20-49247506-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP2

The NM_021035.3(ZNFX1):​c.5518G>A​(p.Gly1840Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,892 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

ZNFX1
NM_021035.3 missense

Scores

1
14
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.64
Variant links:
Genes affected
ZNFX1 (HGNC:29271): (zinc finger NFX1-type containing 1) Enables RNA binding activity. Predicted to be involved in heterochromatin assembly by small RNA. Predicted to be part of nuclear RNA-directed RNA polymerase complex. [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;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), ZNFX1. . Gene score misZ 2.5616 (greater than the threshold 3.09). Trascript score misZ 4.0768 (greater than threshold 3.09). GenCC has associacion of gene with immunodeficiency 91 and hyperinflammation.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ZNFX1NM_021035.3 linkc.5518G>A p.Gly1840Ser missense_variant 14/14 ENST00000396105.6 NP_066363.1 Q9P2E3-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ZNFX1ENST00000396105.6 linkc.5518G>A p.Gly1840Ser missense_variant 14/141 NM_021035.3 ENSP00000379412.1 Q9P2E3-1
ZNFX1ENST00000371754.8 linkc.3312+4021G>A intron_variant 1 ENSP00000360819.4 Q5JXR6
ZNFX1ENST00000371752.5 linkc.5518G>A p.Gly1840Ser missense_variant 14/145 ENSP00000360817.1 Q9P2E3-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461892
Hom.:
0
Cov.:
30
AF XY:
0.00000138
AC XY:
1
AN XY:
727246
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 01, 2024The c.5518G>A (p.G1840S) alteration is located in exon 14 (coding exon 13) of the ZNFX1 gene. This alteration results from a G to A substitution at nucleotide position 5518, causing the glycine (G) at amino acid position 1840 to be replaced by a serine (S). 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
Benign
0.16
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
-0.040
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.17
T;T
Eigen
Uncertain
0.56
Eigen_PC
Uncertain
0.51
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Uncertain
0.87
.;D
M_CAP
Uncertain
0.12
D
MetaRNN
Uncertain
0.45
T;T
MetaSVM
Uncertain
0.64
D
MutationAssessor
Pathogenic
3.2
M;M
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-2.8
D;D
REVEL
Uncertain
0.50
Sift
Uncertain
0.010
D;D
Sift4G
Uncertain
0.023
D;D
Polyphen
1.0
D;D
Vest4
0.49
MutPred
0.49
Gain of sheet (P = 0.0149);Gain of sheet (P = 0.0149);
MVP
0.56
MPC
1.1
ClinPred
0.99
D
GERP RS
5.1
Varity_R
0.34
gMVP
0.52

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr20-47864043; API