chr5-146339830-C-T

Variant summary

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

The NM_002700.3(POU4F3):​c.403C>T​(p.Pro135Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0000267 in 1,608,906 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000027 ( 0 hom. )

Consequence

POU4F3
NM_002700.3 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 4.89
Variant links:
Genes affected
POU4F3 (HGNC:9220): (POU class 4 homeobox 3) This gene encodes a member of the POU-domain family of transcription factors. POU-domain proteins have been observed to play important roles in control of cell identity in several systems. This protein is found in the retina and may play a role in determining or maintaining the identities of a small subset of visual system neurons. Defects in this gene are the cause of non-syndromic sensorineural deafness autosomal dominant type 15. [provided by RefSeq, Mar 2009]

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=0.14815801).
BS2
High AC in GnomAdExome4 at 40 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
POU4F3NM_002700.3 linkc.403C>T p.Pro135Ser missense_variant Exon 2 of 2 ENST00000646991.2 NP_002691.1 Q15319
LOC127814297NM_001414499.1 linkc.*272C>T 3_prime_UTR_variant Exon 20 of 20 NP_001401428.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
POU4F3ENST00000646991.2 linkc.403C>T p.Pro135Ser missense_variant Exon 2 of 2 NM_002700.3 ENSP00000495718.1 Q15319
ENSG00000250025ENST00000515598.1 linkn.404-32554G>A intron_variant Intron 2 of 2 3

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152214
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000203
AC:
5
AN:
246206
Hom.:
0
AF XY:
0.0000299
AC XY:
4
AN XY:
133650
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:
0.0000443
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000275
AC:
40
AN:
1456692
Hom.:
0
Cov.:
31
AF XY:
0.0000331
AC XY:
24
AN XY:
724964
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:
0.0000232
Gnomad4 FIN exome
AF:
0.0000206
Gnomad4 NFE exome
AF:
0.0000324
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152214
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74356
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000427
Hom.:
0
Bravo
AF:
0.0000227
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.0000330
AC:
4
EpiCase
AF:
0.000109
EpiControl
AF:
0.0000593

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal dominant nonsyndromic hearing loss 15 Uncertain:2
Jul 15, 2021
Fulgent Genetics, Fulgent Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Oct 09, 2015
Division of Human Genetics, Children's Hospital of Philadelphia
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: research

- -

not specified Uncertain:1
Apr 04, 2014
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant classified as Uncertain Significance - Favor Benign. The Pro135Ser varia nt in POU4F3 has not been previously reported in individuals with hearing loss, but has been identified in 0.02% (2/8598) of European American chromosomes by th e NHLBI Exome Sequencing Project (http://evs.gs.washington.edu/EVS/; dbSNP rs200 286254). Computational prediction tools and conservation analyses suggest that t he Pro135Ser variant may not impact the protein, though this information is not predictive enough to rule out pathogenicity. In summary, the clinical significan ce of this variant cannot be determined with certainty; however based upon the c omputational data and the presence of the variant in the general population, we would lean towards a more likely benign role. -

not provided Uncertain:1
Jun 28, 2019
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
21
DANN
Benign
0.96
DEOGEN2
Benign
0.22
T;T
Eigen
Benign
-0.13
Eigen_PC
Benign
0.051
FATHMM_MKL
Benign
0.66
D
LIST_S2
Benign
0.73
.;T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.15
T;T
MetaSVM
Benign
-0.70
T
MutationAssessor
Benign
0.83
L;L
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
-1.1
.;N
REVEL
Benign
0.21
Sift
Benign
0.061
.;T
Sift4G
Benign
0.15
.;T
Polyphen
0.0
B;B
Vest4
0.16
MVP
0.44
MPC
0.44
ClinPred
0.10
T
GERP RS
4.6
Varity_R
0.076
gMVP
0.60

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: rs200286254; hg19: chr5-145719393; API