rs2233580

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001366110.1(PAX4):​c.599G>A​(p.Arg200His) variant causes a missense change. The variant allele was found at a frequency of 0.00294 in 1,614,164 control chromosomes in the GnomAD database, including 258 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R200S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0032 ( 26 hom., cov: 32)
Exomes 𝑓: 0.0029 ( 232 hom. )

Consequence

PAX4
NM_001366110.1 missense

Scores

9
4
3

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 6.23
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0137498975).
BP6
Variant 7-127613496-C-T is Benign according to our data. Variant chr7-127613496-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 129875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-127613496-C-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0858 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PAX4NM_001366110.1 linkuse as main transcriptc.599G>A p.Arg200His missense_variant 8/12 ENST00000639438.3 NP_001353039.1
PAX4NM_001366111.1 linkuse as main transcriptc.599G>A p.Arg200His missense_variant 6/10 NP_001353040.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PAX4ENST00000639438.3 linkuse as main transcriptc.599G>A p.Arg200His missense_variant 8/125 NM_001366110.1 ENSP00000491782.1 A0A1W2PPX4

Frequencies

GnomAD3 genomes
AF:
0.00320
AC:
487
AN:
152168
Hom.:
26
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0925
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00820
AC:
2063
AN:
251468
Hom.:
151
AF XY:
0.00770
AC XY:
1046
AN XY:
135906
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.111
Gnomad SAS exome
AF:
0.000261
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00277
GnomAD4 exome
AF:
0.00292
AC:
4265
AN:
1461878
Hom.:
232
Cov.:
33
AF XY:
0.00282
AC XY:
2050
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.101
Gnomad4 SAS exome
AF:
0.000174
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000387
Gnomad4 OTH exome
AF:
0.00326
GnomAD4 genome
AF:
0.00320
AC:
487
AN:
152286
Hom.:
26
Cov.:
32
AF XY:
0.00385
AC XY:
287
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0927
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00265
Hom.:
31
Bravo
AF:
0.00336
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.00736
AC:
894
Asia WGS
AF:
0.0170
AC:
58
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxNov 08, 2018This variant is associated with the following publications: (PMID: 22521316, 17426099, 27398621, 27013732, 27744525, 27334367, 29632382, 31118516, 29941447, 32171037, 33046911) -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 25, 2024- -
Monogenic diabetes Benign:1
Benign, criteria provided, single submitterresearchPersonalized Diabetes Medicine Program, University of Maryland School of MedicineMay 19, 2017ACMG Criteria:PP3 (9 predictors), BP4 (2 predictors), BS2 (267 cases and 179 controls in type2diabetesgenetics.org), BS1 (almost 10% MAF in 1000g Asians), BP6 (PreventionGenetics) -
Maturity onset diabetes mellitus in young Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.53
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.90
.;.;.;.;.;D
Eigen
Pathogenic
0.96
Eigen_PC
Pathogenic
0.85
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
D;D;D;D;.;D
MetaRNN
Benign
0.014
T;T;T;T;T;T
MetaSVM
Benign
-0.32
T
PrimateAI
Uncertain
0.59
T
PROVEAN
Uncertain
-4.0
D;.;D;D;D;.
REVEL
Pathogenic
0.95
Sift
Pathogenic
0.0
D;.;D;D;D;.
Sift4G
Pathogenic
0.0
D;.;.;D;D;D
Polyphen
1.0
D;.;.;.;D;.
Vest4
0.92
MVP
0.98
MPC
0.35
ClinPred
0.17
T
GERP RS
4.9
gMVP
0.78

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2233580; hg19: chr7-127253550; COSMIC: COSV58389931; API