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rs75783546

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBS1BS2

The NM_003482.4(KMT2D):c.5868-8C>T variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00178 in 1,518,610 control chromosomes in the GnomAD database, including 42 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0086 ( 23 hom., cov: 32)
Exomes 𝑓: 0.0010 ( 19 hom. )

Consequence

KMT2D
NM_003482.4 splice_region, splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.003155
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 3.19
Variant links:
Genes affected
KMT2D (HGNC:7133): (lysine methyltransferase 2D) The protein encoded by this gene is a histone methyltransferase that methylates the Lys-4 position of histone H3. The encoded protein is part of a large protein complex called ASCOM, which has been shown to be a transcriptional regulator of the beta-globin and estrogen receptor genes. Mutations in this gene have been shown to be a cause of Kabuki syndrome. [provided by RefSeq, Oct 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.36).
BP6
Variant 12-49042338-G-A is Benign according to our data. Variant chr12-49042338-G-A is described in ClinVar as [Benign]. Clinvar id is 94231.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00863 (1314/152214) while in subpopulation AFR AF= 0.0288 (1196/41508). AF 95% confidence interval is 0.0275. There are 23 homozygotes in gnomad4. There are 594 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd at 1316 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KMT2DNM_003482.4 linkuse as main transcriptc.5868-8C>T splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000301067.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KMT2DENST00000301067.12 linkuse as main transcriptc.5868-8C>T splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 5 NM_003482.4 A2O14686-1

Frequencies

GnomAD3 genomes
AF:
0.00865
AC:
1316
AN:
152096
Hom.:
23
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0289
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00471
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00766
GnomAD3 exomes
AF:
0.00233
AC:
299
AN:
128242
Hom.:
2
AF XY:
0.00191
AC XY:
131
AN XY:
68468
show subpopulations
Gnomad AFR exome
AF:
0.0299
Gnomad AMR exome
AF:
0.00207
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000241
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000316
Gnomad OTH exome
AF:
0.00116
GnomAD4 exome
AF:
0.00102
AC:
1395
AN:
1366396
Hom.:
19
Cov.:
33
AF XY:
0.000934
AC XY:
627
AN XY:
670992
show subpopulations
Gnomad4 AFR exome
AF:
0.0306
Gnomad4 AMR exome
AF:
0.00230
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000939
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000215
Gnomad4 OTH exome
AF:
0.00247
GnomAD4 genome
AF:
0.00863
AC:
1314
AN:
152214
Hom.:
23
Cov.:
32
AF XY:
0.00798
AC XY:
594
AN XY:
74434
show subpopulations
Gnomad4 AFR
AF:
0.0288
Gnomad4 AMR
AF:
0.00471
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.00758
Alfa
AF:
0.00483
Hom.:
3
Bravo
AF:
0.00969
Asia WGS
AF:
0.00144
AC:
5
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Sep 19, 2012- -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoMay 22, 2014- -
Kabuki syndrome Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxApr 01, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.36
Cadd
Benign
18
Dann
Benign
0.84
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0032
dbscSNV1_RF
Benign
0.11
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: rs75783546; hg19: chr12-49436121; COSMIC: COSV56414601; COSMIC: COSV56414601; API