rs112725812

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001291415.2(KDM6A):​c.1999C>G​(p.Leu667Val) variant causes a missense change. The variant allele was found at a frequency of 0.00136 in 1,205,284 control chromosomes in the GnomAD database, including 13 homozygotes. There are 397 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L667F) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0066 ( 6 hom., 187 hem., cov: 22)
Exomes 𝑓: 0.00082 ( 7 hom. 210 hem. )

Consequence

KDM6A
NM_001291415.2 missense

Scores

2
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5O:1

Conservation

PhyloP100: 4.09

Publications

14 publications found
Variant links:
Genes affected
KDM6A (HGNC:12637): (lysine demethylase 6A) This gene is located on the X chromosome and is the corresponding locus to a Y-linked gene which encodes a tetratricopeptide repeat (TPR) protein. The encoded protein of this gene contains a JmjC-domain and catalyzes the demethylation of tri/dimethylated histone H3. Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Apr 2014]
KDM6A Gene-Disease associations (from GenCC):
  • Kabuki syndrome 2
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • 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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012268305).
BP6
Variant X-45063737-C-G is Benign according to our data. Variant chrX-45063737-C-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 134596.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00658 (736/111922) while in subpopulation AFR AF = 0.0231 (711/30741). AF 95% confidence interval is 0.0217. There are 6 homozygotes in GnomAd4. There are 187 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High AC in GnomAd4 at 736 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KDM6ANM_001291415.2 linkc.1999C>G p.Leu667Val missense_variant Exon 17 of 30 ENST00000611820.5 NP_001278344.1 A0A087X0R0B7ZKN5Q86TD1B7ZKN6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KDM6AENST00000611820.5 linkc.1999C>G p.Leu667Val missense_variant Exon 17 of 30 1 NM_001291415.2 ENSP00000483595.2 A0A087X0R0

Frequencies

GnomAD3 genomes
AF:
0.00654
AC:
732
AN:
111870
Hom.:
6
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.0230
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00152
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:
0.0000564
Gnomad OTH
AF:
0.00399
GnomAD2 exomes
AF:
0.00184
AC:
317
AN:
172315
AF XY:
0.000951
show subpopulations
Gnomad AFR exome
AF:
0.0231
Gnomad AMR exome
AF:
0.000943
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000132
Gnomad OTH exome
AF:
0.000461
GnomAD4 exome
AF:
0.000822
AC:
899
AN:
1093362
Hom.:
7
Cov.:
30
AF XY:
0.000585
AC XY:
210
AN XY:
359120
show subpopulations
African (AFR)
AF:
0.0253
AC:
667
AN:
26319
American (AMR)
AF:
0.00106
AC:
37
AN:
34774
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19324
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30080
South Asian (SAS)
AF:
0.0000749
AC:
4
AN:
53396
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40227
Middle Eastern (MID)
AF:
0.00242
AC:
10
AN:
4133
European-Non Finnish (NFE)
AF:
0.000119
AC:
100
AN:
839172
Other (OTH)
AF:
0.00176
AC:
81
AN:
45937
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
46
92
137
183
229
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.00658
AC:
736
AN:
111922
Hom.:
6
Cov.:
22
AF XY:
0.00548
AC XY:
187
AN XY:
34104
show subpopulations
African (AFR)
AF:
0.0231
AC:
711
AN:
30741
American (AMR)
AF:
0.00151
AC:
16
AN:
10567
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2648
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3570
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2711
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6066
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.0000564
AC:
3
AN:
53193
Other (OTH)
AF:
0.00394
AC:
6
AN:
1524
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
24
48
71
95
119
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00269
Hom.:
10
Bravo
AF:
0.00739
ESP6500AA
AF:
0.0211
AC:
81
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00198
AC:
240

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

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

- -

Oct 15, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1Other:1
Feb 07, 2018
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 19, 2013
ITMI
Significance:not provided
Review Status:no classification provided
Collection Method:reference population

- -

KDM6A-related disorder Benign:1
Apr 14, 2023
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Kabuki syndrome 2 Benign:1
Jan 23, 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
AlphaMissense
Benign
0.066
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
20
DANN
Benign
0.96
DEOGEN2
Benign
0.013
.;T;.;T;T
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.74
T;T;T;T;T
MetaRNN
Benign
0.012
T;T;T;T;T
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
0.81
.;.;.;.;L
PhyloP100
4.1
PrimateAI
Uncertain
0.48
T
PROVEAN
Benign
-1.7
.;N;.;.;N
REVEL
Benign
0.072
Sift
Benign
0.033
.;D;.;.;T
Sift4G
Benign
0.52
T;T;T;T;T
Polyphen
0.020
.;.;.;.;B
Vest4
0.19
MVP
0.38
MPC
0.11
ClinPred
0.0081
T
GERP RS
5.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.087
gMVP
0.43
Mutation Taster
=96/4
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: rs112725812; hg19: chrX-44922982; API