rs712701

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BA1

The NM_001366110.1(PAX4):​c.986A>C​(p.His329Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.765 in 1,604,714 control chromosomes in the GnomAD database, including 474,935 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.74 ( 42570 hom., cov: 33)
Exomes 𝑓: 0.77 ( 432365 hom. )

Consequence

PAX4
NM_001366110.1 missense

Scores

15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:6

Conservation

PhyloP100: -1.26

Publications

55 publications found
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]
PAX4 Gene-Disease associations (from GenCC):
  • maturity-onset diabetes of the young
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • diabetes mellitus, noninsulin-dependent
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
  • maturity-onset diabetes of the young type 9
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
  • monogenic diabetes
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.1978148E-6).
BP6
Variant 7-127611134-T-G is Benign according to our data. Variant chr7-127611134-T-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 129878.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.778 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PAX4NM_001366110.1 linkc.986A>C p.His329Pro missense_variant Exon 12 of 12 ENST00000639438.3 NP_001353039.1
PAX4NM_001366111.1 linkc.914-149A>C intron_variant Intron 9 of 9 NP_001353040.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PAX4ENST00000639438.3 linkc.986A>C p.His329Pro missense_variant Exon 12 of 12 5 NM_001366110.1 ENSP00000491782.1 A0A1W2PPX4

Frequencies

GnomAD3 genomes
AF:
0.744
AC:
113033
AN:
152018
Hom.:
42543
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.715
Gnomad AMI
AF:
0.797
Gnomad AMR
AF:
0.750
Gnomad ASJ
AF:
0.884
Gnomad EAS
AF:
0.369
Gnomad SAS
AF:
0.742
Gnomad FIN
AF:
0.720
Gnomad MID
AF:
0.858
Gnomad NFE
AF:
0.783
Gnomad OTH
AF:
0.745
GnomAD2 exomes
AF:
0.735
AC:
173183
AN:
235698
AF XY:
0.739
show subpopulations
Gnomad AFR exome
AF:
0.716
Gnomad AMR exome
AF:
0.720
Gnomad ASJ exome
AF:
0.877
Gnomad EAS exome
AF:
0.369
Gnomad FIN exome
AF:
0.730
Gnomad NFE exome
AF:
0.787
Gnomad OTH exome
AF:
0.767
GnomAD4 exome
AF:
0.767
AC:
1114723
AN:
1452578
Hom.:
432365
Cov.:
65
AF XY:
0.767
AC XY:
553258
AN XY:
721650
show subpopulations
African (AFR)
AF:
0.707
AC:
23607
AN:
33370
American (AMR)
AF:
0.728
AC:
31657
AN:
43464
Ashkenazi Jewish (ASJ)
AF:
0.879
AC:
22764
AN:
25908
East Asian (EAS)
AF:
0.341
AC:
13474
AN:
39482
South Asian (SAS)
AF:
0.743
AC:
62823
AN:
84564
European-Finnish (FIN)
AF:
0.731
AC:
38638
AN:
52856
Middle Eastern (MID)
AF:
0.826
AC:
4663
AN:
5646
European-Non Finnish (NFE)
AF:
0.787
AC:
871059
AN:
1107268
Other (OTH)
AF:
0.767
AC:
46038
AN:
60020
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
16396
32792
49189
65585
81981
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20530
41060
61590
82120
102650
<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:
0.743
AC:
113111
AN:
152136
Hom.:
42570
Cov.:
33
AF XY:
0.738
AC XY:
54840
AN XY:
74358
show subpopulations
African (AFR)
AF:
0.715
AC:
29666
AN:
41504
American (AMR)
AF:
0.750
AC:
11477
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.884
AC:
3069
AN:
3472
East Asian (EAS)
AF:
0.368
AC:
1896
AN:
5146
South Asian (SAS)
AF:
0.741
AC:
3575
AN:
4826
European-Finnish (FIN)
AF:
0.720
AC:
7625
AN:
10590
Middle Eastern (MID)
AF:
0.861
AC:
253
AN:
294
European-Non Finnish (NFE)
AF:
0.783
AC:
53255
AN:
67984
Other (OTH)
AF:
0.743
AC:
1568
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.511
Heterozygous variant carriers
0
1509
3018
4526
6035
7544
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
844
1688
2532
3376
4220
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.756
Hom.:
123517
Bravo
AF:
0.743
TwinsUK
AF:
0.774
AC:
2871
ALSPAC
AF:
0.784
AC:
3020
ESP6500AA
AF:
0.709
AC:
3124
ESP6500EA
AF:
0.800
AC:
6875
ExAC
AF:
0.728
AC:
88168
Asia WGS
AF:
0.583
AC:
2028
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:6
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Maturity onset diabetes mellitus in young Uncertain:1Benign:1
-
Clinical Genomics, Uppaluri K&H Personalized Medicine Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

Though PAX4 gene is associated with MODY, no sufficeint evidence is found to ascertain the role of this particular variant rs712701 in MODY yet. More clinical studies are required to validate the association. -

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:2
Dec 27, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 15509590, 20360641, 15834548, 27334367) -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Type 2 diabetes mellitus Benign:1
Sep 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
0.60
DANN
Benign
0.11
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.00036
N
LIST_S2
Benign
0.18
T;T;.
MetaRNN
Benign
0.0000012
T;T;T
MetaSVM
Benign
-0.97
T
PhyloP100
-1.3
PrimateAI
Benign
0.27
T
PROVEAN
Benign
1.4
N;.;N
REVEL
Benign
0.16
Sift
Benign
0.41
T;.;T
Sift4G
Benign
0.22
T;.;T
Polyphen
0.0
B;.;B
Vest4
0.081
MPC
0.070
ClinPred
0.0013
T
GERP RS
-3.4
gMVP
0.12
Mutation Taster
=99/1
polymorphism (auto)

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

Other links and lift over

dbSNP: rs712701; hg19: chr7-127251188; COSMIC: COSV58387831; COSMIC: COSV58387831; API