19-40394517-C-T

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4

The NM_181882.3(PRX):​c.3835G>A​(p.Val1279Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000483 in 1,448,158 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V1279L) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

PRX
NM_181882.3 missense

Scores

4
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.917

Publications

0 publications found
Variant links:
Genes affected
PRX (HGNC:13797): (periaxin) This gene encodes a protein involved in peripheral nerve myelin upkeep. The encoded protein contains 2 PDZ domains which were named after PSD95 (post synaptic density protein), DlgA (Drosophila disc large tumor suppressor), and ZO1 (a mammalian tight junction protein). Two alternatively spliced transcript variants have been described for this gene which encode different protein isoforms and which are targeted differently in the Schwann cell. Mutations in this gene cause Charcot-Marie-Tooth neuoropathy, type 4F and Dejerine-Sottas neuropathy. [provided by RefSeq, Jul 2008]
PRX Gene-Disease associations (from GenCC):
  • Charcot-Marie-Tooth disease type 4
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Charcot-Marie-Tooth disease type 4F
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
  • Charcot-Marie-Tooth disease type 3
    Inheritance: AD, AR Classification: MODERATE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.26856804).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_181882.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PRX
NM_181882.3
MANE Select
c.3835G>Ap.Val1279Met
missense
Exon 7 of 7NP_870998.2Q9BXM0-1
PRX
NM_001411127.1
c.4120G>Ap.Val1374Met
missense
Exon 7 of 7NP_001398056.1A0A669KBF1
PRX
NM_020956.2
c.*4040G>A
3_prime_UTR
Exon 6 of 6NP_066007.1Q9BXM0-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PRX
ENST00000324001.8
TSL:1 MANE Select
c.3835G>Ap.Val1279Met
missense
Exon 7 of 7ENSP00000326018.6Q9BXM0-1
PRX
ENST00000291825.11
TSL:1
c.*4040G>A
3_prime_UTR
Exon 6 of 6ENSP00000291825.6Q9BXM0-2
PRX
ENST00000674005.2
c.4120G>Ap.Val1374Met
missense
Exon 7 of 7ENSP00000501261.1A0A669KBF1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000449
AC:
1
AN:
222790
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000483
AC:
7
AN:
1448158
Hom.:
0
Cov.:
33
AF XY:
0.00000417
AC XY:
3
AN XY:
719816
show subpopulations
African (AFR)
AF:
0.0000302
AC:
1
AN:
33128
American (AMR)
AF:
0.00
AC:
0
AN:
42924
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25798
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38782
South Asian (SAS)
AF:
0.0000473
AC:
4
AN:
84622
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51126
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5750
European-Non Finnish (NFE)
AF:
0.00000181
AC:
2
AN:
1106220
Other (OTH)
AF:
0.00
AC:
0
AN:
59808
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1
2
3
4
5
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.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.00000826
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.32
T
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.28
FATHMM_MKL
Benign
0.25
N
LIST_S2
Benign
0.81
T
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.27
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.8
L
PhyloP100
0.92
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-1.6
N
REVEL
Benign
0.098
Sift
Uncertain
0.0080
D
Sift4G
Uncertain
0.054
T
Polyphen
1.0
D
Vest4
0.35
MutPred
0.20
Loss of sheet (P = 0.0315)
MVP
0.42
MPC
0.68
ClinPred
0.62
D
GERP RS
2.6
Varity_R
0.10
gMVP
0.21
Mutation Taster
=83/17
polymorphism

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: rs747247972; hg19: chr19-40900424; API