4-4860150-A-T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_002448.3(MSX1):​c.251A>T​(p.Glu84Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000146 in 1,509,688 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000072 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000081 ( 0 hom. )

Consequence

MSX1
NM_002448.3 missense

Scores

4
3
11

Clinical Significance

Uncertain significance criteria provided, single submitter P:1U:1

Conservation

PhyloP100: 1.69

Publications

6 publications found
Variant links:
Genes affected
MSX1 (HGNC:7391): (msh homeobox 1) This gene encodes a member of the muscle segment homeobox gene family. The encoded protein functions as a transcriptional repressor during embryogenesis through interactions with components of the core transcription complex and other homeoproteins. It may also have roles in limb-pattern formation, craniofacial development, particularly odontogenesis, and tumor growth inhibition. Mutations in this gene, which was once known as homeobox 7, have been associated with nonsyndromic cleft lip with or without cleft palate 5, Witkop syndrome, Wolf-Hirschom syndrome, and autosomoal dominant hypodontia. [provided by RefSeq, Jul 2008]
MSX1 Gene-Disease associations (from GenCC):
  • orofacial cleft 5
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • tooth agenesis, selective, 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
  • tooth agenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • tooth and nail syndrome
    Inheritance: AD Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.37044942).
BS2
High AC in GnomAd4 at 11 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002448.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MSX1
NM_002448.3
MANE Select
c.251A>Tp.Glu84Val
missense
Exon 1 of 2NP_002439.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MSX1
ENST00000382723.5
TSL:1 MANE Select
c.251A>Tp.Glu84Val
missense
Exon 1 of 2ENSP00000372170.4
ENSG00000308455
ENST00000834195.1
n.304-3361T>A
intron
N/A
ENSG00000308455
ENST00000834196.1
n.49-3361T>A
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.0000724
AC:
11
AN:
152022
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000955
AC:
1
AN:
104674
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.000459
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:
0.00000810
AC:
11
AN:
1357666
Hom.:
0
Cov.:
34
AF XY:
0.00000746
AC XY:
5
AN XY:
669846
show subpopulations
African (AFR)
AF:
0.0000721
AC:
2
AN:
27736
American (AMR)
AF:
0.00
AC:
0
AN:
31872
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24040
East Asian (EAS)
AF:
0.00
AC:
0
AN:
32628
South Asian (SAS)
AF:
0.00
AC:
0
AN:
76248
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
35726
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5272
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1067630
Other (OTH)
AF:
0.000159
AC:
9
AN:
56514
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.461
Heterozygous variant carriers
0
1
2
4
5
6
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
AF:
0.0000724
AC:
11
AN:
152022
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74288
show subpopulations
African (AFR)
AF:
0.000121
AC:
5
AN:
41360
American (AMR)
AF:
0.000327
AC:
5
AN:
15272
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10602
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67996
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.561
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000604
Asia WGS
AF:
0.000290
AC:
1
AN:
3458

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Hypoplastic enamel-onycholysis-hypohidrosis syndrome (1)
1
-
-
Orofacial cleft 5 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Pathogenic
0.28
D
BayesDel_noAF
Pathogenic
0.17
CADD
Benign
21
DANN
Benign
0.95
DEOGEN2
Benign
0.41
T
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.18
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.70
T
M_CAP
Pathogenic
0.97
D
MetaRNN
Benign
0.37
T
MetaSVM
Uncertain
0.63
D
MutationAssessor
Benign
1.7
L
PhyloP100
1.7
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-1.5
N
REVEL
Uncertain
0.62
Sift
Benign
0.10
T
Sift4G
Benign
0.23
T
Vest4
0.087
MVP
0.95
MPC
0.83
ClinPred
0.077
T
GERP RS
5.2
PromoterAI
-0.0021
Neutral
Varity_R
0.18
gMVP
0.60
Mutation Taster
=33/67
disease causing (ClinVar)

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: rs28928890; hg19: chr4-4861877; API