12-109281736-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_213596.3(FOXN4):ā€‹c.965A>Gā€‹(p.Glu322Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,454,890 control chromosomes in the GnomAD database, with no homozygous occurrence. 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˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

FOXN4
NM_213596.3 missense

Scores

4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.54
Variant links:
Genes affected
FOXN4 (HGNC:21399): (forkhead box N4) Members of the winged-helix/forkhead family of transcription factors, such as FOXN4, are characterized by a 110-amino acid DNA-binding domain that can fold into a variant of the helix-turn-helix motif consisting of 3 alpha helices flanked by 2 large loops or wings. These transcription factors are involved in a variety of biologic processes as key regulators in development and metabolism (Li et al., 2004 [PubMed 15363391]).[supplied by OMIM, Mar 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3519981).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FOXN4NM_213596.3 linkuse as main transcriptc.965A>G p.Glu322Gly missense_variant 9/10 ENST00000299162.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FOXN4ENST00000299162.10 linkuse as main transcriptc.965A>G p.Glu322Gly missense_variant 9/101 NM_213596.3 P1Q96NZ1-1
FOXN4ENST00000423960.1 linkuse as main transcriptc.*63A>G 3_prime_UTR_variant, NMD_transcript_variant 6/71
FOXN4ENST00000355216.5 linkuse as main transcriptc.425A>G p.Glu142Gly missense_variant 5/62 Q96NZ1-3
FOXN4ENST00000468516.1 linkuse as main transcriptc.143-2307A>G intron_variant 2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000416
AC:
1
AN:
240148
Hom.:
0
AF XY:
0.00000763
AC XY:
1
AN XY:
131064
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:
0.00000935
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1454890
Hom.:
0
Cov.:
31
AF XY:
0.00000277
AC XY:
2
AN XY:
722906
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

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 GeneticsJan 16, 2024The c.965A>G (p.E322G) alteration is located in exon 9 (coding exon 8) of the FOXN4 gene. This alteration results from a A to G substitution at nucleotide position 965, causing the glutamic acid (E) at amino acid position 322 to be replaced by a glycine (G). 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
0.083
BayesDel_addAF
Uncertain
0.051
T
BayesDel_noAF
Benign
-0.16
CADD
Benign
15
DANN
Uncertain
1.0
Eigen
Benign
-0.19
Eigen_PC
Benign
-0.083
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.68
T;T
M_CAP
Benign
0.046
D
MetaRNN
Benign
0.35
T;T
MetaSVM
Uncertain
0.35
D
MutationTaster
Benign
0.97
D;D
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-2.2
N;N
REVEL
Benign
0.23
Sift
Benign
0.12
T;T
Sift4G
Benign
0.32
T;T
Polyphen
0.0
.;B
Vest4
0.47
MutPred
0.35
.;Gain of catalytic residue at E322 (P = 9e-04);
MVP
0.96
MPC
0.25
ClinPred
0.32
T
GERP RS
4.7
Varity_R
0.18
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: rs1385671217; hg19: chr12-109719541; API