NM_020717.5:c.2192A>G

Variant summary

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

The NM_020717.5(SHROOM4):​c.2192A>G​(p.Glu731Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00226 in 1,210,477 control chromosomes in the GnomAD database, including 6 homozygotes. There are 883 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0022 ( 6 hom., 74 hem., cov: 23)
Exomes 𝑓: 0.0023 ( 0 hom. 809 hem. )

Consequence

SHROOM4
NM_020717.5 missense

Scores

4
6
6

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 2.12

Publications

6 publications found
Variant links:
Genes affected
SHROOM4 (HGNC:29215): (shroom family member 4) This gene encodes a member of the APX/Shroom family, which contain an N-terminal PDZ domain and a C-terminal ASD2 motif. The encoded protein may play a role in cytoskeletal architecture. Mutations in this gene have been linked to the X-linked Stocco dos Santos syndrome characterized by cognitive disabilities. Alternatively spliced transcript variants have been described. [provided by RefSeq, Jul 2017]
SHROOM4 Gene-Disease associations (from GenCC):
  • X-linked intellectual disability, Stocco dos Santos type
    Inheritance: XL Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • complex neurodevelopmental disorder
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: NO_KNOWN Submitted by: ClinGen

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=0.013019592).
BP6
Variant X-50633881-T-C is Benign according to our data. Variant chrX-50633881-T-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 197325.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 6 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020717.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SHROOM4
NM_020717.5
MANE Select
c.2192A>Gp.Glu731Gly
missense
Exon 4 of 9NP_065768.2
SHROOM4
NR_027121.3
n.2368A>G
non_coding_transcript_exon
Exon 4 of 10
SHROOM4
NR_172068.1
n.2233A>G
non_coding_transcript_exon
Exon 3 of 9

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SHROOM4
ENST00000376020.9
TSL:2 MANE Select
c.2192A>Gp.Glu731Gly
missense
Exon 4 of 9ENSP00000365188.2
SHROOM4
ENST00000289292.11
TSL:1
c.2192A>Gp.Glu731Gly
missense
Exon 4 of 10ENSP00000289292.7
SHROOM4
ENST00000898514.1
c.2057A>Gp.Glu686Gly
missense
Exon 3 of 8ENSP00000568573.1

Frequencies

GnomAD3 genomes
AF:
0.00218
AC:
245
AN:
112316
Hom.:
6
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000421
Gnomad AMI
AF:
0.0791
Gnomad AMR
AF:
0.000281
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00258
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00293
Gnomad OTH
AF:
0.00197
GnomAD2 exomes
AF:
0.00136
AC:
249
AN:
183079
AF XY:
0.00130
show subpopulations
Gnomad AFR exome
AF:
0.000304
Gnomad AMR exome
AF:
0.000292
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00331
Gnomad NFE exome
AF:
0.00218
Gnomad OTH exome
AF:
0.00133
GnomAD4 exome
AF:
0.00227
AC:
2490
AN:
1098161
Hom.:
0
Cov.:
33
AF XY:
0.00223
AC XY:
809
AN XY:
363515
show subpopulations
African (AFR)
AF:
0.000265
AC:
7
AN:
26400
American (AMR)
AF:
0.000256
AC:
9
AN:
35204
Ashkenazi Jewish (ASJ)
AF:
0.000103
AC:
2
AN:
19385
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30204
South Asian (SAS)
AF:
0.0000185
AC:
1
AN:
54124
European-Finnish (FIN)
AF:
0.00284
AC:
115
AN:
40522
Middle Eastern (MID)
AF:
0.000242
AC:
1
AN:
4136
European-Non Finnish (NFE)
AF:
0.00273
AC:
2300
AN:
842089
Other (OTH)
AF:
0.00119
AC:
55
AN:
46097
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
133
266
400
533
666
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
92
184
276
368
460
<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:
0.00218
AC:
245
AN:
112316
Hom.:
6
Cov.:
23
AF XY:
0.00215
AC XY:
74
AN XY:
34480
show subpopulations
African (AFR)
AF:
0.000421
AC:
13
AN:
30857
American (AMR)
AF:
0.000281
AC:
3
AN:
10674
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2649
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3546
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2705
European-Finnish (FIN)
AF:
0.00258
AC:
16
AN:
6195
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.00293
AC:
156
AN:
53248
Other (OTH)
AF:
0.00197
AC:
3
AN:
1520
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
8
15
23
30
38
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00213
Hom.:
114
Bravo
AF:
0.00223
TwinsUK
AF:
0.00270
AC:
10
ALSPAC
AF:
0.00588
AC:
17
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00238
AC:
16
ExAC
AF:
0.00101
AC:
122
EpiCase
AF:
0.00267
EpiControl
AF:
0.00190

ClinVar

ClinVar submissions as Germline
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not specified (3)
-
-
2
not provided (2)
-
-
1
X-linked intellectual disability, Stocco dos Santos type (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.0089
T
BayesDel_noAF
Pathogenic
0.22
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.13
T
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.78
T
M_CAP
Pathogenic
0.73
D
MetaRNN
Benign
0.013
T
MetaSVM
Uncertain
0.59
D
MutationAssessor
Uncertain
2.3
M
PhyloP100
2.1
PrimateAI
Benign
0.34
T
PROVEAN
Uncertain
-4.4
D
REVEL
Pathogenic
0.67
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0080
D
Polyphen
1.0
D
Vest4
0.45
MVP
0.98
MPC
0.57
ClinPred
0.034
T
GERP RS
5.7
Varity_R
0.63
gMVP
0.49
Mutation Taster
=96/4
polymorphism (auto)

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: rs144727288; hg19: chrX-50376881; API