rs142426878

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001366110.1(PAX4):​c.932C>T​(p.Pro311Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000695 in 1,601,548 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00047 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00072 ( 0 hom. )

Consequence

PAX4
NM_001366110.1 missense

Scores

1
15

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:6

Conservation

PhyloP100: -3.10

Publications

2 publications found
Variant links:
Genes affected
PAX4 (HGNC:8618): (paired box 4) This gene is a member of the paired box (PAX) family of transcription factors. Members of this gene family typically contain a paired box domain, an octapeptide, and a paired-type homeodomain. These genes play critical roles during fetal development and cancer growth. The paired box 4 gene is involved in pancreatic islet development and mouse studies have demonstrated a role for this gene in differentiation of insulin-producing beta cells. [provided by RefSeq, Jul 2008]
PAX4 Gene-Disease associations (from GenCC):
  • maturity-onset diabetes of the young
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • diabetes mellitus, noninsulin-dependent
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
  • maturity-onset diabetes of the young type 9
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
  • monogenic diabetes
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.028295308).
BS2
High AC in GnomAd4 at 71 Unknown,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001366110.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PAX4
NM_001366110.1
MANE Select
c.932C>Tp.Pro311Leu
missense
Exon 12 of 12NP_001353039.1
PAX4
NM_001366111.1
c.914-203C>T
intron
N/ANP_001353040.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PAX4
ENST00000639438.3
TSL:5 MANE Select
c.932C>Tp.Pro311Leu
missense
Exon 12 of 12ENSP00000491782.1
PAX4
ENST00000341640.6
TSL:1
c.908C>Tp.Pro303Leu
missense
Exon 9 of 9ENSP00000339906.2
PAX4
ENST00000463946.5
TSL:1
n.1363C>T
non_coding_transcript_exon
Exon 8 of 8

Frequencies

GnomAD3 genomes
AF:
0.000466
AC:
71
AN:
152198
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000386
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
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:
0.000750
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000282
AC:
64
AN:
226900
AF XY:
0.000286
show subpopulations
Gnomad AFR exome
AF:
0.000563
Gnomad AMR exome
AF:
0.0000626
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000504
Gnomad OTH exome
AF:
0.000355
GnomAD4 exome
AF:
0.000719
AC:
1042
AN:
1449350
Hom.:
0
Cov.:
36
AF XY:
0.000702
AC XY:
505
AN XY:
719714
show subpopulations
African (AFR)
AF:
0.000360
AC:
12
AN:
33334
American (AMR)
AF:
0.0000467
AC:
2
AN:
42784
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25804
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39414
South Asian (SAS)
AF:
0.0000595
AC:
5
AN:
84060
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52532
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5156
European-Non Finnish (NFE)
AF:
0.000903
AC:
999
AN:
1106352
Other (OTH)
AF:
0.000401
AC:
24
AN:
59914
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.444
Heterozygous variant carriers
0
56
113
169
226
282
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
40
80
120
160
200
<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:
0.000466
AC:
71
AN:
152198
Hom.:
0
Cov.:
32
AF XY:
0.000403
AC XY:
30
AN XY:
74360
show subpopulations
African (AFR)
AF:
0.000386
AC:
16
AN:
41440
American (AMR)
AF:
0.000262
AC:
4
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5194
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000750
AC:
51
AN:
68030
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000518
Hom.:
0
Bravo
AF:
0.000442
TwinsUK
AF:
0.00243
AC:
9
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000247
AC:
30
Asia WGS
AF:
0.00289
AC:
10
AN:
3478

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not provided (2)
-
1
-
Monogenic diabetes (1)
-
1
-
not specified (1)
-
1
-
PAX4-related disorder (1)
-
1
-
Type 2 diabetes mellitus;C2677132:Maturity-onset diabetes of the young type 9;C3837958:Diabetes mellitus, ketosis-prone (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.082
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
0.0020
DANN
Benign
0.50
Eigen
Benign
-1.7
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.010
N
LIST_S2
Benign
0.55
T
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.028
T
MetaSVM
Uncertain
-0.28
T
PhyloP100
-3.1
PrimateAI
Benign
0.22
T
PROVEAN
Benign
-1.5
N
REVEL
Benign
0.18
Sift
Benign
0.66
T
Sift4G
Benign
0.18
T
Polyphen
0.014
B
Vest4
0.050
MVP
0.31
MPC
0.050
ClinPred
0.010
T
GERP RS
-7.2
gMVP
0.15
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs142426878; hg19: chr7-127251242; COSMIC: COSV100490013; COSMIC: COSV100490013; API