1-47416318-G-C

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PVS1

The NM_012186.3(FOXE3):ā€‹c.3G>Cā€‹(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000067 in 1,343,496 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 32)
Exomes š‘“: 0.0000067 ( 0 hom. )

Consequence

FOXE3
NM_012186.3 start_lost

Scores

5
1
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.0610
Variant links:
Genes affected
FOXE3 (HGNC:3808): (forkhead box E3) This intronless gene belongs to the forkhead family of transcription factors, which is characterized by a distinct forkhead domain. The protein encoded functions as a lens-specific transcription factor and plays an important role in vertebrate lens formation. Mutations in this gene are associated with anterior segment mesenchymal dysgenesis and congenital primary aphakia. [provided by RefSeq, Dec 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PVS1
Start lost variant, no new inframe start found.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FOXE3NM_012186.3 linkuse as main transcriptc.3G>C p.Met1? start_lost 1/1 ENST00000335071.4
LINC01389NR_126355.1 linkuse as main transcriptn.29-6417C>G intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FOXE3ENST00000335071.4 linkuse as main transcriptc.3G>C p.Met1? start_lost 1/1 NM_012186.3 P1

Frequencies

GnomAD3 genomes
AF:
0.00000662
AC:
1
AN:
151088
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:
0.0000149
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000671
AC:
8
AN:
1192408
Hom.:
0
Cov.:
30
AF XY:
0.00000687
AC XY:
4
AN XY:
582512
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:
0.00000821
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000662
AC:
1
AN:
151088
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
73660
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:
0.0000149
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpFeb 17, 2023Variant summary: FOXE3 c.3G>C (p.Met1Ile) alters the initiation codon and is predicted to result either in absence of the protein or truncation of the encoded protein due to translation initiation at a downstream codon. The next downstream, in-frame ATG start site is at codon 7 (Exon 1), however, alternative FOXE3 transcripts have yet to be identified. Three of three in-silico tools predict a benign effect of the variant on protein function. The variant was absent in 51214 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. To our knowledge, no occurrence of c.3G>C in individuals affected with Aortic Aneurysm, Familial Thoracic 11 and no experimental evidence demonstrating its impact on protein function have been reported in the literature. However, one ClinVar submitter has identified a start-loss variant in at least one individual with clinical features of FOXE3-related disorders (Invitae). Additionally, the variant has a non-damaging PoStaL score (0.411 compared to 0.4815 which corresponds to a 95% specificity in the test set (Takata_2021)). One clinical diagnostic laboratory has submitted clinical-significance assessments for this variant to ClinVar after 2014, and classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Congenital primary aphakia;C1862839:Anterior segment dysgenesis Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 15, 2022Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. Disruption of the initiator codon has been observed in individual(s) with clinical features of autosomal dominant FOXE3-related conditions (Invitae). This variant is present in population databases (no rsID available, gnomAD 0.007%). This sequence change affects the initiator methionine of the FOXE3 mRNA. The next in-frame methionine is located at codon 7. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.57
D
BayesDel_noAF
Benign
-0.26
CADD
Benign
7.3
DANN
Benign
0.97
DEOGEN2
Benign
0.076
T
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.90
FATHMM_MKL
Benign
0.097
N
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.47
D
MetaRNN
Pathogenic
0.81
D
MetaSVM
Benign
-0.36
T
MutationTaster
Benign
1.0
N
PROVEAN
Benign
-0.65
N
REVEL
Benign
0.23
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.0030
B
Vest4
0.17
MutPred
0.96
Gain of catalytic residue at M1 (P = 0.0255);
MVP
0.67
ClinPred
0.097
T
GERP RS
1.6
Varity_R
0.83
gMVP
0.37

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: rs1275380745; hg19: chr1-47881990; API