rs202068364

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 0P and 0B.

This summary comes from the ClinGen Evidence Repository: NM_001754.5(RUNX1):c.1253T>G (p.Met418Arg) is a variant which does not meet any ACMG/AMP criteria. In summary, the clinical significance of this variant is uncertain. ACMG/AMP criteria applied, as specified by the Myeloid Malignancy Variant Curation Expert Panel for RUNX1: None. LINK:https://erepo.genome.network/evrepo/ui/classification/CA10014190/MONDO:0011071/008

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00080 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

RUNX1
NM_001754.5 missense

Scores

6
9
3

Clinical Significance

Uncertain significance reviewed by expert panel U:4

Conservation

PhyloP100: 8.64
Variant links:
Genes affected
RUNX1 (HGNC:10471): (RUNX family transcription factor 1) Core binding factor (CBF) is a heterodimeric transcription factor that binds to the core element of many enhancers and promoters. The protein encoded by this gene represents the alpha subunit of CBF and is thought to be involved in the development of normal hematopoiesis. Chromosomal translocations involving this gene are well-documented and have been associated with several types of leukemia. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RUNX1NM_001754.5 linkc.1253T>G p.Met418Arg missense_variant Exon 9 of 9 ENST00000675419.1 NP_001745.2 Q01196-8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RUNX1ENST00000675419.1 linkc.1253T>G p.Met418Arg missense_variant Exon 9 of 9 NM_001754.5 ENSP00000501943.1 Q01196-8

Frequencies

GnomAD3 genomes
AF:
0.000139
AC:
20
AN:
143740
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000251
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000248
Gnomad SAS
AF:
0.000513
Gnomad FIN
AF:
0.00106
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000764
Gnomad OTH
AF:
0.000495
GnomAD3 exomes
AF:
0.0000572
AC:
9
AN:
157308
Hom.:
0
AF XY:
0.0000593
AC XY:
5
AN XY:
84282
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000744
Gnomad NFE exome
AF:
0.0000969
Gnomad OTH exome
AF:
0.000451
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000799
AC:
990
AN:
1238320
Hom.:
0
Cov.:
36
AF XY:
0.000770
AC XY:
469
AN XY:
609258
show subpopulations
Gnomad4 AFR exome
AF:
0.00188
Gnomad4 AMR exome
AF:
0.00108
Gnomad4 ASJ exome
AF:
0.00237
Gnomad4 EAS exome
AF:
0.00377
Gnomad4 SAS exome
AF:
0.0000512
Gnomad4 FIN exome
AF:
0.000964
Gnomad4 NFE exome
AF:
0.000672
Gnomad4 OTH exome
AF:
0.00153
GnomAD4 genome
AF:
0.000139
AC:
20
AN:
143894
Hom.:
0
Cov.:
31
AF XY:
0.0000713
AC XY:
5
AN XY:
70102
show subpopulations
Gnomad4 AFR
AF:
0.0000251
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000248
Gnomad4 SAS
AF:
0.000510
Gnomad4 FIN
AF:
0.00106
Gnomad4 NFE
AF:
0.0000764
Gnomad4 OTH
AF:
0.000489
ExAC
AF:
0.0000988
AC:
11
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not provided Uncertain:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Jun 30, 2024
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Observed in an individual suspected to have an inherited bleeding disorder (PMID: 28748566); This variant is associated with the following publications: (PMID: 28748566) -

Hereditary thrombocytopenia and hematologic cancer predisposition syndrome Uncertain:1
Aug 12, 2024
ClinGen Myeloid Malignancy Variant Curation Expert Panel
Significance: Uncertain significance
Review Status: reviewed by expert panel
Collection Method: curation

NM_001754.5(RUNX1):c.1253T>G (p.Met418Arg) is a variant which does not meet any ACMG/AMP criteria. In summary, the clinical significance of this variant is uncertain. ACMG/AMP criteria applied, as specified by the Myeloid Malignancy Variant Curation Expert Panel for RUNX1: None. -

Hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1 Uncertain:1
Jul 21, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces methionine, which is neutral and non-polar, with arginine, which is basic and polar, at codon 418 of the RUNX1 protein (p.Met418Arg). This variant is present in population databases (rs202068364, gnomAD 0.02%). This variant has not been reported in the literature in individuals affected with RUNX1-related conditions. ClinVar contains an entry for this variant (Variation ID: 409805). 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) performed at Invitae indicates that this missense variant is not expected to disrupt RUNX1 protein function with a negative predictive value of 80%. RNA analysis performed to evaluate the impact of this missense change on mRNA splicing indicates it does not significantly alter splicing (Invitae). 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.75
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Pathogenic
0.14
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.53
D;.;.;.
Eigen
Uncertain
0.45
Eigen_PC
Uncertain
0.51
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.88
D;D;.;D
MetaRNN
Benign
0.0094
T;T;T;T
MetaSVM
Benign
-0.74
T
MutationAssessor
Uncertain
2.1
M;.;.;.
PrimateAI
Pathogenic
0.89
D
PROVEAN
Pathogenic
-4.4
D;D;D;D
REVEL
Uncertain
0.59
Sift
Pathogenic
0.0
D;D;D;D
Sift4G
Uncertain
0.017
D;D;D;T
Polyphen
0.86
P;B;B;.
Vest4
0.72
MVP
0.57
MPC
0.94
ClinPred
0.32
T
GERP RS
5.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.94
gMVP
0.94

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: rs202068364; hg19: chr21-36164622; API