rs80356464

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_175875.5(SIX5):​c.1655C>T​(p.Thr552Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000244 in 1,611,952 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. T552T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00024 ( 0 hom. )

Consequence

SIX5
NM_175875.5 missense

Scores

1
11
7

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3O:1

Conservation

PhyloP100: 1.13
Variant links:
Genes affected
SIX5 (HGNC:10891): (SIX homeobox 5) The protein encoded by this gene is a homeodomain-containing transcription factor that appears to function in the regulation of organogenesis. This gene is located downstream of the dystrophia myotonica-protein kinase gene. Mutations in this gene are a cause of branchiootorenal syndrome type 2. [provided by RefSeq, Jul 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.40642795).
BS2
High AC in GnomAd4 at 37 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SIX5NM_175875.5 linkc.1655C>T p.Thr552Met missense_variant Exon 3 of 3 ENST00000317578.7 NP_787071.3 Q8N196

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SIX5ENST00000317578.7 linkc.1655C>T p.Thr552Met missense_variant Exon 3 of 3 1 NM_175875.5 ENSP00000316842.4 Q8N196
SIX5ENST00000560160.1 linkc.630C>T p.Asp210Asp synonymous_variant Exon 2 of 2 2 ENSP00000453239.2 H0YLK1
SIX5ENST00000560168 linkc.*1081C>T 3_prime_UTR_variant Exon 3 of 3 4 ENSP00000453189.2 H0YLF6
ENSG00000259605ENST00000559756.1 linkn.1180+102G>A intron_variant Intron 1 of 1 3

Frequencies

GnomAD3 genomes
AF:
0.000250
AC:
38
AN:
152140
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000251
AC:
61
AN:
243278
Hom.:
0
AF XY:
0.000295
AC XY:
39
AN XY:
132116
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000294
Gnomad ASJ exome
AF:
0.00122
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000994
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000404
Gnomad OTH exome
AF:
0.000168
GnomAD4 exome
AF:
0.000245
AC:
357
AN:
1459694
Hom.:
0
Cov.:
34
AF XY:
0.000270
AC XY:
196
AN XY:
726036
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000675
Gnomad4 ASJ exome
AF:
0.000806
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000105
Gnomad4 FIN exome
AF:
0.0000189
Gnomad4 NFE exome
AF:
0.000276
Gnomad4 OTH exome
AF:
0.000232
GnomAD4 genome
AF:
0.000243
AC:
37
AN:
152258
Hom.:
0
Cov.:
33
AF XY:
0.000134
AC XY:
10
AN XY:
74442
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.000261
Gnomad4 ASJ
AF:
0.00115
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000397
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000379
Hom.:
0
Bravo
AF:
0.000287
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000582
AC:
5
ExAC
AF:
0.000248
AC:
30

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Branchiootorenal syndrome 2 Uncertain:2Other:1
-
GeneReviews
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

Feb 01, 2011
OMIM
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: literature only

- -

May 28, 2019
Mendelics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Uncertain:1
Jul 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces threonine, which is neutral and polar, with methionine, which is neutral and non-polar, at codon 552 of the SIX5 protein (p.Thr552Met). This variant is present in population databases (rs80356464, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with branchio-oto-renal syndrome (PMID: 17357085, 24429398). ClinVar contains an entry for this variant (Variation ID: 8601). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt SIX5 protein function with a negative predictive value of 80%. Experimental studies have shown that this missense change affects SIX5 function (PMID: 17357085). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Uncertain
0.051
T
BayesDel_noAF
Pathogenic
0.16
CADD
Pathogenic
30
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T;T
Eigen
Uncertain
0.27
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.80
.;T
M_CAP
Uncertain
0.24
D
MetaRNN
Benign
0.41
T;T
MetaSVM
Uncertain
0.44
D
MutationAssessor
Benign
0.55
N;N
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-1.0
.;N
REVEL
Uncertain
0.53
Sift
Uncertain
0.0010
.;D
Sift4G
Uncertain
0.0050
.;D
Polyphen
1.0
D;D
Vest4
0.86
MVP
0.91
MPC
0.31
ClinPred
0.062
T
GERP RS
4.4
Varity_R
0.065
gMVP
0.62

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: rs80356464; hg19: chr19-46269324; COSMIC: COSV52177801; COSMIC: COSV52177801; API