9-124482921-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP5

The NM_004959.5(NR5A1):​c.1223A>C​(p.His408Pro) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 30)

Consequence

NR5A1
NM_004959.5 missense

Scores

6
8
5

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 5.33
Variant links:
Genes affected
NR5A1 (HGNC:7983): (nuclear receptor subfamily 5 group A member 1) The protein encoded by this gene is a transcriptional activator involved in sex determination. The encoded protein binds DNA as a monomer. Defects in this gene are a cause of XY sex reversal with or without adrenal failure as well as adrenocortical insufficiency without ovarian defect. [provided by RefSeq, Jul 2008]

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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;
PP5
Variant 9-124482921-T-G is Pathogenic according to our data. Variant chr9-124482921-T-G is described in ClinVar as [Pathogenic]. Clinvar id is 1202604.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NR5A1NM_004959.5 linkuse as main transcriptc.1223A>C p.His408Pro missense_variant 7/7 ENST00000373588.9 NP_004950.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NR5A1ENST00000373588.9 linkuse as main transcriptc.1223A>C p.His408Pro missense_variant 7/71 NM_004959.5 ENSP00000362690 P1
NR5A1ENST00000620110.4 linkuse as main transcriptc.1103A>C p.His368Pro missense_variant 6/65 ENSP00000483309
NR5A1ENST00000373587.3 linkuse as main transcriptc.575A>C p.His192Pro missense_variant 5/53 ENSP00000362689

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD4 exome
Cov.:
37
GnomAD4 genome
Cov.:
30

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Disorder of sexual differentiation Pathogenic:1
Pathogenic, no assertion criteria providedresearchHuman Developmental Genetics, Institut PasteurAug 15, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.64
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Uncertain
0.070
CADD
Uncertain
25
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.86
.;D;.
Eigen
Uncertain
0.51
Eigen_PC
Uncertain
0.51
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Benign
0.79
T;T;T
M_CAP
Pathogenic
0.46
D
MetaRNN
Uncertain
0.71
D;D;D
MetaSVM
Pathogenic
0.87
D
MutationAssessor
Uncertain
2.2
.;M;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-2.2
.;N;D
REVEL
Pathogenic
0.77
Sift
Benign
0.18
.;T;T
Sift4G
Benign
0.37
T;T;T
Polyphen
0.96
.;P;.
Vest4
0.50
MutPred
0.50
.;Loss of helix (P = 0.1299);.;
MVP
0.84
MPC
1.2
ClinPred
0.92
D
GERP RS
5.1
Varity_R
0.96
gMVP
0.70

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: chr9-127245200; API