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GeneBe

1-154273885-G-C

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 2P and 3B. PM2BP4_ModerateBS1_Supporting

The NM_006118.4(HAX1):ā€‹c.428G>Cā€‹(p.Gly143Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000121 in 1,614,130 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G143R) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.00014 ( 1 hom., cov: 31)
Exomes š‘“: 0.00012 ( 0 hom. )

Consequence

HAX1
NM_006118.4 missense

Scores

5
14

Clinical Significance

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

Conservation

PhyloP100: 0.688
Variant links:
Genes affected
HAX1 (HGNC:16915): (HCLS1 associated protein X-1) The protein encoded by this gene is known to associate with hematopoietic cell-specific Lyn substrate 1, a substrate of Src family tyrosine kinases. It also interacts with the product of the polycystic kidney disease 2 gene, mutations in which are associated with autosomal-dominant polycystic kidney disease, and with the F-actin-binding protein, cortactin. It was earlier thought that this gene product is mainly localized in the mitochondria, however, recent studies indicate it to be localized in the cell body. Mutations in this gene result in autosomal recessive severe congenital neutropenia, also known as Kostmann disease. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.11071029).
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.000118 (173/1461888) while in subpopulation MID AF= 0.00537 (31/5768). AF 95% confidence interval is 0.00389. There are 0 homozygotes in gnomad4_exome. There are 105 alleles in male gnomad4_exome subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HAX1NM_006118.4 linkuse as main transcriptc.428G>C p.Gly143Ala missense_variant 3/7 ENST00000328703.12
HAX1NM_001018837.2 linkuse as main transcriptc.284G>C p.Gly95Ala missense_variant 3/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HAX1ENST00000328703.12 linkuse as main transcriptc.428G>C p.Gly143Ala missense_variant 3/71 NM_006118.4 P3O00165-1

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152124
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000231
AC:
58
AN:
251426
Hom.:
0
AF XY:
0.000272
AC XY:
37
AN XY:
135890
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000665
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000294
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000193
Gnomad OTH exome
AF:
0.000489
GnomAD4 exome
AF:
0.000118
AC:
173
AN:
1461888
Hom.:
0
Cov.:
33
AF XY:
0.000144
AC XY:
105
AN XY:
727246
show subpopulations
Gnomad4 AFR exome
AF:
0.000119
Gnomad4 AMR exome
AF:
0.000715
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000267
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000620
Gnomad4 OTH exome
AF:
0.000232
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
152242
Hom.:
1
Cov.:
31
AF XY:
0.000202
AC XY:
15
AN XY:
74434
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000191
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000225
Hom.:
0
Bravo
AF:
0.000200
ExAC
AF:
0.000214
AC:
26
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.000273
EpiControl
AF:
0.000119

ClinVar

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

Submissions by phenotype

Kostmann syndrome Uncertain:2Benign:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeAug 24, 2022This sequence change replaces glycine, which is neutral and non-polar, with alanine, which is neutral and non-polar, at codon 143 of the HAX1 protein (p.Gly143Ala). This variant is present in population databases (rs755031266, gnomAD 0.07%). This missense change has been observed in individual(s) with severe congenital neutropenia (PMID: 19036076). ClinVar contains an entry for this variant (Variation ID: 574945). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). 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. -
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityJul 20, 2022- -
Likely benign, no assertion criteria providedclinical testingNatera, Inc.Jan 08, 2020- -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 14, 2022The c.428G>C (p.G143A) alteration is located in exon 3 (coding exon 3) of the HAX1 gene. This alteration results from a G to C substitution at nucleotide position 428, causing the glycine (G) at amino acid position 143 to be replaced by an alanine (A). 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
Benign
0.098
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T;.;.;T
Eigen
Benign
0.10
Eigen_PC
Benign
0.14
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Uncertain
0.86
D;D;D;D
M_CAP
Benign
0.033
D
MetaRNN
Benign
0.11
T;T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Uncertain
2.2
M;.;.;.
MutationTaster
Benign
0.99
N;N;N;N
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-0.39
N;N;N;N
REVEL
Benign
0.10
Sift
Benign
0.045
D;T;D;D
Sift4G
Uncertain
0.037
D;T;D;D
Polyphen
0.20
B;P;B;.
Vest4
0.27
MVP
0.87
MPC
0.66
ClinPred
0.044
T
GERP RS
4.0
Varity_R
0.12
gMVP
0.42

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: rs755031266; hg19: chr1-154246361; API