6-1611567-GGGCGGCGGC-GGGCGGCGGCGGCGGC
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Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM1BS1_SupportingBS2
The NM_001453.3(FOXC1):c.1136_1141dup(p.Gly379_Gly380dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000493 in 1,142,760 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00033 ( 0 hom., cov: 24)
Exomes 𝑓: 0.00052 ( 0 hom. )
Consequence
FOXC1
NM_001453.3 inframe_insertion
NM_001453.3 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.420
Genes affected
FOXC1 (HGNC:3800): (forkhead box C1) This gene belongs to the forkhead family of transcription factors which is characterized by a distinct DNA-binding forkhead domain. The specific function of this gene has not yet been determined; however, it has been shown to play a role in the regulation of embryonic and ocular development. Mutations in this gene cause various glaucoma phenotypes including primary congenital glaucoma, autosomal dominant iridogoniodysgenesis anomaly, and Axenfeld-Rieger anomaly. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -3 ACMG points.
PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 5 uncertain in NM_001453.3
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.000334 (49/146526) while in subpopulation EAS AF= 0.00186 (9/4834). AF 95% confidence interval is 0.000971. There are 0 homozygotes in gnomad4. There are 27 alleles in male gnomad4 subpopulation. Median coverage is 24. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 49 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
FOXC1 | NM_001453.3 | c.1136_1141dup | p.Gly379_Gly380dup | inframe_insertion | 1/1 | ENST00000645831.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
FOXC1 | ENST00000645831.2 | c.1136_1141dup | p.Gly379_Gly380dup | inframe_insertion | 1/1 | NM_001453.3 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000335 AC: 49AN: 146424Hom.: 0 Cov.: 24
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GnomAD3 exomes AF: 0.0000737 AC: 1AN: 13566Hom.: 0 AF XY: 0.000113 AC XY: 1AN XY: 8876
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GnomAD4 exome AF: 0.000516 AC: 514AN: 996234Hom.: 0 Cov.: 32 AF XY: 0.000500 AC XY: 238AN XY: 475960
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GnomAD4 genome AF: 0.000334 AC: 49AN: 146526Hom.: 0 Cov.: 24 AF XY: 0.000379 AC XY: 27AN XY: 71314
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Axenfeld-Rieger syndrome type 3 Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Dec 15, 2023 | This variant, c.1136_1141dup, results in the insertion of 2 amino acid(s) of the FOXC1 protein (p.Gly379_Gly380dup), but otherwise preserves the integrity of the reading frame. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with FOXC1-related conditions. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at