NM_000381.4:c.661-8_661-7dupTT
Variant names: 
Variant summary
Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1
The NM_000381.4(MID1):c.661-8_661-7dupTT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Benign (★★).
Frequency
 Genomes: 𝑓 0.060   (  140   hom.,  344   hem.,  cov: 19) 
 Exomes 𝑓:  0.0042   (  0   hom.  25   hem.  ) 
Consequence
 MID1
NM_000381.4 splice_region, intron
NM_000381.4 splice_region, intron
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  0.00  
Publications
3 publications found 
Genes affected
 MID1  (HGNC:7095):  (midline 1) The protein encoded by this gene is a member of the tripartite motif (TRIM) family, also known as the 'RING-B box-coiled coil' (RBCC) subgroup of RING finger proteins. The TRIM motif includes three zinc-binding domains, a RING, a B-box type 1 and a B-box type 2, and a coiled-coil region. This protein forms homodimers which associate with microtubules in the cytoplasm. The protein is likely involved in the formation of multiprotein structures acting as anchor points to microtubules. Mutations in this gene have been associated with the X-linked form of Opitz syndrome, which is characterized by midline abnormalities such as cleft lip, laryngeal cleft, heart defects, hypospadias, and agenesis of the corpus callosum. This gene was also the first example of a gene subject to X inactivation in human while escaping it in mouse. Alternative promoter use, alternative splicing and alternative polyadenylation result in multiple transcript variants that have different tissue specificities. [provided by RefSeq, Dec 2016] 
MID1 Gene-Disease associations (from GenCC):
- X-linked Opitz G/BBB syndromeInheritance: XL Classification: DEFINITIVE, STRONG Submitted by: ClinGen, G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -16 ACMG points.
BP6
Variant X-10523193-C-CAA is Benign according to our data. Variant chrX-10523193-C-CAA is described in ClinVar as Benign. ClinVar VariationId is 196260.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.164  is higher than 0.05. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| MID1 | NM_000381.4 | c.661-8_661-7dupTT | splice_region_variant, intron_variant | Intron 2 of 9 | ENST00000317552.9 | NP_000372.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| MID1 | ENST00000317552.9 | c.661-7_661-6insTT | splice_region_variant, intron_variant | Intron 2 of 9 | 1 | NM_000381.4 | ENSP00000312678.4 | |||
| MID1 | ENST00000380782.6 | c.661-7_661-6insTT | splice_region_variant, intron_variant | Intron 2 of 9 | 1 | ENSP00000370159.1 | 
Frequencies
GnomAD3 genomes  0.0603  AC: 2734AN: 45374Hom.:  140  Cov.: 19 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
2734
AN: 
45374
Hom.: 
Cov.: 
19
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.0154  AC: 682AN: 44423 AF XY:  0.00427   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
682
AN: 
44423
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.00419  AC: 3058AN: 730559Hom.:  0  Cov.: 0 AF XY:  0.000124  AC XY: 25AN XY: 200851 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
3058
AN: 
730559
Hom.: 
Cov.: 
0
 AF XY: 
AC XY: 
25
AN XY: 
200851
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
954
AN: 
16326
American (AMR) 
 AF: 
AC: 
119
AN: 
21568
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
52
AN: 
14554
East Asian (EAS) 
 AF: 
AC: 
19
AN: 
24646
South Asian (SAS) 
 AF: 
AC: 
85
AN: 
35918
European-Finnish (FIN) 
 AF: 
AC: 
65
AN: 
26465
Middle Eastern (MID) 
 AF: 
AC: 
3
AN: 
2220
European-Non Finnish (NFE) 
 AF: 
AC: 
1541
AN: 
555865
Other (OTH) 
 AF: 
AC: 
220
AN: 
32997
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.304 
Heterozygous variant carriers
 0 
 239 
 478 
 717 
 956 
 1195 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 84 
 168 
 252 
 336 
 420 
 <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  0.0603  AC: 2735AN: 45373Hom.:  140  Cov.: 19 AF XY:  0.0382  AC XY: 344AN XY: 9011 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
2735
AN: 
45373
Hom.: 
Cov.: 
19
 AF XY: 
AC XY: 
344
AN XY: 
9011
show subpopulations 
African (AFR) 
 AF: 
AC: 
2590
AN: 
15307
American (AMR) 
 AF: 
AC: 
103
AN: 
3446
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
1063
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
1277
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
965
European-Finnish (FIN) 
 AF: 
AC: 
1
AN: 
1502
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
51
European-Non Finnish (NFE) 
 AF: 
AC: 
14
AN: 
20931
Other (OTH) 
 AF: 
AC: 
27
AN: 
577
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.482 
Heterozygous variant carriers
 0 
 90 
 181 
 271 
 362 
 452 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 36 
 72 
 108 
 144 
 180 
 <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: 
Hom.: 
ClinVar
Significance: Benign 
Submissions summary: Benign:4 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not specified    Benign:2 
Mar 01, 2021
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Nov 25, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
not provided    Benign:2 
Jun 12, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
May 04, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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