19-15228026-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_024794.3(EPHX3):​c.691G>A​(p.Glu231Lys) variant causes a missense change. The variant allele was found at a frequency of 0.000128 in 1,407,988 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 (★).

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

EPHX3
NM_024794.3 missense

Scores

7
5
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.75
Variant links:
Genes affected
EPHX3 (HGNC:23760): (epoxide hydrolase 3) Enables epoxide hydrolase activity. Involved in epoxide metabolic process. Located in intracellular membrane-bounded organelle and membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.767

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EPHX3NM_024794.3 linkuse as main transcriptc.691G>A p.Glu231Lys missense_variant 5/7 ENST00000221730.8
EPHX3NM_001142886.2 linkuse as main transcriptc.691G>A p.Glu231Lys missense_variant 6/8
EPHX3XM_024451725.2 linkuse as main transcriptc.691G>A p.Glu231Lys missense_variant 7/9
EPHX3XM_047439452.1 linkuse as main transcriptc.691G>A p.Glu231Lys missense_variant 7/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EPHX3ENST00000221730.8 linkuse as main transcriptc.691G>A p.Glu231Lys missense_variant 5/71 NM_024794.3 P1
EPHX3ENST00000435261.5 linkuse as main transcriptc.691G>A p.Glu231Lys missense_variant 6/81 P1
EPHX3ENST00000602233.5 linkuse as main transcriptc.691G>A p.Glu231Lys missense_variant 7/95 P1

Frequencies

GnomAD3 genomes
AF:
0.000180
AC:
26
AN:
144678
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000100
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000137
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:
0.000305
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000995
AC:
25
AN:
251144
Hom.:
0
AF XY:
0.000118
AC XY:
16
AN XY:
135818
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.000260
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:
0.000132
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000122
AC:
154
AN:
1263310
Hom.:
0
Cov.:
41
AF XY:
0.000112
AC XY:
70
AN XY:
626328
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000259
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000118
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000129
Gnomad4 OTH exome
AF:
0.000339
GnomAD4 genome
AF:
0.000180
AC:
26
AN:
144678
Hom.:
0
Cov.:
31
AF XY:
0.000185
AC XY:
13
AN XY:
70368
show subpopulations
Gnomad4 AFR
AF:
0.000100
Gnomad4 AMR
AF:
0.000137
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000305
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000144
Hom.:
0
Bravo
AF:
0.000147
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000132
AC:
16
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

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 GeneticsJul 28, 2021The c.691G>A (p.E231K) alteration is located in exon 5 (coding exon 5) of the EPHX3 gene. This alteration results from a G to A substitution at nucleotide position 691, causing the glutamic acid (E) at amino acid position 231 to be replaced by a lysine (K). 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
Pathogenic
0.67
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.16
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.41
T;T;T
Eigen
Pathogenic
0.77
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.86
.;D;.
M_CAP
Benign
0.046
D
MetaRNN
Pathogenic
0.77
D;D;D
MetaSVM
Benign
-1.0
T
MutationAssessor
Pathogenic
3.5
M;M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.59
T
PROVEAN
Uncertain
-3.7
D;D;.
REVEL
Benign
0.24
Sift
Pathogenic
0.0
D;D;.
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.81
MVP
0.38
MPC
0.75
ClinPred
0.79
D
GERP RS
5.0
Varity_R
0.64
gMVP
0.49

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs200446572; hg19: chr19-15338837; COSMIC: COSV104380815; COSMIC: COSV104380815; API