rs778775959

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM1PM2

The NM_030973.4(MED25):​c.295G>A​(p.Asp99Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00001 in 1,594,816 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000071 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000010 ( 0 hom. )

Consequence

MED25
NM_030973.4 missense

Scores

3
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.02

Publications

0 publications found
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]
MED25 Gene-Disease associations (from GenCC):
  • congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
  • autosomal recessive non-syndromic intellectual disability
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Charcot-Marie-Tooth disease type 2B2
    Inheritance: AR Classification: SUPPORTIVE, NO_KNOWN Submitted by: ClinGen, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 10 uncertain in NM_030973.4
PM2
Very rare variant in population databases, with high coverage;

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_030973.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MED25
NM_030973.4
MANE Select
c.295G>Ap.Asp99Asn
missense
Exon 3 of 18NP_112235.2Q71SY5-1
MED25
NM_001378355.1
c.295G>Ap.Asp99Asn
missense
Exon 3 of 18NP_001365284.1M0QZQ2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MED25
ENST00000312865.10
TSL:1 MANE Select
c.295G>Ap.Asp99Asn
missense
Exon 3 of 18ENSP00000326767.5Q71SY5-1
MED25
ENST00000595185.5
TSL:1
c.295G>Ap.Asp99Asn
missense
Exon 3 of 7ENSP00000470027.1M0QYR4
MED25
ENST00000538643.5
TSL:1
c.180+670G>A
intron
N/AENSP00000437496.1Q71SY5-6

Frequencies

GnomAD3 genomes
AF:
0.00000706
AC:
1
AN:
141680
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000153
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000119
AC:
3
AN:
251340
AF XY:
0.0000147
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:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000103
AC:
15
AN:
1453136
Hom.:
0
Cov.:
33
AF XY:
0.00000830
AC XY:
6
AN XY:
722858
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33168
American (AMR)
AF:
0.00
AC:
0
AN:
44346
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25834
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38576
South Asian (SAS)
AF:
0.0000812
AC:
7
AN:
86182
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52512
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5744
European-Non Finnish (NFE)
AF:
0.00000542
AC:
6
AN:
1106958
Other (OTH)
AF:
0.0000334
AC:
2
AN:
59816
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.00000706
AC:
1
AN:
141680
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
68884
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
37608
American (AMR)
AF:
0.00
AC:
0
AN:
13902
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3312
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4660
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4444
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9510
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
290
European-Non Finnish (NFE)
AF:
0.0000153
AC:
1
AN:
65158
Other (OTH)
AF:
0.00
AC:
0
AN:
1924
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
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:
0.0000434
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.00000824
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Charcot-Marie-Tooth disease type 2 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.56
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.55
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.13
T
Eigen
Pathogenic
0.69
Eigen_PC
Pathogenic
0.72
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.89
D
M_CAP
Benign
0.025
D
MetaRNN
Uncertain
0.47
T
MetaSVM
Benign
-1.2
T
MutationAssessor
Benign
1.9
L
PhyloP100
7.0
PrimateAI
Uncertain
0.66
T
PROVEAN
Uncertain
-3.2
D
REVEL
Benign
0.23
Sift
Benign
0.039
D
Sift4G
Uncertain
0.028
D
Polyphen
1.0
D
Vest4
0.46
MutPred
0.39
Gain of ubiquitination at K102 (P = 0.1047)
MVP
0.60
MPC
1.2
ClinPred
0.97
D
GERP RS
5.4
Varity_R
0.35
gMVP
0.60
Mutation Taster
=38/62
disease causing

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: rs778775959; hg19: chr19-50322543; API