chr12-49039623-C-CA

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_003482.4(KMT2D):​c.8047-7_8047-6insT variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.002 in 1,599,132 control chromosomes in the GnomAD database, including 40 homozygotes. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.011 ( 30 hom., cov: 33)
Exomes 𝑓: 0.0011 ( 10 hom. )

Consequence

KMT2D
NM_003482.4 splice_region, splice_polypyrimidine_tract, intron

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 1.08
Variant links:
Genes affected
KMT2D (HGNC:7133): (lysine methyltransferase 2D) The protein encoded by this gene is a histone methyltransferase that methylates the Lys-4 position of histone H3. The encoded protein is part of a large protein complex called ASCOM, which has been shown to be a transcriptional regulator of the beta-globin and estrogen receptor genes. Mutations in this gene have been shown to be a cause of Kabuki syndrome. [provided by RefSeq, Oct 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 12-49039623-C-CA is Benign according to our data. Variant chr12-49039623-C-CA is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 196782.We mark this variant Likely_benign, oryginal submissions are: {Benign=4, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0106 (1602/151810) while in subpopulation AFR AF= 0.0358 (1483/41408). AF 95% confidence interval is 0.0343. There are 30 homozygotes in gnomad4. There are 723 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 1602 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KMT2DNM_003482.4 linkuse as main transcriptc.8047-7_8047-6insT splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000301067.12 NP_003473.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KMT2DENST00000301067.12 linkuse as main transcriptc.8047-7_8047-6insT splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 5 NM_003482.4 ENSP00000301067 A2O14686-1

Frequencies

GnomAD3 genomes
AF:
0.0106
AC:
1604
AN:
151694
Hom.:
30
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0360
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00544
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000221
Gnomad OTH
AF:
0.00910
GnomAD3 exomes
AF:
0.00265
AC:
594
AN:
224184
Hom.:
8
AF XY:
0.00192
AC XY:
235
AN XY:
122476
show subpopulations
Gnomad AFR exome
AF:
0.0351
Gnomad AMR exome
AF:
0.00197
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000609
Gnomad SAS exome
AF:
0.000143
Gnomad FIN exome
AF:
0.000246
Gnomad NFE exome
AF:
0.000222
Gnomad OTH exome
AF:
0.00109
GnomAD4 exome
AF:
0.00110
AC:
1594
AN:
1447322
Hom.:
10
Cov.:
32
AF XY:
0.000989
AC XY:
712
AN XY:
719924
show subpopulations
Gnomad4 AFR exome
AF:
0.0356
Gnomad4 AMR exome
AF:
0.00238
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000704
Gnomad4 FIN exome
AF:
0.000126
Gnomad4 NFE exome
AF:
0.000119
Gnomad4 OTH exome
AF:
0.00280
GnomAD4 genome
AF:
0.0106
AC:
1602
AN:
151810
Hom.:
30
Cov.:
33
AF XY:
0.00974
AC XY:
723
AN XY:
74194
show subpopulations
Gnomad4 AFR
AF:
0.0358
Gnomad4 AMR
AF:
0.00543
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000221
Gnomad4 OTH
AF:
0.00900

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Kabuki syndrome Uncertain:1Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoMay 22, 2014- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 07, 2015- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJun 23, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs200754433; hg19: chr12-49433406; API