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chr7-27173504-C-G

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_018951.4(HOXA10):ā€‹c.803G>Cā€‹(p.Arg268Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000174 in 1,504,618 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R268Q) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.00012 ( 0 hom., cov: 33)
Exomes š‘“: 0.00018 ( 0 hom. )

Consequence

HOXA10
NM_018951.4 missense

Scores

2
1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.64
Variant links:
Genes affected
HOXA10 (HGNC:5100): (homeobox A10) In vertebrates, the genes encoding the class of transcription factors called homeobox genes are found in clusters named A, B, C, and D on four separate chromosomes. Expression of these proteins is spatially and temporally regulated during embryonic development. This gene is part of the A cluster on chromosome 7 and encodes a DNA-binding transcription factor that may regulate gene expression, morphogenesis, and differentiation. More specifically, it may function in fertility, embryo viability, and regulation of hematopoietic lineage commitment. Alternatively spliced transcript variants have been described. Read-through transcription also exists between this gene and the downstream homeobox A9 (HOXA9) gene. [provided by RefSeq, Mar 2011]
HOXA9 (HGNC:5109): (homeobox A9) In vertebrates, the genes encoding the class of transcription factors called homeobox genes are found in clusters named A, B, C, and D on four separate chromosomes. Expression of these proteins is spatially and temporally regulated during embryonic development. This gene is part of the A cluster on chromosome 7 and encodes a DNA-binding transcription factor which may regulate gene expression, morphogenesis, and differentiation. This gene is highly similar to the abdominal-B (Abd-B) gene of Drosophila. A specific translocation event which causes a fusion between this gene and the NUP98 gene has been associated with myeloid leukemogenesis. Read-through transcription exists between this gene and the upstream homeobox A10 (HOXA10) gene.[provided by RefSeq, Mar 2011]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3225233).
BS2
High AC in GnomAd4 at 18 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HOXA10NM_018951.4 linkuse as main transcriptc.803G>C p.Arg268Pro missense_variant 1/2 ENST00000283921.5
HOXA10-HOXA9NR_037940.1 linkuse as main transcriptn.616+6142G>C intron_variant, non_coding_transcript_variant
HOXA10NR_037939.2 linkuse as main transcriptn.217-1331G>C intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HOXA10ENST00000283921.5 linkuse as main transcriptc.803G>C p.Arg268Pro missense_variant 1/21 NM_018951.4 P2P31260-1
HOXA10ENST00000396344.4 linkuse as main transcriptc.11-1331G>C intron_variant 1 A1P31260-2
HOXA9ENST00000465941.1 linkuse as main transcriptn.479+1198G>C intron_variant, non_coding_transcript_variant 1

Frequencies

GnomAD3 genomes
AF:
0.000119
AC:
18
AN:
151736
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.000251
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000911
AC:
9
AN:
98774
Hom.:
0
AF XY:
0.000127
AC XY:
7
AN XY:
55190
show subpopulations
Gnomad AFR exome
AF:
0.000649
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:
0.000184
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000180
AC:
244
AN:
1352882
Hom.:
0
Cov.:
33
AF XY:
0.000175
AC XY:
117
AN XY:
667066
show subpopulations
Gnomad4 AFR exome
AF:
0.000142
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:
0.000212
Gnomad4 OTH exome
AF:
0.000250
GnomAD4 genome
AF:
0.000119
AC:
18
AN:
151736
Hom.:
0
Cov.:
33
AF XY:
0.000121
AC XY:
9
AN XY:
74150
show subpopulations
Gnomad4 AFR
AF:
0.0000242
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:
0.000251
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000941
Hom.:
0
Bravo
AF:
0.0000945

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 17, 2021The c.803G>C (p.R268P) alteration is located in exon 1 (coding exon 1) of the HOXA10 gene. This alteration results from a G to C substitution at nucleotide position 803, causing the arginine (R) at amino acid position 268 to be replaced by a proline (P). 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
0.085
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
21
DANN
Benign
0.96
DEOGEN2
Benign
0.051
T
Eigen
Benign
0.0044
Eigen_PC
Benign
0.11
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.74
T
M_CAP
Pathogenic
0.77
D
MetaRNN
Benign
0.32
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.34
N
MutationTaster
Benign
0.76
D;D
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
-0.51
N
REVEL
Benign
0.14
Sift
Benign
0.26
T
Sift4G
Benign
0.31
T
Polyphen
0.63
P
Vest4
0.46
MVP
0.64
ClinPred
0.053
T
GERP RS
4.6
Varity_R
0.29
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: rs926650623; hg19: chr7-27213123; API