rs112921115

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_003482.4(KMT2D):​c.3737C>T​(p.Thr1246Met) variant causes a missense change. The variant allele was found at a frequency of 0.000653 in 1,613,818 control chromosomes in the GnomAD database, including 12 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00072 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00065 ( 12 hom. )

Consequence

KMT2D
NM_003482.4 missense

Scores

1
7
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 4.56
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 -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.007923663).
BP6
Variant 12-49049851-G-A is Benign according to our data. Variant chr12-49049851-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 309068.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-49049851-G-A is described in Lovd as [Benign].
BS2
High AC in GnomAd4 at 110 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KMT2DNM_003482.4 linkc.3737C>T p.Thr1246Met 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.3737C>T p.Thr1246Met missense_variant Exon 12 of 55 5 NM_003482.4 ENSP00000301067.7 O14686-1
KMT2DENST00000683543.2 linkc.3737C>T p.Thr1246Met missense_variant Exon 12 of 56 ENSP00000506726.1 A0A804HHR9
KMT2DENST00000685166.1 linkc.3737C>T p.Thr1246Met missense_variant Exon 11 of 54 ENSP00000509386.1 O14686-3
KMT2DENST00000692637.1 linkc.3737C>T p.Thr1246Met missense_variant Exon 11 of 54 ENSP00000509666.1 A0A8I5KSG1

Frequencies

GnomAD3 genomes
AF:
0.000723
AC:
110
AN:
152204
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.0256
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000235
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00145
AC:
360
AN:
249018
Hom.:
4
AF XY:
0.00141
AC XY:
191
AN XY:
135122
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000232
Gnomad ASJ exome
AF:
0.0297
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000372
Gnomad OTH exome
AF:
0.00165
GnomAD4 exome
AF:
0.000646
AC:
944
AN:
1461614
Hom.:
12
Cov.:
34
AF XY:
0.000666
AC XY:
484
AN XY:
727088
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.000268
Gnomad4 ASJ exome
AF:
0.0272
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000917
Gnomad4 OTH exome
AF:
0.00187
GnomAD4 genome
AF:
0.000723
AC:
110
AN:
152204
Hom.:
0
Cov.:
32
AF XY:
0.000646
AC XY:
48
AN XY:
74344
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.0256
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000235
Gnomad4 OTH
AF:
0.00143
Alfa
AF:
0.00136
Hom.:
0
Bravo
AF:
0.000812
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00194
AC:
16
ExAC
AF:
0.000968
AC:
117
EpiCase
AF:
0.000436
EpiControl
AF:
0.000237

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

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

KMT2D: BS1 -

Dec 21, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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

not specified Benign:2
Feb 01, 2024
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 13, 2018
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Kabuki syndrome 1 Benign:1
Sep 03, 2021
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Kabuki syndrome Benign:1
Jan 28, 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 10, 2019
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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Benign
-0.12
CADD
Uncertain
24
DANN
Benign
0.93
DEOGEN2
Benign
0.056
T
Eigen
Uncertain
0.59
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.85
D
M_CAP
Uncertain
0.25
D
MetaRNN
Benign
0.0079
T
MetaSVM
Uncertain
0.36
D
MutationAssessor
Benign
0.69
N
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-1.6
N
REVEL
Uncertain
0.40
Sift
Uncertain
0.0010
D
Polyphen
1.0
D
Vest4
0.51
MVP
0.49
MPC
0.75
ClinPred
0.070
T
GERP RS
5.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.088
gMVP
0.17

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: rs112921115; hg19: chr12-49443634; COSMIC: COSV56453549; COSMIC: COSV56453549; API