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Variant: NM_000545.8(HNF1A):c.185A>G (p.Asn62Ser)

CA6831682

447485 (ClinVar)

Gene: HNF1A
Condition: monogenic diabetes
Inheritance Mode: Autosomal dominant inheritance
UUID: 7e62708e-dd55-42f5-9e0a-e6bdb1c0b199
Approved on: 2022-06-03
Published on: 2022-06-03

HGVS expressions

NM_000545.8:c.185A>G
NM_000545.8(HNF1A):c.185A>G (p.Asn62Ser)
NC_000012.12:g.120978953A>G
CM000674.2:g.120978953A>G
NC_000012.11:g.121416756A>G
CM000674.1:g.121416756A>G
NC_000012.10:g.119901139A>G
NG_011731.2:g.5208A>G
ENST00000257555.11:c.185A>G
ENST00000257555.10:c.185A>G
ENST00000400024.6:c.185A>G
ENST00000402929.5:n.320A>G
ENST00000535955.5:n.42+261A>G
ENST00000538626.2:n.190+113A>G
ENST00000538646.5:c.185A>G
ENST00000540108.1:c.185A>G
ENST00000541395.5:c.185A>G
ENST00000541924.5:c.185A>G
ENST00000543427.5:c.185A>G
ENST00000544413.2:c.185A>G
ENST00000544574.5:c.72+113A>G
ENST00000560968.5:n.328A>G
ENST00000615446.4:c.-258+242A>G
ENST00000617366.4:c.185A>G
NM_000545.5:c.185A>G
NM_000545.6:c.185A>G
NM_001306179.1:c.185A>G
NM_001306179.2:c.185A>G

Benign

Met criteria codes 2
BA1 BP5
Not Met criteria codes 4
BS3 PP4 PP3 PM1

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Monogenic Diabetes VCEP
The c.185A>G variant in the HNF1 homeobox A gene, HNF1A, causes an amino acid change of asparagine to serine at codon 62 (p.(Asn62Ser)) of NM_000545.8. This variant has a Popmax Filtering allele frequency in gnomAD 2.1.1 of 0.00019, which is greater than the MDEP threshold for BA1 (≥0.0001) (BA1). Furthermore, this variant was identified in a patient with an alternate molecular basis for disease (BP5; internal lab contributors). In summary, c.185A>G meets the criteria to be classified as benign for monogenic diabetes. ACMG/AMP criteria applied, as specified by the ClinGen MDEP (specification version 1.1, approved 9/30/21): BA1, BP5.
Met criteria codes
BA1
This variant has a gnomAD Popmax filtering AF greater than 0.0001 (actual value: 0.0001278) for European non-Finnish exomes.
BP5
This variant was present in one individual with GCK-MODY and one individual with hyperinsulinemia caused by an ABCC8 loss of function variant who developed diabetes post-partial pancreatectomy.
Not Met criteria codes
BS3
Najimi et al. reported that N62S HNF1A has 65% transcriptional activity and 70% of nuclear localization of wild type HNF1A.

PP4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP3
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM1
Not within DNA binding or dimerization domains.
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