14-28767410-AC-ACC

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_005249.5(FOXG1):​c.136dupC​(p.Gln46ProfsTer75) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000236 in 1,269,798 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★). Synonymous variant affecting the same amino acid position (i.e. Q46Q) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 30)
Exomes 𝑓: 0.0000024 ( 0 hom. )

Consequence

FOXG1
NM_005249.5 frameshift

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, single submitter P:1O:1

Conservation

PhyloP100: -0.127

Publications

2 publications found
Variant links:
Genes affected
FOXG1 (HGNC:3811): (forkhead box G1) This locus encodes a member of the fork-head transcription factor family. The encoded protein, which functions as a transcriptional repressor, is highly expressed in neural tissues during brain development. Mutations at this locus have been associated with Rett syndrome and a diverse spectrum of neurodevelopmental disorders defined as part of the FOXG1 syndrome. This gene is disregulated in many types of cancer and is the target of multiple microRNAs that regulate the proliferation of tumor cells. [provided by RefSeq, Jul 2020]
LINC01551 (HGNC:19828): (long intergenic non-protein coding RNA 1551)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 12 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 277 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 14-28767410-A-AC is Pathogenic according to our data. Variant chr14-28767410-A-AC is described in ClinVar as Pathogenic. ClinVar VariationId is 205496.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005249.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXG1
NM_005249.5
MANE Select
c.136dupCp.Gln46ProfsTer75
frameshift
Exon 1 of 1NP_005240.3

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXG1
ENST00000313071.7
TSL:6 MANE Select
c.136dupCp.Gln46ProfsTer75
frameshift
Exon 1 of 1ENSP00000339004.3
FOXG1
ENST00000706482.1
c.136dupCp.Gln46ProfsTer75
frameshift
Exon 2 of 2ENSP00000516406.1
LINC01551
ENST00000675861.1
n.374+1402dupC
intron
N/A

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD4 exome
AF:
0.00000236
AC:
3
AN:
1269798
Hom.:
0
Cov.:
31
AF XY:
0.00000159
AC XY:
1
AN XY:
629736
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000383
AC:
1
AN:
26114
American (AMR)
AF:
0.00
AC:
0
AN:
32044
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19724
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26226
South Asian (SAS)
AF:
0.00
AC:
0
AN:
74814
European-Finnish (FIN)
AF:
0.0000233
AC:
1
AN:
42980
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4094
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
995466
Other (OTH)
AF:
0.0000207
AC:
1
AN:
48336
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
30

ClinVar

ClinVar submissions as Germline
Significance:Pathogenic
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
not provided (1)
-
-
-
Rett syndrome, congenital variant (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
-0.13
Mutation Taster
=1/199
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs587783629; hg19: chr14-29236616; API