rs182932220

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_005169.4(PHOX2A):​c.156C>T​(p.Leu52=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0311 in 1,261,934 control chromosomes in the GnomAD database, including 713 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.026 ( 105 hom., cov: 32)
Exomes 𝑓: 0.032 ( 608 hom. )

Consequence

PHOX2A
NM_005169.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 3.25
Variant links:
Genes affected
PHOX2A (HGNC:691): (paired like homeobox 2A) The protein encoded by this gene contains a paired-like homeodomain most similar to that of the Drosophila aristaless gene product. The encoded protein plays a central role in development of the autonomic nervous system. It regulates the expression of tyrosine hydroxylase and dopamine beta-hydroxylase, two catecholaminergic biosynthetic enzymes essential for the differentiation and maintenance of the noradrenergic neurotransmitter phenotype. The encoded protein has also been shown to regulate transcription of the alpha3 nicotinic acetylcholine receptor gene. Mutations in this gene have been associated with autosomal recessive congenital fibrosis of the extraocular muscles. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.5).
BP6
Variant 11-72243849-G-A is Benign according to our data. Variant chr11-72243849-G-A is described in ClinVar as [Benign]. Clinvar id is 259655.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=3.25 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0262 (3990/152278) while in subpopulation NFE AF= 0.0346 (2350/68002). AF 95% confidence interval is 0.0334. There are 105 homozygotes in gnomad4. There are 2066 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 105 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PHOX2ANM_005169.4 linkuse as main transcriptc.156C>T p.Leu52= synonymous_variant 1/3 ENST00000298231.5 NP_005160.2
PHOX2AXM_047426947.1 linkuse as main transcriptc.156C>T p.Leu52= synonymous_variant 1/3 XP_047282903.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PHOX2AENST00000298231.5 linkuse as main transcriptc.156C>T p.Leu52= synonymous_variant 1/31 NM_005169.4 ENSP00000298231 P1
PHOX2AENST00000544057.1 linkuse as main transcriptn.85+1731C>T intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0262
AC:
3988
AN:
152164
Hom.:
104
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00620
Gnomad AMI
AF:
0.0439
Gnomad AMR
AF:
0.0102
Gnomad ASJ
AF:
0.0498
Gnomad EAS
AF:
0.00909
Gnomad SAS
AF:
0.0165
Gnomad FIN
AF:
0.0790
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.0346
Gnomad OTH
AF:
0.0206
GnomAD3 exomes
AF:
0.0517
AC:
471
AN:
9104
Hom.:
13
AF XY:
0.0549
AC XY:
268
AN XY:
4882
show subpopulations
Gnomad AFR exome
AF:
0.0171
Gnomad AMR exome
AF:
0.0143
Gnomad ASJ exome
AF:
0.0909
Gnomad EAS exome
AF:
0.0227
Gnomad SAS exome
AF:
0.0174
Gnomad FIN exome
AF:
0.0735
Gnomad NFE exome
AF:
0.0401
Gnomad OTH exome
AF:
0.0392
GnomAD4 exome
AF:
0.0318
AC:
35313
AN:
1109656
Hom.:
608
Cov.:
32
AF XY:
0.0315
AC XY:
16615
AN XY:
527938
show subpopulations
Gnomad4 AFR exome
AF:
0.00403
Gnomad4 AMR exome
AF:
0.0151
Gnomad4 ASJ exome
AF:
0.0384
Gnomad4 EAS exome
AF:
0.00364
Gnomad4 SAS exome
AF:
0.0173
Gnomad4 FIN exome
AF:
0.0701
Gnomad4 NFE exome
AF:
0.0329
Gnomad4 OTH exome
AF:
0.0262
GnomAD4 genome
AF:
0.0262
AC:
3990
AN:
152278
Hom.:
105
Cov.:
32
AF XY:
0.0278
AC XY:
2066
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.00618
Gnomad4 AMR
AF:
0.0103
Gnomad4 ASJ
AF:
0.0498
Gnomad4 EAS
AF:
0.00912
Gnomad4 SAS
AF:
0.0163
Gnomad4 FIN
AF:
0.0790
Gnomad4 NFE
AF:
0.0346
Gnomad4 OTH
AF:
0.0213
Alfa
AF:
0.0361
Hom.:
19
Bravo
AF:
0.0202
Asia WGS
AF:
0.0120
AC:
43
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.50
CADD
Benign
12
DANN
Benign
0.92

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: rs182932220; hg19: chr11-71954893; API