NM_001009613.4:c.293A>G

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001009613.4(SPANXN4):​c.293A>G​(p.Gln98Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000146 in 1,163,612 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 7 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.000015 ( 0 hom. 7 hem. )

Consequence

SPANXN4
NM_001009613.4 missense

Scores

2
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.41

Publications

0 publications found
Variant links:
Genes affected
SPANXN4 (HGNC:33177): (SPANX family member N4) This gene represents one of several duplicated family members that are located on the X chromosome. This gene family encodes proteins that play a role in spermiogenesis. These proteins represent a specific subgroup of cancer/testis-associated antigens, and they may be candidates for tumor vaccines. This family member belongs to a subgroup of related genes that are present in all primates and rats and mice, and thus, it represents one of the ancestral family members. [provided by RefSeq, Sep 2009]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.022989899).
BS2
High Hemizygotes in GnomAdExome4 at 7 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SPANXN4NM_001009613.4 linkc.293A>G p.Gln98Arg missense_variant Exon 2 of 2 ENST00000446864.2 NP_001009613.1 Q5MJ08
SPANXN4XM_017029543.1 linkc.286+7A>G splice_region_variant, intron_variant Intron 2 of 3 XP_016885032.1
SPANXN4XM_017029544.1 linkc.283+7A>G splice_region_variant, intron_variant Intron 2 of 3 XP_016885033.1 X6R7N2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SPANXN4ENST00000446864.2 linkc.293A>G p.Gln98Arg missense_variant Exon 2 of 2 1 NM_001009613.4 ENSP00000405210.1 Q5MJ08
SPANXN4ENST00000370504.3 linkc.283+7A>G splice_region_variant, intron_variant Intron 2 of 2 5 ENSP00000359535.3 X6R7N2

Frequencies

GnomAD3 genomes
AF:
0.00000890
AC:
1
AN:
112356
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:
0.00
Gnomad SAS
AF:
0.000373
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000606
AC:
7
AN:
115464
AF XY:
0.000112
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000152
AC:
16
AN:
1051204
Hom.:
0
Cov.:
30
AF XY:
0.0000206
AC XY:
7
AN XY:
339196
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
24765
American (AMR)
AF:
0.00
AC:
0
AN:
27401
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18305
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27622
South Asian (SAS)
AF:
0.000310
AC:
15
AN:
48445
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37970
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4031
European-Non Finnish (NFE)
AF:
0.00000122
AC:
1
AN:
818362
Other (OTH)
AF:
0.00
AC:
0
AN:
44303
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.00000890
AC:
1
AN:
112408
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34562
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30966
American (AMR)
AF:
0.00
AC:
0
AN:
10647
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2655
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3544
South Asian (SAS)
AF:
0.000374
AC:
1
AN:
2674
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6207
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53290
Other (OTH)
AF:
0.00
AC:
0
AN:
1522
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
ExAC
AF:
0.0000382
AC:
4

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Oct 25, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.293A>G (p.Q98R) alteration is located in exon 2 (coding exon 2) of the SPANXN4 gene. This alteration results from a A to G substitution at nucleotide position 293, causing the glutamine (Q) at amino acid position 98 to be replaced by an arginine (R). 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
0.090
BayesDel_addAF
Benign
-0.78
T
BayesDel_noAF
Benign
-1.0
CADD
Benign
9.7
DANN
Benign
0.22
DEOGEN2
Benign
0.010
T
FATHMM_MKL
Benign
0.033
N
LIST_S2
Benign
0.18
T
M_CAP
Benign
0.0012
T
MetaRNN
Benign
0.023
T
MetaSVM
Benign
-1.0
T
PhyloP100
1.4
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.057
Sift
Uncertain
0.019
D
Sift4G
Uncertain
0.044
D
Polyphen
0.0030
B
Vest4
0.0090
MutPred
0.13
Gain of catalytic residue at Q98 (P = 0.06);
MVP
0.067
MPC
0.00084
ClinPred
0.024
T
GERP RS
1.4
Varity_R
0.11
gMVP
0.0028
Mutation Taster
=100/0
polymorphism

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

Other links and lift over

dbSNP: rs758788318; hg19: chrX-142122025; COSMIC: COSV100981013; API