X-45063449-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001291415.2(KDM6A):ā€‹c.1711C>Gā€‹(p.Arg571Gly) variant causes a missense change. The variant allele was found at a frequency of 0.00000274 in 1,094,124 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R571P) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 22)
Exomes š‘“: 0.0000027 ( 0 hom. 1 hem. )

Consequence

KDM6A
NM_001291415.2 missense

Scores

1
8
8

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 4.42
Variant links:
Genes affected
KDM6A (HGNC:12637): (lysine demethylase 6A) This gene is located on the X chromosome and is the corresponding locus to a Y-linked gene which encodes a tetratricopeptide repeat (TPR) protein. The encoded protein of this gene contains a JmjC-domain and catalyzes the demethylation of tri/dimethylated histone H3. Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Apr 2014]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KDM6ANM_001291415.2 linkuse as main transcriptc.1711C>G p.Arg571Gly missense_variant 17/30 ENST00000611820.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KDM6AENST00000611820.5 linkuse as main transcriptc.1711C>G p.Arg571Gly missense_variant 17/301 NM_001291415.2 P4

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.0000111
AC:
2
AN:
180010
Hom.:
0
AF XY:
0.0000152
AC XY:
1
AN XY:
65610
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000730
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
3
AN:
1094124
Hom.:
0
Cov.:
30
AF XY:
0.00000277
AC XY:
1
AN XY:
361046
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000852
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22
Bravo
AF:
0.00000756

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxJul 10, 2019In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; Has not been previously published as pathogenic or benign to our knowledge -
Kabuki syndrome 2 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeAug 10, 2023In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt KDM6A protein function. ClinVar contains an entry for this variant (Variation ID: 1037454). This variant has not been reported in the literature in individuals affected with KDM6A-related conditions. This variant is present in population databases (no rsID available, gnomAD 0.008%), including at least one homozygous and/or hemizygous individual. This sequence change replaces arginine, which is basic and polar, with glycine, which is neutral and non-polar, at codon 519 of the KDM6A protein (p.Arg519Gly). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Uncertain
0.079
D
BayesDel_noAF
Uncertain
0.060
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.068
.;T;.;T;T
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.95
D;D;D;T;D
M_CAP
Benign
0.035
D
MetaRNN
Uncertain
0.70
D;D;D;D;D
MetaSVM
Benign
-0.44
T
MutationAssessor
Benign
1.7
.;.;.;.;L
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.68
T
PROVEAN
Uncertain
-3.6
.;.;.;.;D
REVEL
Benign
0.25
Sift
Uncertain
0.0040
.;.;.;.;D
Sift4G
Benign
0.17
T;T;T;T;T
Polyphen
0.41
.;.;.;.;B
Vest4
0.81
MVP
0.81
MPC
0.16
ClinPred
0.64
D
GERP RS
5.0
Varity_R
0.60
gMVP
0.46

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: rs397514628; hg19: chrX-44922694; COSMIC: COSV100938153; API