12-85280452-G-T

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_006982.3(ALX1):​c.191G>T​(p.Arg64Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00617 in 1,611,802 control chromosomes in the GnomAD database, including 40 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0041 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0064 ( 39 hom. )

Consequence

ALX1
NM_006982.3 missense

Scores

1
10
8

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 3.82
Variant links:
Genes affected
ALX1 (HGNC:1494): (ALX homeobox 1) The specific function of this gene has yet to be determined in humans; however, in rodents, it is necessary for survival of the forebrain mesenchyme and may also be involved in development of the cervix. Mutations in the mouse gene lead to neural tube defects such as acrania and meroanencephaly. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01105988).
BP6
Variant 12-85280452-G-T is Benign according to our data. Variant chr12-85280452-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 287469.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAdExome4 at 39 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ALX1NM_006982.3 linkc.191G>T p.Arg64Leu missense_variant Exon 1 of 4 ENST00000316824.4 NP_008913.2 Q15699V9HWA7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ALX1ENST00000316824.4 linkc.191G>T p.Arg64Leu missense_variant Exon 1 of 4 1 NM_006982.3 ENSP00000315417.3 Q15699

Frequencies

GnomAD3 genomes
AF:
0.00412
AC:
626
AN:
152056
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00445
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00353
Gnomad FIN
AF:
0.00170
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00670
Gnomad OTH
AF:
0.00478
GnomAD3 exomes
AF:
0.00432
AC:
1076
AN:
249354
Hom.:
9
AF XY:
0.00444
AC XY:
601
AN XY:
135224
show subpopulations
Gnomad AFR exome
AF:
0.00119
Gnomad AMR exome
AF:
0.00316
Gnomad ASJ exome
AF:
0.00189
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00216
Gnomad FIN exome
AF:
0.00250
Gnomad NFE exome
AF:
0.00696
Gnomad OTH exome
AF:
0.00475
GnomAD4 exome
AF:
0.00638
AC:
9316
AN:
1459628
Hom.:
39
Cov.:
32
AF XY:
0.00619
AC XY:
4497
AN XY:
726108
show subpopulations
Gnomad4 AFR exome
AF:
0.00111
Gnomad4 AMR exome
AF:
0.00306
Gnomad4 ASJ exome
AF:
0.00176
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00273
Gnomad4 FIN exome
AF:
0.00229
Gnomad4 NFE exome
AF:
0.00756
Gnomad4 OTH exome
AF:
0.00508
GnomAD4 genome
AF:
0.00410
AC:
624
AN:
152174
Hom.:
1
Cov.:
32
AF XY:
0.00397
AC XY:
295
AN XY:
74390
show subpopulations
Gnomad4 AFR
AF:
0.00120
Gnomad4 AMR
AF:
0.00445
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00332
Gnomad4 FIN
AF:
0.00170
Gnomad4 NFE
AF:
0.00669
Gnomad4 OTH
AF:
0.00473
Alfa
AF:
0.00601
Hom.:
9
Bravo
AF:
0.00440
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00649
AC:
25
ESP6500AA
AF:
0.00204
AC:
9
ESP6500EA
AF:
0.00709
AC:
61
ExAC
AF:
0.00428
AC:
520
EpiCase
AF:
0.00692
EpiControl
AF:
0.00723

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Apr 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

ALX1: BS2 -

Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Frontonasal dysplasia - severe microphthalmia - severe facial clefting syndrome Benign:2
May 28, 2019
Mendelics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 03, 2016
Genomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of Philadelphia
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:1
May 02, 2016
Eurofins Ntd Llc (ga)
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

ALX1-related disorder Benign:1
Apr 30, 2019
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Uncertain
0.067
T
BayesDel_noAF
Pathogenic
0.33
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.080
T
Eigen
Uncertain
0.35
Eigen_PC
Uncertain
0.42
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.059
D
MetaRNN
Benign
0.011
T
MetaSVM
Uncertain
0.15
D
MutationAssessor
Benign
1.2
L
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-0.68
N
REVEL
Uncertain
0.51
Sift
Uncertain
0.020
D
Sift4G
Benign
0.65
T
Polyphen
0.96
D
Vest4
0.63
MVP
0.97
MPC
0.45
ClinPred
0.035
T
GERP RS
5.5
Varity_R
0.29
gMVP
0.44

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: rs115596276; hg19: chr12-85674230; API