chr19-45765644-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_175875.5(SIX5):​c.2077G>A​(p.Val693Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.344 in 1,612,970 control chromosomes in the GnomAD database, including 97,361 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.33 ( 8345 hom., cov: 33)
Exomes 𝑓: 0.35 ( 89016 hom. )

Consequence

SIX5
NM_175875.5 missense

Scores

2
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.0790
Variant links:
Genes affected
SIX5 (HGNC:10891): (SIX homeobox 5) The protein encoded by this gene is a homeodomain-containing transcription factor that appears to function in the regulation of organogenesis. This gene is located downstream of the dystrophia myotonica-protein kinase gene. Mutations in this gene are a cause of branchiootorenal syndrome type 2. [provided by RefSeq, Jul 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0041387975).
BP6
Variant 19-45765644-C-T is Benign according to our data. Variant chr19-45765644-C-T is described in ClinVar as [Benign]. Clinvar id is 262913.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-45765644-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.355 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SIX5NM_175875.5 linkuse as main transcriptc.2077G>A p.Val693Met missense_variant 3/3 ENST00000317578.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SIX5ENST00000317578.7 linkuse as main transcriptc.2077G>A p.Val693Met missense_variant 3/31 NM_175875.5 P1
ENST00000559756.1 linkuse as main transcriptn.860C>T non_coding_transcript_exon_variant 1/23
SIX5ENST00000560160.1 linkuse as main transcriptc.*287G>A 3_prime_UTR_variant 2/22
SIX5ENST00000560168.1 linkuse as main transcriptc.*1503G>A 3_prime_UTR_variant 3/34

Frequencies

GnomAD3 genomes
AF:
0.329
AC:
49969
AN:
151972
Hom.:
8344
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.313
Gnomad AMI
AF:
0.314
Gnomad AMR
AF:
0.263
Gnomad ASJ
AF:
0.415
Gnomad EAS
AF:
0.266
Gnomad SAS
AF:
0.288
Gnomad FIN
AF:
0.319
Gnomad MID
AF:
0.332
Gnomad NFE
AF:
0.358
Gnomad OTH
AF:
0.319
GnomAD3 exomes
AF:
0.320
AC:
79957
AN:
250156
Hom.:
13482
AF XY:
0.323
AC XY:
43820
AN XY:
135532
show subpopulations
Gnomad AFR exome
AF:
0.314
Gnomad AMR exome
AF:
0.210
Gnomad ASJ exome
AF:
0.424
Gnomad EAS exome
AF:
0.284
Gnomad SAS exome
AF:
0.290
Gnomad FIN exome
AF:
0.319
Gnomad NFE exome
AF:
0.357
Gnomad OTH exome
AF:
0.338
GnomAD4 exome
AF:
0.345
AC:
504731
AN:
1460880
Hom.:
89016
Cov.:
60
AF XY:
0.345
AC XY:
251012
AN XY:
726800
show subpopulations
Gnomad4 AFR exome
AF:
0.308
Gnomad4 AMR exome
AF:
0.218
Gnomad4 ASJ exome
AF:
0.418
Gnomad4 EAS exome
AF:
0.218
Gnomad4 SAS exome
AF:
0.293
Gnomad4 FIN exome
AF:
0.314
Gnomad4 NFE exome
AF:
0.360
Gnomad4 OTH exome
AF:
0.350
GnomAD4 genome
AF:
0.329
AC:
49984
AN:
152090
Hom.:
8345
Cov.:
33
AF XY:
0.323
AC XY:
24007
AN XY:
74368
show subpopulations
Gnomad4 AFR
AF:
0.313
Gnomad4 AMR
AF:
0.262
Gnomad4 ASJ
AF:
0.415
Gnomad4 EAS
AF:
0.266
Gnomad4 SAS
AF:
0.289
Gnomad4 FIN
AF:
0.319
Gnomad4 NFE
AF:
0.358
Gnomad4 OTH
AF:
0.316
Alfa
AF:
0.344
Hom.:
6193
Bravo
AF:
0.323
TwinsUK
AF:
0.362
AC:
1341
ALSPAC
AF:
0.352
AC:
1355
ESP6500AA
AF:
0.305
AC:
1342
ESP6500EA
AF:
0.364
AC:
3127
ExAC
AF:
0.319
AC:
38720
Asia WGS
AF:
0.285
AC:
991
AN:
3478
EpiCase
AF:
0.371
EpiControl
AF:
0.375

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 09, 2017This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Branchiootorenal syndrome 2 Benign:3
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 15, 2021- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, University Medical Center UtrechtJul 28, 2017- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.11
T;T;T
Eigen
Benign
-0.29
Eigen_PC
Benign
-0.23
FATHMM_MKL
Benign
0.42
N
LIST_S2
Benign
0.81
.;T;T
MetaRNN
Benign
0.0041
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
N;N;.
MutationTaster
Benign
1.0
P;P
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-0.27
.;N;.
REVEL
Benign
0.23
Sift
Benign
0.032
.;D;.
Sift4G
Benign
0.10
.;T;T
Polyphen
0.63
P;P;.
Vest4
0.27, 0.068
MPC
0.13
ClinPred
0.018
T
GERP RS
3.1
Varity_R
0.083
gMVP
0.067

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: rs2341097; hg19: chr19-46268902; COSMIC: COSV52177974; COSMIC: COSV52177974; API