1-197929161-A-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_020204.3(LHX9):​c.1096A>T​(p.Thr366Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0000112 in 1,612,590 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T366N) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

LHX9
NM_020204.3 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.97
Variant links:
Genes affected
LHX9 (HGNC:14222): (LIM homeobox 9) This gene encodes a member of the LIM homeobox gene family of developmentally expressed transcription factors. The encoded protein contains a homeodomain and two cysteine-rich zinc-binding LIM domains involved in protein-protein interactions. The protein is highly similar to a mouse protein that causes gonadal agenesis when inactivated, suggesting a role in gonadal development. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17228484).
BS2
High AC in GnomAd4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LHX9NM_020204.3 linkuse as main transcriptc.1096A>T p.Thr366Ser missense_variant 5/5 ENST00000367387.6 NP_064589.2 Q9NQ69-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LHX9ENST00000367387.6 linkuse as main transcriptc.1096A>T p.Thr366Ser missense_variant 5/51 NM_020204.3 ENSP00000356357.4 Q9NQ69-1
LHX9ENST00000367390.7 linkuse as main transcriptc.1069A>T p.Thr357Ser missense_variant 6/61 ENSP00000356360.3 Q9NQ69-2
LHX9ENST00000561173.5 linkuse as main transcriptc.954+1368A>T intron_variant 5 ENSP00000453064.1 H0YL54
LHX9ENST00000367391.5 linkuse as main transcriptc.909+1368A>T intron_variant 5 ENSP00000356361.1 Q9NQ69-3

Frequencies

GnomAD3 genomes
AF:
0.0000330
AC:
5
AN:
151622
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000656
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:
0.0000589
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000798
AC:
2
AN:
250590
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135514
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000890
AC:
13
AN:
1460968
Hom.:
0
Cov.:
32
AF XY:
0.00000688
AC XY:
5
AN XY:
726822
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:
0.00
Gnomad4 NFE exome
AF:
0.0000117
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000330
AC:
5
AN:
151622
Hom.:
0
Cov.:
32
AF XY:
0.0000405
AC XY:
3
AN XY:
74040
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000656
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000589
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000302
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.0000546
EpiControl
AF:
0.000119

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 16, 2023The c.1096A>T (p.T366S) alteration is located in exon 5 (coding exon 5) of the LHX9 gene. This alteration results from a A to T substitution at nucleotide position 1096, causing the threonine (T) at amino acid position 366 to be replaced by a serine (S). 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
0.11
BayesDel_addAF
Benign
-0.026
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
17
DANN
Uncertain
0.98
DEOGEN2
Benign
0.16
.;T
Eigen
Benign
-0.060
Eigen_PC
Benign
0.094
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.86
D;D
M_CAP
Benign
0.065
D
MetaRNN
Benign
0.17
T;T
MetaSVM
Benign
-0.37
T
MutationAssessor
Benign
0.81
.;L
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-0.30
N;N
REVEL
Uncertain
0.34
Sift
Benign
0.28
T;T
Sift4G
Benign
0.28
T;T
Polyphen
0.62
P;P
Vest4
0.096
MutPred
0.11
.;Loss of catalytic residue at T366 (P = 0.0842);
MVP
0.53
MPC
0.55
ClinPred
0.65
D
GERP RS
4.7
Varity_R
0.14
gMVP
0.33

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: rs778233746; hg19: chr1-197898291; API