rs201044355

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_ModerateBP6_ModerateBS2

The NM_005120.3(MED12):​c.4028G>A​(p.Arg1343His) variant causes a missense change. The variant allele was found at a frequency of 0.0000141 in 1,205,105 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 Likely benign (★).

Frequency

Genomes: 𝑓 0.000035 ( 0 hom., 0 hem., cov: 24)
Exomes 𝑓: 0.000012 ( 0 hom. 2 hem. )

Consequence

MED12
NM_005120.3 missense

Scores

2
5
9

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 5.82

Publications

1 publications found
Variant links:
Genes affected
MED12 (HGNC:11957): (mediator complex subunit 12) The initiation of transcription is controlled in part by a large protein assembly known as the preinitiation complex. A component of this preinitiation complex is a 1.2 MDa protein aggregate called Mediator. This Mediator component binds with a CDK8 subcomplex which contains the protein encoded by this gene, mediator complex subunit 12 (MED12), along with MED13, CDK8 kinase, and cyclin C. The CDK8 subcomplex modulates Mediator-polymerase II interactions and thereby regulates transcription initiation and reinitation rates. The MED12 protein is essential for activating CDK8 kinase. Defects in this gene cause X-linked Opitz-Kaveggia syndrome, also known as FG syndrome, and Lujan-Fryns syndrome. [provided by RefSeq, Aug 2009]
MED12 Gene-Disease associations (from GenCC):
  • FG syndrome 1
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet
  • MED12-related intellectual disability syndrome
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • X-linked intellectual disability with marfanoid habitus
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet
  • blepharophimosis - intellectual disability syndrome, MKB type
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • cholestasis-pigmentary retinopathy-cleft palate syndrome
    Inheritance: XL Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)

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=0.13404664).
BP6
Variant X-71130195-G-A is Benign according to our data. Variant chrX-71130195-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 220794.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005120.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MED12
NM_005120.3
MANE Select
c.4028G>Ap.Arg1343His
missense
Exon 28 of 45NP_005111.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MED12
ENST00000374080.8
TSL:1 MANE Select
c.4028G>Ap.Arg1343His
missense
Exon 28 of 45ENSP00000363193.3
MED12
ENST00000374102.6
TSL:1
c.4028G>Ap.Arg1343His
missense
Exon 28 of 45ENSP00000363215.2
MED12
ENST00000690145.1
c.4028G>Ap.Arg1343His
missense
Exon 28 of 45ENSP00000508818.1

Frequencies

GnomAD3 genomes
AF:
0.0000353
AC:
4
AN:
113254
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.0000641
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:
0.0000374
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000118
AC:
2
AN:
170175
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000265
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000119
AC:
13
AN:
1091851
Hom.:
0
Cov.:
33
AF XY:
0.00000558
AC XY:
2
AN XY:
358165
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26267
American (AMR)
AF:
0.00
AC:
0
AN:
34756
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19277
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29963
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53024
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40159
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3522
European-Non Finnish (NFE)
AF:
0.0000155
AC:
13
AN:
839092
Other (OTH)
AF:
0.00
AC:
0
AN:
45791
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
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 Het
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
AF:
0.0000353
AC:
4
AN:
113254
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
35388
show subpopulations
African (AFR)
AF:
0.0000641
AC:
2
AN:
31197
American (AMR)
AF:
0.00
AC:
0
AN:
10753
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2661
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3616
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6300
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
240
European-Non Finnish (NFE)
AF:
0.0000374
AC:
2
AN:
53448
Other (OTH)
AF:
0.00
AC:
0
AN:
1526
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000189
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000154
AC:
1
ExAC
AF:
0.0000331
AC:
4

ClinVar

ClinVar submissions as Germline

Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
FG syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.010
CADD
Uncertain
25
DANN
Benign
0.73
DEOGEN2
Benign
0.027
T
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.88
D
M_CAP
Benign
0.068
D
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
0.14
N
PhyloP100
5.8
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
0.66
N
REVEL
Uncertain
0.39
Sift
Benign
0.64
T
Sift4G
Benign
0.37
T
Polyphen
0.29
B
Vest4
0.22
MVP
0.99
MPC
1.7
ClinPred
0.21
T
GERP RS
4.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.29
gMVP
0.59
Mutation Taster
=65/35
polymorphism

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: rs201044355; hg19: chrX-70350045; COSMIC: COSV61338411; COSMIC: COSV61338411; API