chr19-35732782-C-CTCGGGGCCAGGGCACGCCTCCT

Variant names:

• chr19-35732782-C-CTCGGGGCCAGGGCACGCCTCCT
• rs1555732987
• NM_014727.3:c.6245_6266dupGCACGCCTCCTTCGGGGCCAGG

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1 PM2 PP5_Very_Strong

The NM_014727.3(KMT2B):​c.6245_6266dupGCACGCCTCCTTCGGGGCCAGG​(p.Val2090HisfsTer25) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

• Frequency: Genomes: not found (cov: 33)
• Consequence: KMT2B NM_014727.3 frameshift
• Clinical Significance: Pathogenic criteria provided, multiple submitters, no conflicts P:2
• Conservation: PhyloP100: -0.382

Genes affected

KMT2B (HGNC:15840): (lysine methyltransferase 2B) This gene encodes a protein which contains multiple domains including a CXXC zinc finger, three PHD zinc fingers, two FY-rich domains, and a SET (suppressor of variegation, enhancer of zeste, and trithorax) domain. The SET domain is a conserved C-terminal domain that characterizes proteins of the MLL (mixed-lineage leukemia) family. This gene is ubiquitously expressed in adult tissues. It is also amplified in solid tumor cell lines, and may be involved in human cancer. Two alternatively spliced transcript variants encoding distinct isoforms have been reported for this gene, however, the full length nature of the shorter transcript is not known. [provided by RefSeq, Jul 2008]

ACMG classification

Verdict is Pathogenic. Variant got 18 ACMG points.

• PVS1: Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
• PM2: Very rare variant in population databases, with high coverage
• PP5: Variant 19-35732782-C-CTCGGGGCCAGGGCACGCCTCCT is Pathogenic according to our data. Variant chr19-35732782-C-CTCGGGGCCAGGGCACGCCTCCT is described in ClinVar as [Pathogenic]. Clinvar id is 520719.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
KMT2B	NM_014727.3	c.6245_6266dupGCACGCCTCCTTCGGGGCCAGG	p.Val2090HisfsTer25	frameshift_variant	Exon 28 of 37	ENST00000420124.4	NP_055542.1
KMT2B	XM_011527561.3	c.6179_6200dupGCACGCCTCCTTCGGGGCCAGG	p.Val2068HisfsTer25	frameshift_variant	Exon 28 of 37		XP_011525863.3
KMT2B	XM_011527562.3	c.6245_6266dupGCACGCCTCCTTCGGGGCCAGG	p.Val2090HisfsTer25	frameshift_variant	Exon 28 of 36		XP_011525864.1
KMT2B	XM_047439787.1	c.5969_5990dupGCACGCCTCCTTCGGGGCCAGG	p.Val1998HisfsTer25	frameshift_variant	Exon 27 of 36		XP_047295743.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
KMT2B	ENST00000420124.4	c.6245_6266dupGCACGCCTCCTTCGGGGCCAGG	p.Val2090HisfsTer25	frameshift_variant	Exon 28 of 37	1	NM_014727.3	ENSP00000398837.2

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome Cov.: 35

GnomAD4 genome Cov.: 33

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:2

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Inborn genetic diseases Pathogenic:1

Dec 28, 2016

Ambry Genetics

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

- -

not provided Pathogenic:1

Sep 15, 2021

Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Splicing

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

Publications

LitVar

Other links and lift over

dbSNP: rs1555732987; hg19: chr19-36223683;