Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_003400.4(XPO1):c.2357T>A(p.Ile786Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★).
XPO1 (HGNC:12825): (exportin 1) This cell-cycle-regulated gene encodes a protein that mediates leucine-rich nuclear export signal (NES)-dependent protein transport. The protein specifically inhibits the nuclear export of Rev and U snRNAs. It is involved in the control of several cellular processes by controlling the localization of cyclin B, MPAK, and MAPKAP kinase 2. This protein also regulates NFAT and AP-1. [provided by RefSeq, Jan 2015]
Review Status: criteria provided, single submitter
Collection Method: clinical testing
The c.2357T>A (p.I786N) alteration is located in exon 20 (coding exon 19) of the XPO1 gene. This alteration results from a T to A substitution at nucleotide position 2357, causing the isoleucine (I) at amino acid position 786 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -