rs112236653

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBS1BS2

The NM_003482.4(KMT2D):​c.3572C>T​(p.Pro1191Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00155 in 1,613,898 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00073 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0016 ( 2 hom. )

Consequence

KMT2D
NM_003482.4 missense

Scores

2
6
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:13O:1

Conservation

PhyloP100: 5.40
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.18925068).
BP6
Variant 12-49050016-G-A is Benign according to our data. Variant chr12-49050016-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 134673.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-49050016-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000729 (111/152326) while in subpopulation NFE AF= 0.00125 (85/68034). AF 95% confidence interval is 0.00103. There are 0 homozygotes in gnomad4. There are 47 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 111 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KMT2DNM_003482.4 linkc.3572C>T p.Pro1191Leu missense_variant Exon 12 of 55 ENST00000301067.12 NP_003473.3 O14686-1Q59FG6Q6PIA1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KMT2DENST00000301067.12 linkc.3572C>T p.Pro1191Leu missense_variant Exon 12 of 55 5 NM_003482.4 ENSP00000301067.7 O14686-1
KMT2DENST00000683543.2 linkc.3572C>T p.Pro1191Leu missense_variant Exon 12 of 56 ENSP00000506726.1 A0A804HHR9
KMT2DENST00000685166.1 linkc.3572C>T p.Pro1191Leu missense_variant Exon 11 of 54 ENSP00000509386.1 O14686-3
KMT2DENST00000692637.1 linkc.3572C>T p.Pro1191Leu missense_variant Exon 11 of 54 ENSP00000509666.1 A0A8I5KSG1

Frequencies

GnomAD3 genomes
AF:
0.000729
AC:
111
AN:
152208
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00111
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00125
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000996
AC:
248
AN:
249082
Hom.:
0
AF XY:
0.00106
AC XY:
143
AN XY:
135164
show subpopulations
Gnomad AFR exome
AF:
0.0000648
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000612
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.000280
Gnomad NFE exome
AF:
0.00193
Gnomad OTH exome
AF:
0.000496
GnomAD4 exome
AF:
0.00164
AC:
2395
AN:
1461572
Hom.:
2
Cov.:
34
AF XY:
0.00152
AC XY:
1103
AN XY:
727084
show subpopulations
Gnomad4 AFR exome
AF:
0.000209
Gnomad4 AMR exome
AF:
0.000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000403
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.000150
Gnomad4 NFE exome
AF:
0.00205
Gnomad4 OTH exome
AF:
0.00113
GnomAD4 genome
AF:
0.000729
AC:
111
AN:
152326
Hom.:
0
Cov.:
32
AF XY:
0.000631
AC XY:
47
AN XY:
74474
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.00111
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00125
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00130
Hom.:
0
Bravo
AF:
0.000997
TwinsUK
AF:
0.00270
AC:
10
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00120
AC:
10
ExAC
AF:
0.00110
AC:
133
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00115
EpiControl
AF:
0.00124

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:13Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:7
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Aug 21, 2019
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 30459467, 29276005, 24633898) -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Apr 27, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

KMT2D: BP4, BS1 -

Aug 28, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

not specified Benign:2Other:1
Sep 19, 2013
ITMI
Significance: not provided
Review Status: no classification provided
Collection Method: reference population

- -

Mar 14, 2017
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Oct 23, 2015
Eurofins Ntd Llc (ga)
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Kabuki syndrome 1 Benign:2
Jan 05, 2022
Fulgent Genetics, Fulgent Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

May 28, 2019
Mendelics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Kabuki syndrome Benign:1
Jan 18, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

KMT2D-related disorder Benign:1
Jul 16, 2020
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This 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
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.26
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.23
T
Eigen
Benign
0.17
Eigen_PC
Uncertain
0.32
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.80
T
M_CAP
Pathogenic
0.56
D
MetaRNN
Benign
0.19
T
MetaSVM
Benign
-0.38
T
MutationAssessor
Benign
0.69
N
PrimateAI
Uncertain
0.49
T
PROVEAN
Uncertain
-2.5
D
REVEL
Pathogenic
0.76
Sift
Uncertain
0.0010
D
Polyphen
0.76
P
Vest4
0.74
MVP
0.26
MPC
0.57
ClinPred
0.044
T
GERP RS
5.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.12
gMVP
0.13

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: rs112236653; hg19: chr12-49443799; COSMIC: COSV56461401; COSMIC: COSV56461401; API