rs371157406

Variant summary

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

The NM_030973.4(MED25):​c.2088G>A​(p.Leu696Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00298 in 1,609,380 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0024 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0030 ( 8 hom. )

Consequence

MED25
NM_030973.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:7

Conservation

PhyloP100: 0.690
Variant links:
Genes affected
MED25 (HGNC:28845): (mediator complex subunit 25) This gene encodes a component of the transcriptional coactivator complex termed the Mediator complex. This complex is required for transcription of most RNA polymerase II-dependent genes. The encoded protein plays a role in chromatin modification and in preinitiation complex assembly. Mutations in this gene are associated with Charcot-Marie-Tooth disease type 2B2. [provided by RefSeq, Apr 2010]

Genome browser will be placed here

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 19-49836348-G-A is Benign according to our data. Variant chr19-49836348-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 221058.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-49836348-G-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=0.69 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0024 (365/152298) while in subpopulation NFE AF= 0.00351 (239/68006). AF 95% confidence interval is 0.00315. There are 1 homozygotes in gnomad4. There are 160 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 8 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MED25NM_030973.4 linkc.2088G>A p.Leu696Leu synonymous_variant Exon 17 of 18 ENST00000312865.10 NP_112235.2 Q71SY5-1
MED25NM_001378355.1 linkc.2088G>A p.Leu696Leu synonymous_variant Exon 17 of 18 NP_001365284.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MED25ENST00000312865.10 linkc.2088G>A p.Leu696Leu synonymous_variant Exon 17 of 18 1 NM_030973.4 ENSP00000326767.5 Q71SY5-1

Frequencies

GnomAD3 genomes
AF:
0.00239
AC:
364
AN:
152180
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000700
Gnomad AMI
AF:
0.00987
Gnomad AMR
AF:
0.00294
Gnomad ASJ
AF:
0.00230
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00292
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00350
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.00268
AC:
632
AN:
235818
Hom.:
2
AF XY:
0.00251
AC XY:
324
AN XY:
129278
show subpopulations
Gnomad AFR exome
AF:
0.000433
Gnomad AMR exome
AF:
0.00246
Gnomad ASJ exome
AF:
0.00311
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000976
Gnomad FIN exome
AF:
0.00408
Gnomad NFE exome
AF:
0.00353
Gnomad OTH exome
AF:
0.00537
GnomAD4 exome
AF:
0.00304
AC:
4424
AN:
1457082
Hom.:
8
Cov.:
32
AF XY:
0.00297
AC XY:
2149
AN XY:
724582
show subpopulations
Gnomad4 AFR exome
AF:
0.000389
Gnomad4 AMR exome
AF:
0.00246
Gnomad4 ASJ exome
AF:
0.00323
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000759
Gnomad4 FIN exome
AF:
0.00449
Gnomad4 NFE exome
AF:
0.00343
Gnomad4 OTH exome
AF:
0.00185
GnomAD4 genome
AF:
0.00240
AC:
365
AN:
152298
Hom.:
1
Cov.:
33
AF XY:
0.00215
AC XY:
160
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.000698
Gnomad4 AMR
AF:
0.00294
Gnomad4 ASJ
AF:
0.00230
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.00292
Gnomad4 NFE
AF:
0.00351
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00284
Hom.:
0
Bravo
AF:
0.00232
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Sep 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

MED25: BP4, BS2 -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Polyneuropathy Uncertain:1
-
Institute of Human Genetics, University of Wuerzburg
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Charcot-Marie-Tooth disease Benign:1
-
Molecular Genetics Laboratory, London Health Sciences Centre
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:1
-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Charcot-Marie-Tooth disease type 2 Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndrome Benign:1
Aug 30, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.50
CADD
Benign
5.4
DANN
Benign
0.45

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: rs371157406; hg19: chr19-50339605; COSMIC: COSV57204599; COSMIC: COSV57204599; API