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GeneBe

rs1064792993

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP6_Very_Strong

The NM_003924.4(PHOX2B):c.723_743del(p.Ala254_Ala260del) variant causes a inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000137 in 145,616 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A241A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000056 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

PHOX2B
NM_003924.4 inframe_deletion

Scores

Not classified

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 2.98
Variant links:
Genes affected
PHOX2B (HGNC:9143): (paired like homeobox 2B) The DNA-associated protein encoded by this gene is a member of the paired family of homeobox proteins localized to the nucleus. The protein functions as a transcription factor involved in the development of several major noradrenergic neuron populations and the determination of neurotransmitter phenotype. The gene product is linked to enhancement of second messenger-mediated activation of the dopamine beta-hydroylase, c-fos promoters and several enhancers, including cyclic amp-response element and serum-response element. Expansion of a 20 amino acid polyalanine tract in this protein by 5-13 aa has been associated with congenital central hypoventilation syndrome. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP6
Variant 4-41746008-CGCGGCCGCCGCCGCTGCTGCT-C is Benign according to our data. Variant chr4-41746008-CGCGGCCGCCGCCGCTGCTGCT-C is described in ClinVar as [Likely_benign]. Clinvar id is 413918.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PHOX2BNM_003924.4 linkuse as main transcriptc.723_743del p.Ala254_Ala260del inframe_deletion 3/3 ENST00000226382.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PHOX2BENST00000226382.4 linkuse as main transcriptc.723_743del p.Ala254_Ala260del inframe_deletion 3/31 NM_003924.4 P1
PHOX2BENST00000510424.2 linkuse as main transcript downstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000137
AC:
2
AN:
145616
Hom.:
0
Cov.:
32
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:
0.000396
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000564
AC:
55
AN:
975160
Hom.:
0
AF XY:
0.0000648
AC XY:
30
AN XY:
463118
show subpopulations
Gnomad4 AFR exome
AF:
0.000105
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000104
Gnomad4 EAS exome
AF:
0.00180
Gnomad4 SAS exome
AF:
0.000431
Gnomad4 FIN exome
AF:
0.0000557
Gnomad4 NFE exome
AF:
0.0000176
Gnomad4 OTH exome
AF:
0.0000278
GnomAD4 genome
AF:
0.0000137
AC:
2
AN:
145616
Hom.:
0
Cov.:
32
AF XY:
0.0000141
AC XY:
1
AN XY:
70832
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000396
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Haddad syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeOct 03, 2023- -
PHOX2B-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesJan 07, 2020This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs1064792993; hg19: chr4-41748025; API