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GeneBe

20-48636586-G-A

Variant summary

Our verdict is Benign. Variant got -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_020820.4(PREX1):​c.4044C>T​(p.Tyr1348=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00501 in 1,611,812 control chromosomes in the GnomAD database, including 37 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0038 ( 4 hom., cov: 34)
Exomes 𝑓: 0.0051 ( 33 hom. )

Consequence

PREX1
NM_020820.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.931
Variant links:
Genes affected
PREX1 (HGNC:32594): (phosphatidylinositol-3,4,5-trisphosphate dependent Rac exchange factor 1) The protein encoded by this gene acts as a guanine nucleotide exchange factor for the RHO family of small GTP-binding proteins (RACs). It has been shown to bind to and activate RAC1 by exchanging bound GDP for free GTP. The encoded protein, which is found mainly in the cytoplasm, is activated by phosphatidylinositol-3,4,5-trisphosphate and the beta-gamma subunits of heterotrimeric G proteins. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.63).
BP6
Variant 20-48636586-G-A is Benign according to our data. Variant chr20-48636586-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 774531.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.931 with no splicing effect.
BS2
High AC in GnomAd4 at 577 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PREX1NM_020820.4 linkuse as main transcriptc.4044C>T p.Tyr1348= synonymous_variant 32/40 ENST00000371941.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PREX1ENST00000371941.4 linkuse as main transcriptc.4044C>T p.Tyr1348= synonymous_variant 32/401 NM_020820.4 P1Q8TCU6-1
PREX1ENST00000482556.5 linkuse as main transcriptc.2010C>T p.Tyr670= synonymous_variant, NMD_transcript_variant 15/222

Frequencies

GnomAD3 genomes
AF:
0.00379
AC:
577
AN:
152264
Hom.:
4
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000940
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00334
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0108
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00535
Gnomad OTH
AF:
0.00382
GnomAD3 exomes
AF:
0.00374
AC:
897
AN:
239826
Hom.:
6
AF XY:
0.00370
AC XY:
487
AN XY:
131720
show subpopulations
Gnomad AFR exome
AF:
0.00102
Gnomad AMR exome
AF:
0.00146
Gnomad ASJ exome
AF:
0.000204
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000264
Gnomad FIN exome
AF:
0.0124
Gnomad NFE exome
AF:
0.00510
Gnomad OTH exome
AF:
0.00375
GnomAD4 exome
AF:
0.00514
AC:
7499
AN:
1459430
Hom.:
33
Cov.:
32
AF XY:
0.00497
AC XY:
3610
AN XY:
726124
show subpopulations
Gnomad4 AFR exome
AF:
0.000807
Gnomad4 AMR exome
AF:
0.00159
Gnomad4 ASJ exome
AF:
0.000115
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000406
Gnomad4 FIN exome
AF:
0.0136
Gnomad4 NFE exome
AF:
0.00571
Gnomad4 OTH exome
AF:
0.00511
GnomAD4 genome
AF:
0.00379
AC:
577
AN:
152382
Hom.:
4
Cov.:
34
AF XY:
0.00353
AC XY:
263
AN XY:
74514
show subpopulations
Gnomad4 AFR
AF:
0.000938
Gnomad4 AMR
AF:
0.00333
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0108
Gnomad4 NFE
AF:
0.00535
Gnomad4 OTH
AF:
0.00378
Alfa
AF:
0.00423
Hom.:
1
Bravo
AF:
0.00308
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.00513
EpiControl
AF:
0.00516

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2022PREX1: BP4, BP7 -
Benign, criteria provided, single submitterclinical testingInvitaeJun 26, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.63
CADD
Benign
6.5
DANN
Benign
0.62

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: rs149034868; hg19: chr20-47253124; COSMIC: COSV100906944; API