rs1373790479

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_001291415.2(KDM6A):​c.250A>G​(p.Ile84Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000734 in 1,090,607 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I84N) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.0000073 ( 0 hom. 2 hem. )
Failed GnomAD Quality Control

Consequence

KDM6A
NM_001291415.2 missense

Scores

2
5
10

Clinical Significance

Uncertain significance criteria provided, single submitter P:1U:2

Conservation

PhyloP100: 8.70

Publications

1 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: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3136741).
BS2
High AC in GnomAdExome4 at 8 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
KDM6ANM_001291415.2 linkc.250A>G p.Ile84Val missense_variant Exon 3 of 30 ENST00000611820.5 NP_001278344.1 A0A087X0R0B7ZKN5Q86TD1B7ZKN6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
KDM6AENST00000611820.5 linkc.250A>G p.Ile84Val missense_variant Exon 3 of 30 1 NM_001291415.2 ENSP00000483595.2 A0A087X0R0

Frequencies

GnomAD3 genomes
AF:
0.00000895
AC:
1
AN:
111685
Hom.:
0
Cov.:
23
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000734
AC:
8
AN:
1090607
Hom.:
0
Cov.:
27
AF XY:
0.00000560
AC XY:
2
AN XY:
357241
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26245
American (AMR)
AF:
0.00
AC:
0
AN:
35147
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19307
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30081
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53877
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40430
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3335
European-Non Finnish (NFE)
AF:
0.00000956
AC:
8
AN:
836431
Other (OTH)
AF:
0.00
AC:
0
AN:
45754
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Hom
Variant carriers
0
2
4
6
8
10
<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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000895
AC:
1
AN:
111685
Hom.:
0
Cov.:
23
AF XY:
0.0000295
AC XY:
1
AN XY:
33899
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30772
American (AMR)
AF:
0.00
AC:
0
AN:
10462
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2647
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3592
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2682
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6067
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000189
AC:
1
AN:
53018
Other (OTH)
AF:
0.00
AC:
0
AN:
1520
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Kabuki syndrome 2 Uncertain:2
Apr 12, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces isoleucine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 84 of the KDM6A protein (p.Ile84Val). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with KDM6A-related conditions. ClinVar contains an entry for this variant (Variation ID: 488374). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on KDM6A protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Oct 27, 2017
Sbielas Lab-Department of Human Genetics University of Michigan, University of Michigan Medical School
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

- -

CHARGE syndrome Pathogenic:1
-
University of Washington Center for Mendelian Genomics, University of Washington
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.42
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.020
.;T;.;T;T;.
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.81
T;T;T;T;T;T
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.31
T;T;T;T;T;T
MetaSVM
Uncertain
0.019
D
MutationAssessor
Uncertain
2.2
.;.;.;.;M;.
PhyloP100
8.7
PrimateAI
Pathogenic
0.84
D
PROVEAN
Benign
-0.91
.;.;.;.;N;.
REVEL
Benign
0.22
Sift
Benign
0.062
.;.;.;.;T;.
Sift4G
Benign
0.28
T;T;T;T;T;T
Polyphen
0.39
.;.;.;.;B;.
Vest4
0.32
MutPred
0.36
.;.;.;.;Gain of ubiquitination at K86 (P = 0.1378);Gain of ubiquitination at K86 (P = 0.1378);
MVP
0.62
MPC
0.81
ClinPred
0.86
D
GERP RS
5.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.30
gMVP
0.22
Mutation Taster
=91/9
disease causing (ClinVar)

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: rs1373790479; hg19: chrX-44820553; API