NM_022114.4:c.3621A>T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_022114.4(PRDM16):​c.3621A>T​(p.Glu1207Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00139 in 1,614,104 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E1207K) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0011 ( 0 hom., cov: 34)
Exomes 𝑓: 0.0014 ( 1 hom. )

Consequence

PRDM16
NM_022114.4 missense

Scores

2
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:10

Conservation

PhyloP100: 1.92
Variant links:
Genes affected
PRDM16 (HGNC:14000): (PR/SET domain 16) The reciprocal translocation t(1;3)(p36;q21) occurs in a subset of myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). This gene is located near the 1p36.3 breakpoint and has been shown to be specifically expressed in the t(1:3)(p36,q21)-positive MDS/AML. The protein encoded by this gene is a zinc finger transcription factor and contains an N-terminal PR domain. The translocation results in the overexpression of a truncated version of this protein that lacks the PR domain, which may play an important role in the pathogenesis of MDS and AML. Alternatively spliced transcript variants encoding distinct isoforms have been reported. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011626095).
BP6
Variant 1-3432065-A-T is Benign according to our data. Variant chr1-3432065-A-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 241431.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Uncertain_significance=1}. Variant chr1-3432065-A-T is described in Lovd as [Benign]. Variant chr1-3432065-A-T is described in Lovd as [Likely_benign].
BS2
High AC in GnomAd4 at 164 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PRDM16NM_022114.4 linkc.3621A>T p.Glu1207Asp missense_variant Exon 16 of 17 ENST00000270722.10 NP_071397.3 Q9HAZ2-1
PRDM16NM_199454.3 linkc.3621A>T p.Glu1207Asp missense_variant Exon 16 of 17 NP_955533.2 Q9HAZ2-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PRDM16ENST00000270722.10 linkc.3621A>T p.Glu1207Asp missense_variant Exon 16 of 17 1 NM_022114.4 ENSP00000270722.5 Q9HAZ2-1

Frequencies

GnomAD3 genomes
AF:
0.00108
AC:
164
AN:
152192
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00122
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00204
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000974
AC:
243
AN:
249496
Hom.:
0
AF XY:
0.000923
AC XY:
125
AN XY:
135396
show subpopulations
Gnomad AFR exome
AF:
0.000452
Gnomad AMR exome
AF:
0.0000580
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00116
Gnomad NFE exome
AF:
0.00181
Gnomad OTH exome
AF:
0.000660
GnomAD4 exome
AF:
0.00142
AC:
2075
AN:
1461794
Hom.:
1
Cov.:
31
AF XY:
0.00135
AC XY:
984
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.000418
Gnomad4 AMR exome
AF:
0.0000894
Gnomad4 ASJ exome
AF:
0.0000765
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00120
Gnomad4 NFE exome
AF:
0.00173
Gnomad4 OTH exome
AF:
0.00103
GnomAD4 genome
AF:
0.00108
AC:
164
AN:
152310
Hom.:
0
Cov.:
34
AF XY:
0.00105
AC XY:
78
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.000241
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00122
Gnomad4 NFE
AF:
0.00204
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00128
Hom.:
0
Bravo
AF:
0.000899
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00285
AC:
11
ESP6500AA
AF:
0.000509
AC:
2
ESP6500EA
AF:
0.00216
AC:
18
ExAC
AF:
0.000984
AC:
119
EpiCase
AF:
0.00158
EpiControl
AF:
0.00166

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:10
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:5
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Sep 28, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Dec 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

PRDM16: BP4, BS1 -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not specified Benign:3
-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Sep 29, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Inborn genetic diseases Uncertain:1
Feb 22, 2023
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.3621A>T (p.E1207D) alteration is located in exon 16 (coding exon 16) of the PRDM16 gene. This alteration results from a A to T substitution at nucleotide position 3621, causing the glutamic acid (E) at amino acid position 1207 to be replaced by an aspartic acid (D). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

PRDM16-related disorder Benign:1
Feb 12, 2022
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). -

Left ventricular noncompaction 8 Benign:1
Jan 19, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.087
.;T;.
Eigen
Benign
-0.35
Eigen_PC
Benign
-0.18
FATHMM_MKL
Benign
0.76
D
LIST_S2
Benign
0.81
T;T;T
M_CAP
Benign
0.0056
T
MetaRNN
Benign
0.012
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
2.0
M;M;.
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-0.69
N;N;N
REVEL
Benign
0.045
Sift
Benign
0.42
T;T;T
Sift4G
Benign
0.36
T;T;T
Polyphen
0.0060
B;B;.
Vest4
0.22
MutPred
0.21
Loss of helix (P = 0.0558);Loss of helix (P = 0.0558);.;
MVP
0.55
MPC
0.065
ClinPred
0.019
T
GERP RS
4.0
Varity_R
0.064
gMVP
0.099

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs199972068; hg19: chr1-3348629; API