chr5-135028928-T-C

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_002653.5(PITX1):ā€‹c.796A>Gā€‹(p.Thr266Ala) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000479 in 1,461,512 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 34)
Exomes š‘“: 0.0000048 ( 0 hom. )

Consequence

PITX1
NM_002653.5 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.22
Variant links:
Genes affected
PITX1 (HGNC:9004): (paired like homeodomain 1) This gene encodes a member of the RIEG/PITX homeobox family, which is in the bicoid class of homeodomain proteins. Members of this family are involved in organ development and left-right asymmetry. This protein acts as a transcriptional regulator involved in basal and hormone-regulated activity of prolactin. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08304304).
BS2
High AC in GnomAdExome4 at 7 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PITX1NM_002653.5 linkc.796A>G p.Thr266Ala missense_variant 3/3 ENST00000265340.12 NP_002644.4 P78337X5D9A5
PITX1XM_047417318.1 linkc.898A>G p.Thr300Ala missense_variant 4/4 XP_047273274.1
PITX1XM_047417319.1 linkc.451A>G p.Thr151Ala missense_variant 3/3 XP_047273275.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PITX1ENST00000265340.12 linkc.796A>G p.Thr266Ala missense_variant 3/31 NM_002653.5 ENSP00000265340.6 P78337
PITX1ENST00000506438.5 linkc.796A>G p.Thr266Ala missense_variant 4/41 ENSP00000427542.1 P78337

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD3 exomes
AF:
0.00000400
AC:
1
AN:
249990
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135460
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000886
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000479
AC:
7
AN:
1461512
Hom.:
0
Cov.:
34
AF XY:
0.00000138
AC XY:
1
AN XY:
727062
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
34
Alfa
AF:
0.0000468
Hom.:
0
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 27, 2024The c.796A>G (p.T266A) alteration is located in exon 3 (coding exon 3) of the PITX1 gene. This alteration results from a A to G substitution at nucleotide position 796, causing the threonine (T) at amino acid position 266 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.069
BayesDel_addAF
Benign
-0.039
T
BayesDel_noAF
Benign
-0.29
CADD
Uncertain
24
DANN
Benign
0.88
DEOGEN2
Benign
0.13
T;T
Eigen
Benign
-0.32
Eigen_PC
Benign
-0.12
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.87
.;D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.083
T;T
MetaSVM
Benign
-0.59
T
MutationAssessor
Benign
-0.28
N;N
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-0.070
N;N
REVEL
Benign
0.28
Sift
Benign
0.58
T;T
Sift4G
Benign
0.58
T;T
Polyphen
0.0
B;B
Vest4
0.13
MutPred
0.15
Loss of phosphorylation at T266 (P = 0.0062);Loss of phosphorylation at T266 (P = 0.0062);
MVP
0.82
MPC
1.0
ClinPred
0.16
T
GERP RS
3.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.16
gMVP
0.54

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: rs1386538357; hg19: chr5-134364618; API