rs11168830

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_003482.4(KMT2D):​c.13689C>T​(p.Pro4563Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0573 in 1,613,506 control chromosomes in the GnomAD database, including 5,881 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.067 ( 684 hom., cov: 32)
Exomes 𝑓: 0.056 ( 5197 hom. )

Consequence

KMT2D
NM_003482.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -1.30

Publications

16 publications found
Variant links:
Genes affected
KMT2D (HGNC:7133): (lysine methyltransferase 2D) The protein encoded by this gene is a histone methyltransferase that methylates the Lys-4 position of histone H3. The encoded protein is part of a large protein complex called ASCOM, which has been shown to be a transcriptional regulator of the beta-globin and estrogen receptor genes. Mutations in this gene have been shown to be a cause of Kabuki syndrome. [provided by RefSeq, Oct 2010]
KMT2D Gene-Disease associations (from GenCC):
  • choanal atresia-athelia-hypothyroidism-delayed puberty-short stature syndrome
    Inheritance: AD Classification: DEFINITIVE, MODERATE Submitted by: Illumina, G2P
  • Kabuki syndrome 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Laboratory for Molecular Medicine, ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • branchial arch abnormalities, choanal atresia, athelia, hearing loss, and hypothyroidism syndrome
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • Kabuki syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.67).
BP6
Variant 12-49030751-G-A is Benign according to our data. Variant chr12-49030751-G-A is described in ClinVar as Benign. ClinVar VariationId is 94169.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.3 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.252 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KMT2DNM_003482.4 linkc.13689C>T p.Pro4563Pro synonymous_variant Exon 42 of 55 ENST00000301067.12 NP_003473.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KMT2DENST00000301067.12 linkc.13689C>T p.Pro4563Pro synonymous_variant Exon 42 of 55 5 NM_003482.4 ENSP00000301067.7

Frequencies

GnomAD3 genomes
AF:
0.0672
AC:
10225
AN:
152110
Hom.:
679
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0525
Gnomad AMI
AF:
0.0482
Gnomad AMR
AF:
0.187
Gnomad ASJ
AF:
0.0464
Gnomad EAS
AF:
0.264
Gnomad SAS
AF:
0.0977
Gnomad FIN
AF:
0.0607
Gnomad MID
AF:
0.0380
Gnomad NFE
AF:
0.0346
Gnomad OTH
AF:
0.0664
GnomAD2 exomes
AF:
0.103
AC:
25558
AN:
248488
AF XY:
0.0914
show subpopulations
Gnomad AFR exome
AF:
0.0531
Gnomad AMR exome
AF:
0.326
Gnomad ASJ exome
AF:
0.0430
Gnomad EAS exome
AF:
0.255
Gnomad FIN exome
AF:
0.0634
Gnomad NFE exome
AF:
0.0361
Gnomad OTH exome
AF:
0.0766
GnomAD4 exome
AF:
0.0562
AC:
82166
AN:
1461278
Hom.:
5197
Cov.:
33
AF XY:
0.0555
AC XY:
40313
AN XY:
726948
show subpopulations
African (AFR)
AF:
0.0519
AC:
1736
AN:
33474
American (AMR)
AF:
0.307
AC:
13733
AN:
44704
Ashkenazi Jewish (ASJ)
AF:
0.0434
AC:
1135
AN:
26132
East Asian (EAS)
AF:
0.255
AC:
10122
AN:
39700
South Asian (SAS)
AF:
0.0847
AC:
7304
AN:
86256
European-Finnish (FIN)
AF:
0.0631
AC:
3348
AN:
53042
Middle Eastern (MID)
AF:
0.0449
AC:
259
AN:
5768
European-Non Finnish (NFE)
AF:
0.0366
AC:
40668
AN:
1111836
Other (OTH)
AF:
0.0640
AC:
3861
AN:
60366
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
4102
8204
12305
16407
20509
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1928
3856
5784
7712
9640
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0673
AC:
10249
AN:
152228
Hom.:
684
Cov.:
32
AF XY:
0.0706
AC XY:
5253
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.0525
AC:
2179
AN:
41544
American (AMR)
AF:
0.188
AC:
2870
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0464
AC:
161
AN:
3468
East Asian (EAS)
AF:
0.264
AC:
1362
AN:
5156
South Asian (SAS)
AF:
0.0976
AC:
471
AN:
4826
European-Finnish (FIN)
AF:
0.0607
AC:
644
AN:
10604
Middle Eastern (MID)
AF:
0.0306
AC:
9
AN:
294
European-Non Finnish (NFE)
AF:
0.0346
AC:
2354
AN:
68008
Other (OTH)
AF:
0.0733
AC:
155
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
478
957
1435
1914
2392
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
110
220
330
440
550
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0469
Hom.:
1130
Bravo
AF:
0.0810
Asia WGS
AF:
0.186
AC:
646
AN:
3478
EpiCase
AF:
0.0340
EpiControl
AF:
0.0347

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 24, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 42% of patients studied by a panel of primary immunodeficiencies. Number of patients: 40. Only high quality variants are reported. -

Feb 23, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 08, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Kabuki syndrome Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.67
CADD
Benign
5.2
DANN
Benign
0.50
PhyloP100
-1.3
PromoterAI
0.0010
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs11168830; hg19: chr12-49424534; COSMIC: COSV56410176; COSMIC: COSV56410176; API