NM_002141.5:c.217T>C

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_002141.5(HOXA4):​c.217T>C​(p.Tyr73His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000677 in 1,329,512 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., cov: 34)
Exomes 𝑓: 0.0000042 ( 0 hom. )

Consequence

HOXA4
NM_002141.5 missense

Scores

2
2
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.26

Publications

1 publications found
Variant links:
Genes affected
HOXA4 (HGNC:5105): (homeobox A4) In vertebrates, the genes encoding the class of transcription factors called homeobox genes are found in clusters named A, B, C, and D on four separate chromosomes. Expression of these proteins is spatially and temporally regulated during embryonic development. This gene is part of the A cluster on chromosome 7 and encodes a DNA-binding transcription factor which may regulate gene expression, morphogenesis, and differentiation. [provided by RefSeq, Jul 2008]
HOXA3 (HGNC:5104): (homeobox A3) In vertebrates, the genes encoding the class of transcription factors called homeobox genes are found in clusters named A, B, C, and D on four separate chromosomes. Expression of these proteins is spatially and temporally regulated during embryonic development. This gene is part of the A cluster on chromosome 7 and encodes a DNA-binding transcription factor which may regulate gene expression, morphogenesis, and differentiation. Three transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
HOXA-AS3 (HGNC:43748): (HOXA cluster antisense RNA 3)
HOXA-AS2 (HGNC:43745): (HOXA cluster antisense RNA 2) This gene produces a long non-coding RNA that promotes cell proliferation. This transcript may interact with enhancer of zeste homolog 2 Polycomb repressive complex to repress gene expression. [provided by RefSeq, Dec 2017]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3011582).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002141.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HOXA4
NM_002141.5
MANE Select
c.217T>Cp.Tyr73His
missense
Exon 1 of 2NP_002132.3
HOXA3
NM_153631.3
MANE Select
c.-389-3447T>C
intron
N/ANP_705895.1O43365
HOXA3
NM_001384335.1
c.-505-3447T>C
intron
N/ANP_001371264.1O43365

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HOXA4
ENST00000360046.10
TSL:1 MANE Select
c.217T>Cp.Tyr73His
missense
Exon 1 of 2ENSP00000353151.5Q00056
HOXA4
ENST00000610970.1
TSL:1
c.217T>Cp.Tyr73His
missense
Exon 1 of 2ENSP00000479166.1Q00056
HOXA3
ENST00000612286.5
TSL:2 MANE Select
c.-389-3447T>C
intron
N/AENSP00000484411.1O43365

Frequencies

GnomAD3 genomes
AF:
0.0000266
AC:
4
AN:
150122
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000195
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000445
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000579
AC:
2
AN:
34564
AF XY:
0.0000504
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00000424
AC:
5
AN:
1179390
Hom.:
0
Cov.:
39
AF XY:
0.00000524
AC XY:
3
AN XY:
572404
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
23130
American (AMR)
AF:
0.00
AC:
0
AN:
13310
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
15998
East Asian (EAS)
AF:
0.000119
AC:
3
AN:
25294
South Asian (SAS)
AF:
0.0000233
AC:
1
AN:
42920
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37228
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3288
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
971040
Other (OTH)
AF:
0.0000212
AC:
1
AN:
47182
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.445
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000266
AC:
4
AN:
150122
Hom.:
0
Cov.:
34
AF XY:
0.0000273
AC XY:
2
AN XY:
73250
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41124
American (AMR)
AF:
0.00
AC:
0
AN:
15114
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3444
East Asian (EAS)
AF:
0.000195
AC:
1
AN:
5116
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4812
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9864
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
310
European-Non Finnish (NFE)
AF:
0.0000445
AC:
3
AN:
67364
Other (OTH)
AF:
0.00
AC:
0
AN:
2062
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000712
Hom.:
0
Bravo
AF:
0.0000491
ExAC
AF:
0.0000296
AC:
2

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.066
T
Eigen
Benign
0.19
Eigen_PC
Benign
0.13
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.53
T
M_CAP
Pathogenic
0.43
D
MetaRNN
Benign
0.30
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
0.90
L
PhyloP100
1.3
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
-0.37
N
REVEL
Benign
0.14
Sift
Benign
0.077
T
Sift4G
Benign
0.11
T
Polyphen
0.98
D
Vest4
0.21
MutPred
0.23
Loss of phosphorylation at Y73 (P = 0.0113)
MVP
0.86
MPC
1.0
ClinPred
0.096
T
GERP RS
3.6
PromoterAI
-0.028
Neutral
Varity_R
0.089
gMVP
0.58
Mutation Taster
=92/8
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: rs765734275; hg19: chr7-27170136; COSMIC: COSV100415455; COSMIC: COSV100415455; API