About HNF1A
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is likely benign. Select a step to read what it means.
Likely benign.A likely benign classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is ClinGen HNF1A VCEP v3.1.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
Codon 114 lies within the DNA binding domain subset (codons 107-174) defined by the HNF1A CSPEC for PM1_Supporting. The variant is not in the directly DNA-binding residue list for PM1_Moderate. Located in a statistically significant hotspot (evidence_brief).
CSPEC BS1_Strong requires gnomAD grpmax FAF ≥ 1:30,000 (≥ 0.000033). The variant has gnomAD v2.1 grpmax FAF of 9.374e-05, which exceeds this threshold by approximately 2.8-fold. This allele frequency is greater than expected for HNF1A-MODY, a rare monogenic disorder.
CSPEC BS3_Supporting requires luciferase transactivation assay showing ≥ 75% of wild-type activity. In PMID:27899486 (Najmi et al. 2017), the p.Arg114His variant demonstrated 83% transactivation activity compared to wild-type in a validated luciferase reporter assay in transfected HeLa cells, with normal nuclear localization (81% of cells with nuclear accumulation). This meets the CSPEC threshold for benign functional evidence.
ClinGen Monogenic Diabetes Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for HNF1A Version 3.1.0 v3.1.0 criteria-combination framework: matched Rule18 (1 Benign.Strong + 1 Benign.Supporting) with applied criteria: PM1 supporting, BS1 strong benign, BS3 supporting benign; maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 78 / 1,614,100 alleles. Recorded AF 4.83241e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 4.95256e-05; MAF= 0.00495%, 14/282682 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.000160321; MAF= 0.01603%, 4/24950 alleles, homozygotes = 0); grpmax FAF= 9.374e-05.
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.010. Refer to the recorded PP3/BP4 rationale for interpretation.
5 Uncertain significance · 1 Likely benign.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV57459115, n = 10 times).
This variant lies in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen HNF1A VCEP v3.1.0, with the data and sources behind each one.
27 criteria with recorded statuses: 3 met · 15 not met · 0 not assessed · 9 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000545.6:c.341G>A (p.Arg114His) is a missense variant in HNF1A, a gene in which loss-of-function variants cause autosomal dominant monogenic diabetes (MODY3).
This variant is present in gnomAD v2.1 at a grpmax filtering allele frequency of 9.374e-05 (14/282,682 alleles) and in gnomAD v4.1 at 4.428e-05 (78/1,614,100 alleles), exceeding the CSPEC BS1_Strong threshold of 1:30,000 (0.000033).
Functional characterization by Najmi et al. (2017) demonstrated that p.Arg114His retains 83% of wild-type transactivation activity in a luciferase reporter assay and shows normal nuclear localization (81%), meeting the CSPEC BS3_Supporting threshold of ≥75% activity.
The variant is located at codon 114, which lies within the CSPEC-defined DNA binding domain subset (codons 107-174), supporting application of PM1_Supporting. However, Arg114 is not among the directly DNA-binding residues specified for PM1_Moderate.
In silico predictions are indeterminate: REVEL score is 0.58 (below the CSPEC PP3 threshold of 0.70; above the BP4 threshold of 0.15); SpliceAI predicts no splicing impact (max delta 0.01).
The variant has been reported in ClinVar as Uncertain significance by 5 clinical laboratories and Likely benign by 1 laboratory (VariationID: 134508). No expert panel classification is available.
Applying the CSPEC v3.1.0 combination rules: BS1 (Strong Benign) and BS3 (Supporting Benign) are met on the benign side, while PM1 (Supporting Pathogenic) is met on the pathogenic side. Per Rule 24 (≥1 Benign Strong + ≥1 Pathogenic Supporting), the evidence is conflicting, resulting in a classification of Uncertain Significance.
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in HNF1A, mapped onto the exon structure of NM_000545.6. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| African/African American6 / 74,930 | 8e-05 |
| European (non-Finnish)65 / 1,180,056 | 5.5e-05 |
| Remaining individuals3 / 62,484 | 4.8e-05 |
| East Asian2 / 44,892 | 4.5e-05 |
| Admixed American2 / 60,006 | 3.3e-05 |
| African/African American4 / 24,950 | 0.00016 |
| Remaining individuals1 / 7,220 | 0.00014 |
| Admixed American2 / 35,422 | 5.6e-05 |
| European (non-Finnish)7 / 129,070 | 5.4e-05 |
This variant is present in gnomAD v4.1 (AF= 4.83241e-05; MAF= 0.00483%, 78/1614100 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 8.00747e-05; MAF= 0.00801%, 6/74930 alleles, homozygotes = 0); grpmax FAF= 4.428e-05.
This variant is present in gnomAD v2.1 (AF= 4.95256e-05; MAF= 0.00495%, 14/282682 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.000160321; MAF= 0.01603%, 4/24950 alleles, homozygotes = 0); grpmax FAF= 9.374e-05.
Not available in gnomAD-Canada v1.0.
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.58. BayesDel score = 0.00692358.
9 paper records listed. 1 cited in the classification.
c.341G>A R114H 83 — 81 Uncertain MODY/NA NA MODY (74, 75) Tol Ben C0 Polymorphism 22,9 3.318 × 10^-5 — Unlikely pathogenic (1/5) Class 3
Location Table 1; Results section 'Functional Evaluation'; Supplementary Table 1
Context Luciferase reporter assay (pGL3-RA rat albumin promoter) and immunofluorescence nuclear localization in transiently transfected HeLa cells
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 4.83241e-05; MAF= 0.00483%, 78/1614100 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 8.00747e-05; MAF= 0.00801%, 6/74930 alleles, homozygotes = 0); grpmax FAF= 4.428e-05.
This variant is present in gnomAD v2.1 (AF= 4.95256e-05; MAF= 0.00495%, 14/282682 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.000160321; MAF= 0.01603%, 4/24950 alleles, homozygotes = 0); grpmax FAF= 9.374e-05.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (5 clinical laboratories) and as Likely benign (1 clinical laboratory). (ClinVarID = 134508)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.58. BayesDel score = 0.00692358.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Likely Oncogenic.
This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV57459115, n = 10 times).
This variant lies in a statistically significant hotspot.