rs201934320
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Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM1BP6BS2
The NM_000545.8(HNF1A):c.521C>T(p.Ala174Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000737 in 1,614,080 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.00012 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000069 ( 0 hom. )
Consequence
HNF1A
NM_000545.8 missense
NM_000545.8 missense
Scores
4
5
9
Clinical Significance
Conservation
PhyloP100: 1.76
Genes affected
HNF1A (HGNC:11621): (HNF1 homeobox A) The protein encoded by this gene is a transcription factor required for the expression of several liver-specific genes. The encoded protein functions as a homodimer and binds to the inverted palindrome 5'-GTTAATNATTAAC-3'. Defects in this gene are a cause of maturity onset diabetes of the young type 3 (MODY3) and also can result in the appearance of hepatic adenomas. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Apr 2015]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -3 ACMG points.
PM1
In a domain POU-specific atypical (size 95) in uniprot entity HNF1A_HUMAN there are 52 pathogenic changes around while only 3 benign (95%) in NM_000545.8
BP6
Variant 12-120989027-C-T is Benign according to our data. Variant chr12-120989027-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 435429.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1}.
BS2
High AC in GnomAd4 at 18 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
HNF1A | NM_000545.8 | c.521C>T | p.Ala174Val | missense_variant | 2/10 | ENST00000257555.11 | NP_000536.6 | |
HNF1A | NM_001306179.2 | c.521C>T | p.Ala174Val | missense_variant | 2/10 | NP_001293108.2 | ||
HNF1A | NM_001406915.1 | c.521C>T | p.Ala174Val | missense_variant | 2/9 | NP_001393844.1 | ||
HNF1A | XM_024449168.2 | c.521C>T | p.Ala174Val | missense_variant | 2/9 | XP_024304936.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
HNF1A | ENST00000257555.11 | c.521C>T | p.Ala174Val | missense_variant | 2/10 | 1 | NM_000545.8 | ENSP00000257555.5 |
Frequencies
GnomAD3 genomes AF: 0.000118 AC: 18AN: 152174Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.000200 AC: 50AN: 250584Hom.: 0 AF XY: 0.000148 AC XY: 20AN XY: 135492
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GnomAD4 exome AF: 0.0000691 AC: 101AN: 1461788Hom.: 0 Cov.: 33 AF XY: 0.0000660 AC XY: 48AN XY: 727182
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GnomAD4 genome AF: 0.000118 AC: 18AN: 152292Hom.: 0 Cov.: 33 AF XY: 0.000134 AC XY: 10AN XY: 74470
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
not specified Uncertain:1Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Jun 08, 2023 | Variant summary: HNF1A c.521C>T (p.Ala174Val) results in a non-conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.0002 in 250584 control chromosomes in GnomAD. The observed variant frequency is approximately 8.0 fold of the estimated maximal expected allele frequency for a pathogenic variant in HNF1A causing Maturity Onset Diabetes Of The Young 3 phenotype (2.5e-05), strongly suggesting that the variant is benign. c.521C>T has been reported in the literature in individuals affected with features of Maturity Onset Diabetes Of The Young without strong evidence for causality (example: Bellann-Chantelot_2007, Furuzawa_2008, Colclough_2022, Bonnefond_2020). These reports do not provide unequivocal conclusions about association of the variant with Maturity Onset Diabetes Of The Young 3. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 18003757, 33046911, 34789499, 18672310, 33729509). Two clinical diagnostic laboratories have submitted clinical-significance assessments (likely benign and uncertain significance, respectively) for this variant to ClinVar after 2014 without evidence for independent evaluation. Based on the evidence outlined above, the variant was classified as likely benign. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Genetic Services Laboratory, University of Chicago | Apr 12, 2017 | - - |
not provided Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Oct 07, 2023 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Uncertain
T
BayesDel_noAF
Pathogenic
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
.;T;T;T;T;.
Eigen
Benign
Eigen_PC
Benign
FATHMM_MKL
Benign
D
LIST_S2
Uncertain
D;D;D;D;D;D
M_CAP
Pathogenic
D
MetaRNN
Uncertain
T;T;T;T;T;T
MetaSVM
Pathogenic
D
PrimateAI
Uncertain
T
PROVEAN
Benign
N;.;.;.;N;N
REVEL
Pathogenic
Sift
Benign
T;.;.;.;T;T
Sift4G
Benign
T;T;T;T;T;T
Polyphen
0.81
.;.;.;.;.;P
Vest4
MVP
MPC
ClinPred
T
GERP RS
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at