36 1 NM_001197104.2 ENSP00000436786.2 Q03164-3
ENSG00000285827ENST00000648261.1 linkc.-798-32262A>T intron_variant Intron 1 of 6 ENSP00000498126.1 A0A3B3ITZ1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
25
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Wiedemann-Steiner syndrome Uncertain:1
Mar 03, 2022
Revvity Omics, Revvity
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.34
D
BayesDel_noAF
Pathogenic
0.25
CADD
Uncertain
24
DANN
Benign
0.93
DEOGEN2
Benign
0.21
.;T;.;.
Eigen
Benign
-0.17
Eigen_PC
Benign
-0.071
FATHMM_MKL
Benign
0.70
D
LIST_S2
Uncertain
0.90
D;D;D;D
M_CAP
Pathogenic
0.99
D
MetaRNN
Pathogenic
0.98
D;D;D;D
MetaSVM
Benign
-0.40
T
PROVEAN
Benign
-0.71
N;N;N;.
REVEL
Uncertain
0.38
Sift
Pathogenic
0.0
D;D;D;.
Sift4G
Pathogenic
0.0
D;D;D;.
Polyphen
0.064
.;B;B;.
Vest4
0.76
MutPred
0.99
Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);
MVP
0.96
ClinPred
1.0
D
GERP RS
3.6
Varity_R
0.95
gMVP
0.51

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr11-118307228; API