19-19192338-C-A

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBA1

The NM_003721.4(RFXANK):​c.-366C>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00928 in 602,098 control chromosomes in the GnomAD database, including 247 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.027 ( 192 hom., cov: 32)
Exomes 𝑓: 0.0034 ( 55 hom. )

Consequence

RFXANK
NM_003721.4 5_prime_UTR

Scores

2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -1.56
Variant links:
Genes affected
RFXANK (HGNC:9987): (regulatory factor X associated ankyrin containing protein) Major histocompatibility (MHC) class II molecules are transmembrane proteins that have a central role in development and control of the immune system. The protein encoded by this gene, along with regulatory factor X-associated protein and regulatory factor-5, forms a complex that binds to the X box motif of certain MHC class II gene promoters and activates their transcription. Once bound to the promoter, this complex associates with the non-DNA-binding factor MHC class II transactivator, which controls the cell type specificity and inducibility of MHC class II gene expression. This protein contains ankyrin repeats involved in protein-protein interactions. Mutations in this gene have been linked to bare lymphocyte syndrome type II, complementation group B. Multiple alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2013]
BORCS8 (HGNC:37247): (BLOC-1 related complex subunit 8) Involved in heart development. Part of BORC complex. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.83).
BP6
Variant 19-19192338-C-A is Benign according to our data. Variant chr19-19192338-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 328634.Status of the report is criteria_provided_single_submitter, 1 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0908 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RFXANKNM_003721.4 linkuse as main transcriptc.-366C>A 5_prime_UTR_variant 1/10 ENST00000303088.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RFXANKENST00000303088.9 linkuse as main transcriptc.-366C>A 5_prime_UTR_variant 1/101 NM_003721.4 P1O14593-1

Frequencies

GnomAD3 genomes
AF:
0.0267
AC:
4068
AN:
152102
Hom.:
193
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0935
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00910
Gnomad ASJ
AF:
0.00317
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000338
Gnomad OTH
AF:
0.0115
GnomAD4 exome
AF:
0.00338
AC:
1521
AN:
449878
Hom.:
55
Cov.:
5
AF XY:
0.00294
AC XY:
694
AN XY:
236002
show subpopulations
Gnomad4 AFR exome
AF:
0.0922
Gnomad4 AMR exome
AF:
0.00693
Gnomad4 ASJ exome
AF:
0.00277
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000225
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000178
Gnomad4 OTH exome
AF:
0.00765
GnomAD4 genome
AF:
0.0267
AC:
4067
AN:
152220
Hom.:
192
Cov.:
32
AF XY:
0.0251
AC XY:
1868
AN XY:
74422
show subpopulations
Gnomad4 AFR
AF:
0.0932
Gnomad4 AMR
AF:
0.00902
Gnomad4 ASJ
AF:
0.00317
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000338
Gnomad4 OTH
AF:
0.0114
Alfa
AF:
0.0146
Hom.:
13
Bravo
AF:
0.0303
Asia WGS
AF:
0.00462
AC:
16
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

MHC class II deficiency Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.83
CADD
Benign
1.8
DANN
Benign
0.81

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: rs116660619; hg19: chr19-19303147; API