NM_014467.3:c.449C>T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_014467.3(SRPX2):​c.449C>T​(p.Ser150Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000175 in 1,208,869 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 81 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00022 ( 0 hom., 6 hem., cov: 23)
Exomes 𝑓: 0.00017 ( 0 hom. 75 hem. )

Consequence

SRPX2
NM_014467.3 missense

Scores

4
13

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.285

Publications

2 publications found
Variant links:
Genes affected
SRPX2 (HGNC:30668): (sushi repeat containing protein X-linked 2) This gene encodes a secreted protein that contains three sushi repeat motifs. The encoded protein may play a role in the development of speech and language centers in the brain. This protein may also be involved in angiogenesis. Mutations in this gene are the cause of bilateral perisylvian polymicrogyria, rolandic epilepsy, speech dyspraxia and cognitive disability. [provided by RefSeq, May 2010]
SRPX2 Gene-Disease associations (from GenCC):
  • rolandic epilepsy-speech dyspraxia syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • polymicrogyria, bilateral perisylvian, X-linked
    Inheritance: XL Classification: LIMITED Submitted by: G2P
  • rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked
    Inheritance: XL Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.013480395).
BP6
Variant X-100664867-C-T is Benign according to our data. Variant chrX-100664867-C-T is described in CliVar as Likely_benign. Clinvar id is 380310.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-100664867-C-T is described in CliVar as Likely_benign. Clinvar id is 380310.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-100664867-C-T is described in CliVar as Likely_benign. Clinvar id is 380310.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-100664867-C-T is described in CliVar as Likely_benign. Clinvar id is 380310.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 25 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SRPX2NM_014467.3 linkc.449C>T p.Ser150Phe missense_variant Exon 5 of 11 ENST00000373004.5 NP_055282.1 O60687

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SRPX2ENST00000373004.5 linkc.449C>T p.Ser150Phe missense_variant Exon 5 of 11 1 NM_014467.3 ENSP00000362095.3 O60687

Frequencies

GnomAD3 genomes
AF:
0.000223
AC:
25
AN:
112325
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000188
Gnomad ASJ
AF:
0.00339
Gnomad EAS
AF:
0.000281
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00420
Gnomad NFE
AF:
0.000188
Gnomad OTH
AF:
0.00132
GnomAD2 exomes
AF:
0.000393
AC:
70
AN:
178297
AF XY:
0.000456
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000958
Gnomad ASJ exome
AF:
0.00216
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000277
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.000171
AC:
187
AN:
1096487
Hom.:
0
Cov.:
32
AF XY:
0.000207
AC XY:
75
AN XY:
362059
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26387
American (AMR)
AF:
0.00108
AC:
38
AN:
35137
Ashkenazi Jewish (ASJ)
AF:
0.00258
AC:
50
AN:
19358
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30185
South Asian (SAS)
AF:
0.0000932
AC:
5
AN:
53636
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40208
Middle Eastern (MID)
AF:
0.00122
AC:
5
AN:
4091
European-Non Finnish (NFE)
AF:
0.0000737
AC:
62
AN:
841493
Other (OTH)
AF:
0.000587
AC:
27
AN:
45992
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
10
20
30
40
50
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.000222
AC:
25
AN:
112382
Hom.:
0
Cov.:
23
AF XY:
0.000174
AC XY:
6
AN XY:
34552
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30948
American (AMR)
AF:
0.000188
AC:
2
AN:
10663
Ashkenazi Jewish (ASJ)
AF:
0.00339
AC:
9
AN:
2657
East Asian (EAS)
AF:
0.000282
AC:
1
AN:
3552
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2694
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6157
Middle Eastern (MID)
AF:
0.00461
AC:
1
AN:
217
European-Non Finnish (NFE)
AF:
0.000188
AC:
10
AN:
53269
Other (OTH)
AF:
0.00130
AC:
2
AN:
1538
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
2
4
6
8
10
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:
0.000595
Hom.:
6
Bravo
AF:
0.000336
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.000445
AC:
54

ClinVar

Significance: Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Nov 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

SRPX2: BP4, BS2 -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

not specified Benign:2
Aug 07, 2015
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Nov 21, 2016
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked Benign:2
Feb 26, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 28, 2019
Mendelics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.14
T;.;.
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.37
T;T;T
M_CAP
Benign
0.063
D
MetaRNN
Benign
0.013
T;T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.5
L;.;.
PhyloP100
0.28
PrimateAI
Benign
0.34
T
PROVEAN
Uncertain
-3.5
D;.;.
REVEL
Benign
0.16
Sift
Uncertain
0.0060
D;.;.
Sift4G
Uncertain
0.014
D;.;.
Polyphen
0.13
B;.;.
Vest4
0.41
MVP
0.45
MPC
0.18
ClinPred
0.038
T
GERP RS
4.7
Varity_R
0.40
gMVP
0.43
Mutation Taster
=87/13
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: rs373847965; hg19: chrX-99919864; API