chr4-122742008-T-C

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBS1BS2

The NM_152618.3(BBS12):ā€‹c.116T>Cā€‹(p.Ile39Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00729 in 1,613,476 control chromosomes in the GnomAD database, including 55 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.0057 ( 2 hom., cov: 33)
Exomes š‘“: 0.0075 ( 53 hom. )

Consequence

BBS12
NM_152618.3 missense

Scores

3
11
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:12

Conservation

PhyloP100: 7.05
Variant links:
Genes affected
BBS12 (HGNC:26648): (Bardet-Biedl syndrome 12) The protein encoded by this gene is part of a complex that is involved in membrane trafficking. The encoded protein is a molecular chaperone that aids in protein folding upon ATP hydrolysis. This protein also plays a role in adipocyte differentiation. Defects in this gene are a cause of Bardet-Biedl syndrome type 12. Two transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009558558).
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00568 (865/152324) while in subpopulation AMR AF= 0.0114 (175/15294). AF 95% confidence interval is 0.0101. There are 2 homozygotes in gnomad4. There are 387 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BBS12NM_152618.3 linkuse as main transcriptc.116T>C p.Ile39Thr missense_variant 2/2 ENST00000314218.8 NP_689831.2
BBS12NM_001178007.2 linkuse as main transcriptc.116T>C p.Ile39Thr missense_variant 3/3 NP_001171478.1
BBS12XM_011531680.3 linkuse as main transcriptc.116T>C p.Ile39Thr missense_variant 2/2 XP_011529982.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BBS12ENST00000314218.8 linkuse as main transcriptc.116T>C p.Ile39Thr missense_variant 2/21 NM_152618.3 ENSP00000319062 P1
BBS12ENST00000542236.5 linkuse as main transcriptc.116T>C p.Ile39Thr missense_variant 3/32 ENSP00000438273 P1
BBS12ENST00000433287.1 linkuse as main transcriptc.116T>C p.Ile39Thr missense_variant 3/32 ENSP00000398912

Frequencies

GnomAD3 genomes
AF:
0.00568
AC:
865
AN:
152206
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00118
Gnomad AMI
AF:
0.00220
Gnomad AMR
AF:
0.0115
Gnomad ASJ
AF:
0.0153
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00394
Gnomad FIN
AF:
0.000941
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.00794
Gnomad OTH
AF:
0.00621
GnomAD3 exomes
AF:
0.00631
AC:
1584
AN:
251186
Hom.:
6
AF XY:
0.00689
AC XY:
935
AN XY:
135752
show subpopulations
Gnomad AFR exome
AF:
0.00105
Gnomad AMR exome
AF:
0.00550
Gnomad ASJ exome
AF:
0.0122
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00534
Gnomad FIN exome
AF:
0.00250
Gnomad NFE exome
AF:
0.00862
Gnomad OTH exome
AF:
0.00948
GnomAD4 exome
AF:
0.00746
AC:
10893
AN:
1461152
Hom.:
53
Cov.:
31
AF XY:
0.00758
AC XY:
5511
AN XY:
726770
show subpopulations
Gnomad4 AFR exome
AF:
0.00105
Gnomad4 AMR exome
AF:
0.00526
Gnomad4 ASJ exome
AF:
0.0147
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00471
Gnomad4 FIN exome
AF:
0.00227
Gnomad4 NFE exome
AF:
0.00829
Gnomad4 OTH exome
AF:
0.00706
GnomAD4 genome
AF:
0.00568
AC:
865
AN:
152324
Hom.:
2
Cov.:
33
AF XY:
0.00520
AC XY:
387
AN XY:
74490
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.0114
Gnomad4 ASJ
AF:
0.0153
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00394
Gnomad4 FIN
AF:
0.000941
Gnomad4 NFE
AF:
0.00794
Gnomad4 OTH
AF:
0.00615
Alfa
AF:
0.00828
Hom.:
9
Bravo
AF:
0.00587
TwinsUK
AF:
0.00593
AC:
22
ALSPAC
AF:
0.0101
AC:
39
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00767
AC:
66
ExAC
AF:
0.00608
AC:
738
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.0114
EpiControl
AF:
0.0111

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:12
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:5
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoSep 04, 2018- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Nov 20, 2013- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpFeb 22, 2022Variant summary: BBS12 c.116T>C (p.Ile39Thr) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.0063 in 251186 control chromosomes in the gnomAD database, including 6 homozygotes. The observed variant frequency is approximately 8 fold of the estimated maximal expected allele frequency for a pathogenic variant in BBS12 causing Bardet-Biedl Syndrome phenotype (0.00076), strongly suggesting that the variant is benign. c.116T>C has been reported in the literature in individuals affected with Bardet-Biedl Syndrome. These report(s) do not provide unequivocal conclusions about association of the variant with Bardet-Biedl Syndrome. At-least one co-occurrence with other pathogenic variant(s) have been reported (BBS12 c.814C>T, p.Arg272*), providing supporting evidence for a benign role (example, Manara_2019). One publication reports experimental evidence evaluating an impact on protein function, however, does not allow convincing conclusions about the variant effect (Zaghoul_2010). Seven clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. Multiple laboratories reported the variant with conflicting assessments. Based on the evidence outlined above, the variant was classified as likely benign. -
Bardet-Biedl syndrome 12 Uncertain:2Benign:2
Uncertain significance, criteria provided, single submitterclinical testingGenomic Research Center, Shahid Beheshti University of Medical SciencesDec 18, 2017- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
Uncertain significance, criteria provided, single submitterclinical testingGenome-Nilou LabMay 18, 2021- -
Benign, no assertion criteria providedclinical testingNatera, Inc.Nov 13, 2019- -
Bardet-Biedl syndrome 1 Benign:2
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, University Medical Center UtrechtDec 22, 2014- -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical CenterApr 19, 2017- -
not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2024BBS12: BS2 -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsMay 09, 2017- -
Bardet-Biedl syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
BayesDel_addAF
Uncertain
0.054
T
BayesDel_noAF
Pathogenic
0.31
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.68
D;D;.
Eigen
Uncertain
0.66
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.74
T;.;T
M_CAP
Benign
0.050
D
MetaRNN
Benign
0.0096
T;T;T
MetaSVM
Uncertain
0.28
D
MutationAssessor
Uncertain
2.7
M;M;.
MutationTaster
Benign
0.99
D;D
PrimateAI
Benign
0.45
T
PROVEAN
Uncertain
-3.4
D;D;D
REVEL
Pathogenic
0.66
Sift
Uncertain
0.0020
D;D;D
Sift4G
Uncertain
0.0040
D;D;D
Polyphen
0.99
D;D;.
Vest4
0.78
MVP
0.92
MPC
0.43
ClinPred
0.0081
T
GERP RS
5.0
Varity_R
0.83
gMVP
0.59

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: rs138036823; hg19: chr4-123663163; API