chr12-49050762-G-A

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_003482.4(KMT2D):​c.2826C>T​(p.Ile942Ile) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.386 in 1,609,518 control chromosomes in the GnomAD database, including 121,798 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.39 ( 11787 hom., cov: 31)
Exomes 𝑓: 0.39 ( 110011 hom. )

Consequence

KMT2D
NM_003482.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -0.145

Publications

34 publications found
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]
KMT2D Gene-Disease associations (from GenCC):
  • choanal atresia-athelia-hypothyroidism-delayed puberty-short stature syndrome
    Inheritance: AD Classification: DEFINITIVE, MODERATE Submitted by: Illumina, G2P
  • Kabuki syndrome 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Laboratory for Molecular Medicine, ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • branchial arch abnormalities, choanal atresia, athelia, hearing loss, and hypothyroidism syndrome
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • Kabuki syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.64).
BP6
Variant 12-49050762-G-A is Benign according to our data. Variant chr12-49050762-G-A is described in ClinVar as Benign. ClinVar VariationId is 94206.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.145 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.448 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KMT2DNM_003482.4 linkc.2826C>T p.Ile942Ile synonymous_variant Exon 12 of 55 ENST00000301067.12 NP_003473.3 O14686-1Q59FG6Q6PIA1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KMT2DENST00000301067.12 linkc.2826C>T p.Ile942Ile synonymous_variant Exon 12 of 55 5 NM_003482.4 ENSP00000301067.7 O14686-1
KMT2DENST00000683543.2 linkc.2826C>T p.Ile942Ile synonymous_variant Exon 12 of 56 ENSP00000506726.1 A0A804HHR9
KMT2DENST00000685166.1 linkc.2826C>T p.Ile942Ile synonymous_variant Exon 11 of 54 ENSP00000509386.1 O14686-3
KMT2DENST00000692637.1 linkc.2826C>T p.Ile942Ile synonymous_variant Exon 11 of 54 ENSP00000509666.1 A0A8I5KSG1

Frequencies

GnomAD3 genomes
AF:
0.391
AC:
59288
AN:
151652
Hom.:
11760
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.424
Gnomad AMI
AF:
0.354
Gnomad AMR
AF:
0.327
Gnomad ASJ
AF:
0.248
Gnomad EAS
AF:
0.410
Gnomad SAS
AF:
0.463
Gnomad FIN
AF:
0.412
Gnomad MID
AF:
0.261
Gnomad NFE
AF:
0.385
Gnomad OTH
AF:
0.359
GnomAD2 exomes
AF:
0.375
AC:
92076
AN:
245850
AF XY:
0.380
show subpopulations
Gnomad AFR exome
AF:
0.425
Gnomad AMR exome
AF:
0.266
Gnomad ASJ exome
AF:
0.252
Gnomad EAS exome
AF:
0.422
Gnomad FIN exome
AF:
0.413
Gnomad NFE exome
AF:
0.377
Gnomad OTH exome
AF:
0.362
GnomAD4 exome
AF:
0.386
AC:
562046
AN:
1457748
Hom.:
110011
Cov.:
45
AF XY:
0.387
AC XY:
280178
AN XY:
724438
show subpopulations
African (AFR)
AF:
0.429
AC:
14340
AN:
33396
American (AMR)
AF:
0.272
AC:
12127
AN:
44538
Ashkenazi Jewish (ASJ)
AF:
0.257
AC:
6707
AN:
26054
East Asian (EAS)
AF:
0.377
AC:
14928
AN:
39546
South Asian (SAS)
AF:
0.443
AC:
38184
AN:
86120
European-Finnish (FIN)
AF:
0.412
AC:
21942
AN:
53218
Middle Eastern (MID)
AF:
0.275
AC:
1581
AN:
5754
European-Non Finnish (NFE)
AF:
0.387
AC:
429188
AN:
1108940
Other (OTH)
AF:
0.383
AC:
23049
AN:
60182
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
18467
36934
55401
73868
92335
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
13458
26916
40374
53832
67290
<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
AF:
0.391
AC:
59366
AN:
151770
Hom.:
11787
Cov.:
31
AF XY:
0.391
AC XY:
28986
AN XY:
74148
show subpopulations
African (AFR)
AF:
0.425
AC:
17570
AN:
41354
American (AMR)
AF:
0.327
AC:
4987
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.248
AC:
858
AN:
3466
East Asian (EAS)
AF:
0.410
AC:
2107
AN:
5138
South Asian (SAS)
AF:
0.464
AC:
2234
AN:
4816
European-Finnish (FIN)
AF:
0.412
AC:
4352
AN:
10558
Middle Eastern (MID)
AF:
0.267
AC:
78
AN:
292
European-Non Finnish (NFE)
AF:
0.385
AC:
26102
AN:
67862
Other (OTH)
AF:
0.358
AC:
756
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
1765
3531
5296
7062
8827
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
580
1160
1740
2320
2900
<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:
0.371
Hom.:
15272
Bravo
AF:
0.380
Asia WGS
AF:
0.433
AC:
1504
AN:
3478
EpiCase
AF:
0.374
EpiControl
AF:
0.368

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -

Feb 08, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 24, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 57% of patients studied by a panel of primary immunodeficiencies. Number of patients: 54. Only high quality variants are reported. -

Jul 02, 2015
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Kabuki syndrome Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Kabuki syndrome 1 Benign:1
Aug 23, 2018
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.64
CADD
Benign
1.5
DANN
Benign
0.57
PhyloP100
-0.14
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs2241726; hg19: chr12-49444545; COSMIC: COSV56407742; COSMIC: COSV56407742; API