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GeneBe

6-96604769-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001322466.2(FHL5):​c.179G>T​(p.Arg60Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000000686 in 1,458,446 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

FHL5
NM_001322466.2 missense

Scores

1
8
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.19
Variant links:
Genes affected
FHL5 (HGNC:17371): (four and a half LIM domains 5) The protein encoded by this gene is coordinately expressed with activator of cAMP-responsive element modulator (CREM). It is associated with CREM and confers a powerful transcriptional activation function. CREM acts as a transcription factor essential for the differentiation of spermatids into mature spermatozoa. There are multiple polyadenylation sites found in this gene. Polymorphisms in this gene may be associated with susceptibility for migraine headaches. Alternative splicing results in multiple transcript variants encoding the same protein. [provided by RefSeq, Apr 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FHL5NM_001322466.2 linkuse as main transcriptc.179G>T p.Arg60Leu missense_variant 3/6 ENST00000450218.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FHL5ENST00000450218.6 linkuse as main transcriptc.179G>T p.Arg60Leu missense_variant 3/65 NM_001322466.2 P1
FHL5ENST00000326771.2 linkuse as main transcriptc.179G>T p.Arg60Leu missense_variant 4/71 P1
FHL5ENST00000541107.5 linkuse as main transcriptc.179G>T p.Arg60Leu missense_variant 3/61 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000404
AC:
1
AN:
247678
Hom.:
0
AF XY:
0.00000747
AC XY:
1
AN XY:
133900
show subpopulations
Gnomad AFR exome
AF:
0.0000618
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
6.86e-7
AC:
1
AN:
1458446
Hom.:
0
Cov.:
30
AF XY:
0.00000138
AC XY:
1
AN XY:
725570
show subpopulations
Gnomad4 AFR exome
AF:
0.0000300
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:
0.00
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

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 21, 2023The c.179G>T (p.R60L) alteration is located in exon 4 (coding exon 2) of the FHL5 gene. This alteration results from a G to T substitution at nucleotide position 179, causing the arginine (R) at amino acid position 60 to be replaced by a leucine (L). 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
0.13
BayesDel_addAF
Benign
-0.088
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.49
T;D;T
Eigen
Benign
-0.087
Eigen_PC
Benign
0.0095
FATHMM_MKL
Benign
0.56
D
LIST_S2
Uncertain
0.93
D;D;.
M_CAP
Benign
0.046
D
MetaRNN
Uncertain
0.64
D;D;D
MetaSVM
Benign
-0.36
T
MutationAssessor
Uncertain
2.5
M;.;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.32
T
PROVEAN
Pathogenic
-5.6
D;D;D
REVEL
Uncertain
0.34
Sift
Uncertain
0.010
D;D;D
Sift4G
Uncertain
0.016
D;D;D
Polyphen
0.081
B;.;B
Vest4
0.39
MutPred
0.67
Gain of catalytic residue at R60 (P = 0.0039);Gain of catalytic residue at R60 (P = 0.0039);Gain of catalytic residue at R60 (P = 0.0039);
MVP
0.82
MPC
0.037
ClinPred
0.97
D
GERP RS
2.2
Varity_R
0.27
gMVP
0.57

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs770381788; hg19: chr6-97052645; API