chr11-45933999-G-A

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 1P and 16B. PP2BP4_StrongBP6_Very_StrongBS2

The NM_001352027.3(PHF21A):​c.2015C>T​(p.Ala672Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000929 in 1,593,080 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A672A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00049 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000051 ( 0 hom. )

Consequence

PHF21A
NM_001352027.3 missense

Scores

3
16

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.302
Variant links:
Genes affected
PHF21A (HGNC:24156): (PHD finger protein 21A) The PHF21A gene encodes BHC80, a component of a BRAF35 (MIM 605535)/histone deacetylase (HDAC; see MIM 601241) complex (BHC) that mediates repression of neuron-specific genes through the cis-regulatory element known as repressor element-1 (RE1) or neural restrictive silencer (NRS) (Hakimi et al., 2002 [PubMed 12032298]).[supplied by OMIM, Nov 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), PHF21A. . Gene score misZ 2.8609 (greater than the threshold 3.09). Trascript score misZ 3.1268 (greater than threshold 3.09). GenCC has associacion of gene with complex neurodevelopmental disorder, intellectual developmental disorder with behavioral abnormalities and craniofacial dysmorphism with or without seizures, Potocki-Shaffer syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.014741302).
BP6
Variant 11-45933999-G-A is Benign according to our data. Variant chr11-45933999-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 1595935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 75 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PHF21ANM_001352027.3 linkuse as main transcriptc.2015C>T p.Ala672Val missense_variant 19/19 ENST00000676320.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PHF21AENST00000676320.1 linkuse as main transcriptc.2015C>T p.Ala672Val missense_variant 19/19 NM_001352027.3 P3Q96BD5-3

Frequencies

GnomAD3 genomes
AF:
0.000493
AC:
75
AN:
152162
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00167
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000120
AC:
28
AN:
233658
Hom.:
0
AF XY:
0.000119
AC XY:
15
AN XY:
126564
show subpopulations
Gnomad AFR exome
AF:
0.00157
Gnomad AMR exome
AF:
0.0000328
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:
0.00000935
Gnomad OTH exome
AF:
0.000179
GnomAD4 exome
AF:
0.0000507
AC:
73
AN:
1440800
Hom.:
0
Cov.:
31
AF XY:
0.0000461
AC XY:
33
AN XY:
715996
show subpopulations
Gnomad4 AFR exome
AF:
0.00160
Gnomad4 AMR exome
AF:
0.000124
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000102
Gnomad4 SAS exome
AF:
0.0000239
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.000168
GnomAD4 genome
AF:
0.000493
AC:
75
AN:
152280
Hom.:
0
Cov.:
32
AF XY:
0.000510
AC XY:
38
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00166
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000784
Hom.:
0
Bravo
AF:
0.000620
ESP6500AA
AF:
0.00204
AC:
9
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000173
AC:
21
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2023PHF21A: BP4, BS1 -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
PHF21A-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 18, 2022This 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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Uncertain
-0.020
CADD
Benign
12
DANN
Benign
0.89
DEOGEN2
Benign
0.033
.;T;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-0.92
FATHMM_MKL
Benign
0.66
D
LIST_S2
Benign
0.77
T;T;T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.015
T;T;T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
-0.34
.;N;.
MutationTaster
Benign
0.89
N;N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-0.53
N;N;N
REVEL
Uncertain
0.48
Sift
Benign
0.23
T;T;T
Sift4G
Benign
0.77
T;T;.
Polyphen
0.0010
B;B;.
Vest4
0.071
MVP
0.98
MPC
0.11
ClinPred
0.0090
T
GERP RS
-2.6
Varity_R
0.046
gMVP
0.47

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

LitVar

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

Other links and lift over

dbSNP: rs149898933; hg19: chr11-45955550; COSMIC: COSV57658840; COSMIC: COSV57658840; API