NM_000216.4:c.1678G>A

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000216.4(ANOS1):​c.1678G>A​(p.Val560Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00022 in 1,210,346 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 91 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., 9 hem., cov: 23)
Exomes 𝑓: 0.00022 ( 0 hom. 82 hem. )

Consequence

ANOS1
NM_000216.4 missense

Scores

1
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:2

Conservation

PhyloP100: 0.732

Publications

7 publications found
Variant links:
Genes affected
ANOS1 (HGNC:6211): (anosmin 1) Mutations in this gene cause the X-linked Kallmann syndrome. The encoded protein is similar in sequence to proteins known to function in neural cell adhesion and axonal migration. In addition, this cell surface protein is N-glycosylated and may have anti-protease activity. [provided by RefSeq, Jul 2008]
ANOS1 Gene-Disease associations (from GenCC):
  • hypogonadotropic hypogonadism 1 with or without anosmia
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
  • Kallmann syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009019673).
BP6
Variant X-8535755-C-T is Benign according to our data. Variant chrX-8535755-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 225397.
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.00024 (27/112417) while in subpopulation EAS AF = 0.00732 (26/3552). AF 95% confidence interval is 0.00513. There are 0 homozygotes in GnomAd4. There are 9 alleles in the male GnomAd4 subpopulation. Median coverage is 23. This position passed quality control check.
BS2
High AC in GnomAd4 at 27 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ANOS1NM_000216.4 linkc.1678G>A p.Val560Ile missense_variant Exon 12 of 14 ENST00000262648.8 NP_000207.2 P23352

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ANOS1ENST00000262648.8 linkc.1678G>A p.Val560Ile missense_variant Exon 12 of 14 1 NM_000216.4 ENSP00000262648.3 P23352
ANOS1ENST00000481896.1 linkn.223G>A non_coding_transcript_exon_variant Exon 2 of 2 4

Frequencies

GnomAD3 genomes
AF:
0.000240
AC:
27
AN:
112363
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00730
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000867
AC:
159
AN:
183362
AF XY:
0.000796
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000729
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0111
Gnomad FIN exome
AF:
0.0000625
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000218
AC:
239
AN:
1097929
Hom.:
0
Cov.:
31
AF XY:
0.000226
AC XY:
82
AN XY:
363285
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26397
American (AMR)
AF:
0.0000568
AC:
2
AN:
35203
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19386
East Asian (EAS)
AF:
0.00699
AC:
211
AN:
30204
South Asian (SAS)
AF:
0.000129
AC:
7
AN:
54140
European-Finnish (FIN)
AF:
0.0000247
AC:
1
AN:
40534
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4136
European-Non Finnish (NFE)
AF:
0.00000238
AC:
2
AN:
841840
Other (OTH)
AF:
0.000347
AC:
16
AN:
46089
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
10
21
31
42
52
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000240
AC:
27
AN:
112417
Hom.:
0
Cov.:
23
AF XY:
0.000260
AC XY:
9
AN XY:
34613
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30958
American (AMR)
AF:
0.00
AC:
0
AN:
10661
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2654
East Asian (EAS)
AF:
0.00732
AC:
26
AN:
3552
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2728
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6134
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
219
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53290
Other (OTH)
AF:
0.00
AC:
0
AN:
1536
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.533
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.000102
Hom.:
0
Bravo
AF:
0.000510
ExAC
AF:
0.000758
AC:
92
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hypogonadotropic hypogonadism 1 with or without anosmia Uncertain:2Benign:1
May 28, 2019
Mendelics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 18, 2016
Soonchunhyang University Bucheon Hospital, Soonchunhyang University Medical Center
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:reference population

- -

Oct 02, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Sep 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ANOS1: BP4, BS1 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.065
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
0.95
DANN
Benign
0.65
DEOGEN2
Benign
0.081
T
FATHMM_MKL
Benign
0.080
N
LIST_S2
Benign
0.62
T
M_CAP
Pathogenic
0.48
D
MetaRNN
Benign
0.0090
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.90
L
PhyloP100
0.73
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-0.20
N
REVEL
Benign
0.20
Sift
Benign
0.42
T
Sift4G
Benign
0.38
T
Polyphen
0.17
B
Vest4
0.011
MutPred
0.51
Loss of catalytic residue at V560 (P = 0.0646);
MVP
0.59
MPC
0.086
ClinPred
0.015
T
GERP RS
0.37
Varity_R
0.028
gMVP
0.076
Mutation Taster
=95/5
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.12
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: rs2229013; hg19: chrX-8503796; API