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GeneBe

1-110060772-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_006492.3(ALX3):c.993G>C(p.Lys331Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000237 in 1,519,958 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

ALX3
NM_006492.3 missense

Scores

4
9
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.444
Variant links:
Genes affected
ALX3 (HGNC:449): (ALX homeobox 3) This gene encodes a nuclear protein with a homeobox DNA-binding domain that functions as a transcriptional regulator involved in cell-type differentiation and development. Preferential methylation of this gene's promoter is associated with advanced-stage neuroblastoma tumors. [provided by RefSeq, Jul 2008]
STRIP1 (HGNC:25916): (striatin interacting protein 1) This gene encodes a member of the striatin-interacting phosphatase and kinase complex, which is involved in localization of the Golgi body. The encoded protein participates in cytosketelal organization. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2012]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ALX3NM_006492.3 linkuse as main transcriptc.993G>C p.Lys331Asn missense_variant 4/4 ENST00000647563.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ALX3ENST00000647563.2 linkuse as main transcriptc.993G>C p.Lys331Asn missense_variant 4/4 NM_006492.3 P1
ENST00000554749.1 linkuse as main transcriptn.2433C>G non_coding_transcript_exon_variant 1/1
ALX3ENST00000649954.1 linkuse as main transcriptc.564G>C p.Lys188Asn missense_variant 3/3
STRIP1ENST00000473429.5 linkuse as main transcriptn.4213+5970C>G intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
AF:
0.0000140
AC:
2
AN:
143214
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000699
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
GnomAD4 exome
AF:
0.0000247
AC:
34
AN:
1376744
Hom.:
0
Cov.:
35
AF XY:
0.0000323
AC XY:
22
AN XY:
680708
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000404
Gnomad4 NFE exome
AF:
0.0000299
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000140
AC:
2
AN:
143214
Hom.:
0
Cov.:
33
AF XY:
0.0000287
AC XY:
2
AN XY:
69646
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000699
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000153
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000151

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 10, 2023The c.993G>C (p.K331N) alteration is located in exon 4 (coding exon 4) of the ALX3 gene. This alteration results from a G to C substitution at nucleotide position 993, causing the lysine (K) at amino acid position 331 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.75
BayesDel_addAF
Pathogenic
0.19
D
BayesDel_noAF
Uncertain
0.030
Cadd
Uncertain
24
Dann
Uncertain
1.0
DEOGEN2
Uncertain
0.52
D;D;.
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Uncertain
0.89
D
M_CAP
Pathogenic
0.34
D
MetaRNN
Uncertain
0.70
D;D;D
MetaSVM
Pathogenic
0.91
D
MutationAssessor
Uncertain
2.9
M;M;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.71
T
Polyphen
1.0
D;D;.
Vest4
0.58
MutPred
0.40
Loss of methylation at K331 (P = 0.0067);Loss of methylation at K331 (P = 0.0067);.;
MVP
0.97
MPC
0.75
ClinPred
0.99
D
GERP RS
4.0
Varity_R
0.75
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: rs1162784148; hg19: chr1-110603394; API