rs606231174

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP3BS2

The NM_001024630.4(RUNX2):​c.231_260delTGCGGCGGCGGCGGCGGCTGCGGCGGCGGC​(p.Ala78_Ala87del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.00000813 in 1,352,972 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Synonymous variant affecting the same amino acid position (i.e. A77A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000015 ( 0 hom., cov: 29)
Exomes 𝑓: 0.0000074 ( 0 hom. )

Consequence

RUNX2
NM_001024630.4 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 6.36

Publications

0 publications found
Variant links:
Genes affected
RUNX2 (HGNC:10472): (RUNX family transcription factor 2) This gene is a member of the RUNX family of transcription factors and encodes a nuclear protein with an Runt DNA-binding domain. This protein is essential for osteoblastic differentiation and skeletal morphogenesis and acts as a scaffold for nucleic acids and regulatory factors involved in skeletal gene expression. The protein can bind DNA both as a monomer or, with more affinity, as a subunit of a heterodimeric complex. Two regions of potential trinucleotide repeat expansions are present in the N-terminal region of the encoded protein, and these and other mutations in this gene have been associated with the bone development disorder cleidocranial dysplasia (CCD). Transcript variants that encode different protein isoforms result from the use of alternate promoters as well as alternate splicing. [provided by RefSeq, Jul 2016]
RUNX2 Gene-Disease associations (from GenCC):
  • cleidocranial dysplasia 1
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, PanelApp Australia, Orphanet
  • metaphyseal dysplasia-maxillary hypoplasia-brachydacty syndrome
    Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001024630.4
BS2
High AC in GnomAdExome4 at 9 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001024630.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RUNX2
NM_001024630.4
MANE Select
c.231_260delTGCGGCGGCGGCGGCGGCTGCGGCGGCGGCp.Ala78_Ala87del
disruptive_inframe_deletion
Exon 3 of 9NP_001019801.3Q13950-1
RUNX2
NM_001369405.1
c.189_218delTGCGGCGGCGGCGGCGGCTGCGGCGGCGGCp.Ala64_Ala73del
disruptive_inframe_deletion
Exon 1 of 7NP_001356334.1Q13950-2
RUNX2
NM_001015051.4
c.231_260delTGCGGCGGCGGCGGCGGCTGCGGCGGCGGCp.Ala78_Ala87del
disruptive_inframe_deletion
Exon 3 of 8NP_001015051.3Q13950-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RUNX2
ENST00000647337.2
MANE Select
c.231_260delTGCGGCGGCGGCGGCGGCTGCGGCGGCGGCp.Ala78_Ala87del
disruptive_inframe_deletion
Exon 3 of 9ENSP00000495497.1Q13950-1
RUNX2
ENST00000359524.7
TSL:1
c.189_218delTGCGGCGGCGGCGGCGGCTGCGGCGGCGGCp.Ala64_Ala73del
disruptive_inframe_deletion
Exon 1 of 7ENSP00000352514.5Q13950-2
RUNX2
ENST00000625924.1
TSL:1
c.189_218delTGCGGCGGCGGCGGCGGCTGCGGCGGCGGCp.Ala64_Ala73del
disruptive_inframe_deletion
Exon 1 of 6ENSP00000485863.1A0A0D9SEN7

Frequencies

GnomAD3 genomes
AF:
0.0000145
AC:
2
AN:
137758
Hom.:
0
Cov.:
29
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000169
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000644
AC:
1
AN:
155292
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000741
AC:
9
AN:
1215214
Hom.:
0
AF XY:
0.00000827
AC XY:
5
AN XY:
604230
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
27226
American (AMR)
AF:
0.00
AC:
0
AN:
27686
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20386
East Asian (EAS)
AF:
0.0000326
AC:
1
AN:
30720
South Asian (SAS)
AF:
0.0000277
AC:
2
AN:
72204
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
44038
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4722
European-Non Finnish (NFE)
AF:
0.00000640
AC:
6
AN:
938148
Other (OTH)
AF:
0.00
AC:
0
AN:
50084
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.514
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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:
0.0000145
AC:
2
AN:
137758
Hom.:
0
Cov.:
29
AF XY:
0.0000148
AC XY:
1
AN XY:
67500
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000251
AC:
1
AN:
39796
American (AMR)
AF:
0.00
AC:
0
AN:
13776
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3066
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4956
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4724
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9392
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
280
European-Non Finnish (NFE)
AF:
0.0000169
AC:
1
AN:
59212
Other (OTH)
AF:
0.00
AC:
0
AN:
1880
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.00000000770867), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.400
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:
0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
6.4
Mutation Taster
=176/24
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs606231174; hg19: chr6-45390490; API