1-170664307-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_022716.4(PRRX1):​c.89C>A​(p.Ala30Glu) variant causes a missense change. The variant allele was found at a frequency of 0.0000031 in 1,613,564 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

PRRX1
NM_022716.4 missense

Scores

4
11
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.94
Variant links:
Genes affected
PRRX1 (HGNC:9142): (paired related homeobox 1) The DNA-associated protein encoded by this gene is a member of the paired family of homeobox proteins localized to the nucleus. The protein functions as a transcription co-activator, enhancing the DNA-binding activity of serum response factor, a protein required for the induction of genes by growth and differentiation factors. The protein regulates muscle creatine kinase, indicating a role in the establishment of diverse mesodermal muscle types. Alternative splicing yields two isoforms that differ in abundance and expression patterns. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.75

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PRRX1NM_022716.4 linkuse as main transcriptc.89C>A p.Ala30Glu missense_variant 1/4 ENST00000239461.11 NP_073207.1 P54821-1
PRRX1NM_006902.5 linkuse as main transcriptc.89C>A p.Ala30Glu missense_variant 1/5 NP_008833.1 P54821-2
PRRX1XM_006711388.4 linkuse as main transcriptc.-53C>A splice_region_variant 2/5 XP_006711451.1
PRRX1XM_006711388.4 linkuse as main transcriptc.-53C>A 5_prime_UTR_variant 2/5 XP_006711451.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PRRX1ENST00000239461.11 linkuse as main transcriptc.89C>A p.Ala30Glu missense_variant 1/41 NM_022716.4 ENSP00000239461.6 P54821-1
PRRX1ENST00000367760.7 linkuse as main transcriptc.89C>A p.Ala30Glu missense_variant 1/51 ENSP00000356734.3 P54821-2
PRRX1ENST00000497230.2 linkuse as main transcriptc.89C>A p.Ala30Glu missense_variant 1/32 ENSP00000450762.1 G3V2N3
PRRX1ENST00000553786.1 linkuse as main transcriptn.199C>A splice_region_variant, non_coding_transcript_exon_variant 2/34

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152106
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1461458
Hom.:
0
Cov.:
33
AF XY:
0.00000275
AC XY:
2
AN XY:
727006
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:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152106
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74296
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00

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 GeneticsNov 07, 2024The c.89C>A (p.A30E) alteration is located in exon 1 (coding exon 1) of the PRRX1 gene. This alteration results from a C to A substitution at nucleotide position 89, causing the alanine (A) at amino acid position 30 to be replaced by a glutamic acid (E). 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
Uncertain
0.35
BayesDel_addAF
Pathogenic
0.42
D
BayesDel_noAF
Pathogenic
0.36
CADD
Pathogenic
31
DANN
Uncertain
0.99
DEOGEN2
Benign
0.13
.;T;T
Eigen
Uncertain
0.34
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.93
D;D;D
M_CAP
Uncertain
0.29
D
MetaRNN
Pathogenic
0.75
D;D;D
MetaSVM
Uncertain
0.20
D
MutationAssessor
Benign
0.81
L;L;.
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-0.39
N;N;N
REVEL
Uncertain
0.64
Sift
Uncertain
0.0010
D;D;D
Sift4G
Uncertain
0.034
D;D;D
Polyphen
0.94
P;P;.
Vest4
0.79
MVP
0.98
MPC
1.9
ClinPred
0.77
D
GERP RS
3.8
Varity_R
0.55
gMVP
0.53

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: rs1213848347; hg19: chr1-170633448; API