6-1611567-GGGCGGCGGC-GGGCGGCGGCGGCGGC

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

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.420
Variant links:
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]

Genome browser will be placed here

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
FOXC1NM_001453.3 linkuse as main transcriptc.1136_1141dup p.Gly379_Gly380dup inframe_insertion 1/1 ENST00000645831.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FOXC1ENST00000645831.2 linkuse as main transcriptc.1136_1141dup p.Gly379_Gly380dup inframe_insertion 1/1 NM_001453.3 P1

Frequencies

GnomAD3 genomes
AF:
0.000335
AC:
49
AN:
146424
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.000368
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000678
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00186
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000334
Gnomad OTH
AF:
0.000497
GnomAD3 exomes
AF:
0.0000737
AC:
1
AN:
13566
Hom.:
0
AF XY:
0.000113
AC XY:
1
AN XY:
8876
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000298
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000516
AC:
514
AN:
996234
Hom.:
0
Cov.:
32
AF XY:
0.000500
AC XY:
238
AN XY:
475960
show subpopulations
Gnomad4 AFR exome
AF:
0.000353
Gnomad4 AMR exome
AF:
0.000173
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000360
Gnomad4 SAS exome
AF:
0.000618
Gnomad4 FIN exome
AF:
0.0000662
Gnomad4 NFE exome
AF:
0.000535
Gnomad4 OTH exome
AF:
0.000571
GnomAD4 genome
AF:
0.000334
AC:
49
AN:
146526
Hom.:
0
Cov.:
24
AF XY:
0.000379
AC XY:
27
AN XY:
71314
show subpopulations
Gnomad4 AFR
AF:
0.000367
Gnomad4 AMR
AF:
0.0000677
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00186
Gnomad4 SAS
AF:
0.000209
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000334
Gnomad4 OTH
AF:
0.000492

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 submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 15, 2023This 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

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs76840944; hg19: chr6-1611802; API