NM_002653.5:c.418C>A
Variant names: 
Variant summary
Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1
The NM_002653.5(PITX1):c.418C>A(p.Arg140Arg) variant causes a synonymous change. The variant allele was found at a frequency of 0.127 in 1,597,336 control chromosomes in the GnomAD database, including 17,408 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).
Frequency
 Genomes: 𝑓 0.20   (  4603   hom.,  cov: 34) 
 Exomes 𝑓:  0.12   (  12805   hom.  ) 
Consequence
 PITX1
NM_002653.5 synonymous
NM_002653.5 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  6.58  
Publications
10 publications found 
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 Gene-Disease associations (from GenCC):
- clubfootInheritance: AD Classification: STRONG, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae)
- brachydactyly-elbow wrist dysplasia syndromeInheritance: AD Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -20 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.48). 
BP6
Variant 5-135029306-G-T is Benign according to our data. Variant chr5-135029306-G-T is described in ClinVar as Benign. ClinVar VariationId is 285760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.418  is higher than 0.05. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| PITX1 | NM_002653.5 | c.418C>A | p.Arg140Arg | synonymous_variant | Exon 3 of 3 | ENST00000265340.12 | NP_002644.4 | |
| PITX1 | XM_047417318.1 | c.520C>A | p.Arg174Arg | synonymous_variant | Exon 4 of 4 | XP_047273274.1 | ||
| PITX1 | XM_047417319.1 | c.73C>A | p.Arg25Arg | synonymous_variant | Exon 3 of 3 | XP_047273275.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| PITX1 | ENST00000265340.12 | c.418C>A | p.Arg140Arg | synonymous_variant | Exon 3 of 3 | 1 | NM_002653.5 | ENSP00000265340.6 | ||
| PITX1 | ENST00000506438.5 | c.418C>A | p.Arg140Arg | synonymous_variant | Exon 4 of 4 | 1 | ENSP00000427542.1 | |||
| PITX1 | ENST00000503586.1 | n.540C>A | non_coding_transcript_exon_variant | Exon 3 of 3 | 3 | |||||
| PITX1 | ENST00000504936.1 | n.751C>A | non_coding_transcript_exon_variant | Exon 2 of 2 | 2 | 
Frequencies
GnomAD3 genomes  0.199  AC: 30230AN: 152092Hom.:  4568  Cov.: 34 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
30230
AN: 
152092
Hom.: 
Cov.: 
34
Gnomad AFR 
 AF: 
Gnomad AMI 
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Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad FIN 
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Gnomad MID 
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Gnomad NFE 
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Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.123  AC: 28929AN: 235206 AF XY:  0.113   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
28929
AN: 
235206
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.119  AC: 172354AN: 1445126Hom.:  12805  Cov.: 35 AF XY:  0.116  AC XY: 83050AN XY: 716832 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
172354
AN: 
1445126
Hom.: 
Cov.: 
35
 AF XY: 
AC XY: 
83050
AN XY: 
716832
show subpopulations 
African (AFR) 
 AF: 
AC: 
14099
AN: 
33026
American (AMR) 
 AF: 
AC: 
8573
AN: 
43704
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
1667
AN: 
24888
East Asian (EAS) 
 AF: 
AC: 
6
AN: 
39518
South Asian (SAS) 
 AF: 
AC: 
4102
AN: 
83344
European-Finnish (FIN) 
 AF: 
AC: 
4258
AN: 
52438
Middle Eastern (MID) 
 AF: 
AC: 
401
AN: 
5686
European-Non Finnish (NFE) 
 AF: 
AC: 
131827
AN: 
1102870
Other (OTH) 
 AF: 
AC: 
7421
AN: 
59652
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.473 
Heterozygous variant carriers
 0 
 7314 
 14628 
 21943 
 29257 
 36571 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 4994 
 9988 
 14982 
 19976 
 24970 
 <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  0.199  AC: 30338AN: 152210Hom.:  4603  Cov.: 34 AF XY:  0.192  AC XY: 14301AN XY: 74444 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
30338
AN: 
152210
Hom.: 
Cov.: 
34
 AF XY: 
AC XY: 
14301
AN XY: 
74444
show subpopulations 
African (AFR) 
 AF: 
AC: 
17574
AN: 
41488
American (AMR) 
 AF: 
AC: 
3161
AN: 
15296
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
233
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
9
AN: 
5178
South Asian (SAS) 
 AF: 
AC: 
247
AN: 
4828
European-Finnish (FIN) 
 AF: 
AC: 
802
AN: 
10618
Middle Eastern (MID) 
 AF: 
AC: 
24
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
7866
AN: 
68012
Other (OTH) 
 AF: 
AC: 
400
AN: 
2116
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.500 
Heterozygous variant carriers
 0 
 1143 
 2285 
 3428 
 4570 
 5713 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 284 
 568 
 852 
 1136 
 1420 
 <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: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
182
AN: 
3478
ClinVar
Significance: Benign 
Submissions summary: Benign:5 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not specified    Benign:3 
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
Jan 08, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
not provided    Benign:2 
Oct 16, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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