NM_020717.5:c.3411_3413dupGGA

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP3BP6_Very_StrongBA1

The NM_020717.5(SHROOM4):​c.3411_3413dupGGA​(p.Glu1138dup) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.282 in 1,091,571 control chromosomes in the GnomAD database, including 29,069 homozygotes. There are 71,921 hemizygotes in GnomAD. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. E1138dup) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.27 ( 3319 hom., 6730 hem., cov: 14)
Exomes 𝑓: 0.28 ( 25750 hom. 65191 hem. )

Consequence

SHROOM4
NM_020717.5 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.350

Publications

9 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 -17 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_020717.5
BP6
Variant X-50607728-T-TTCC is Benign according to our data. Variant chrX-50607728-T-TTCC is described in ClinVar as Benign. ClinVar VariationId is 95971.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.337 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SHROOM4NM_020717.5 linkc.3411_3413dupGGA p.Glu1138dup disruptive_inframe_insertion Exon 6 of 9 ENST00000376020.9 NP_065768.2 Q9ULL8-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SHROOM4ENST00000376020.9 linkc.3411_3413dupGGA p.Glu1138dup disruptive_inframe_insertion Exon 6 of 9 2 NM_020717.5 ENSP00000365188.2 Q9ULL8-1
SHROOM4ENST00000289292.11 linkc.3411_3413dupGGA p.Glu1138dup disruptive_inframe_insertion Exon 6 of 10 1 ENSP00000289292.7 Q9ULL8-1
SHROOM4ENST00000460112.3 linkc.3063_3065dupGGA p.Glu1022dup disruptive_inframe_insertion Exon 5 of 8 5 ENSP00000421450.1 Q9ULL8-2

Frequencies

GnomAD3 genomes
AF:
0.273
AC:
28804
AN:
105509
Hom.:
3329
Cov.:
14
show subpopulations
Gnomad AFR
AF:
0.197
Gnomad AMI
AF:
0.245
Gnomad AMR
AF:
0.221
Gnomad ASJ
AF:
0.313
Gnomad EAS
AF:
0.230
Gnomad SAS
AF:
0.360
Gnomad FIN
AF:
0.201
Gnomad MID
AF:
0.353
Gnomad NFE
AF:
0.329
Gnomad OTH
AF:
0.293
GnomAD2 exomes
AF:
0.212
AC:
26912
AN:
127114
AF XY:
0.103
show subpopulations
Gnomad AFR exome
AF:
0.152
Gnomad AMR exome
AF:
0.126
Gnomad ASJ exome
AF:
0.254
Gnomad EAS exome
AF:
0.183
Gnomad FIN exome
AF:
0.204
Gnomad NFE exome
AF:
0.245
Gnomad OTH exome
AF:
0.240
GnomAD4 exome
AF:
0.283
AC:
278624
AN:
986025
Hom.:
25750
Cov.:
30
AF XY:
0.229
AC XY:
65191
AN XY:
284763
show subpopulations
African (AFR)
AF:
0.175
AC:
4208
AN:
24071
American (AMR)
AF:
0.141
AC:
4600
AN:
32539
Ashkenazi Jewish (ASJ)
AF:
0.285
AC:
4937
AN:
17318
East Asian (EAS)
AF:
0.224
AC:
6401
AN:
28615
South Asian (SAS)
AF:
0.342
AC:
14903
AN:
43531
European-Finnish (FIN)
AF:
0.238
AC:
9043
AN:
38021
Middle Eastern (MID)
AF:
0.301
AC:
1076
AN:
3578
European-Non Finnish (NFE)
AF:
0.293
AC:
221503
AN:
756492
Other (OTH)
AF:
0.286
AC:
11953
AN:
41860
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.446
Heterozygous variant carriers
0
8067
16134
24202
32269
40336
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
7756
15512
23268
31024
38780
<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:
0.273
AC:
28779
AN:
105546
Hom.:
3319
Cov.:
14
AF XY:
0.235
AC XY:
6730
AN XY:
28652
show subpopulations
African (AFR)
AF:
0.197
AC:
5577
AN:
28371
American (AMR)
AF:
0.221
AC:
2189
AN:
9919
Ashkenazi Jewish (ASJ)
AF:
0.313
AC:
803
AN:
2563
East Asian (EAS)
AF:
0.229
AC:
767
AN:
3347
South Asian (SAS)
AF:
0.357
AC:
804
AN:
2250
European-Finnish (FIN)
AF:
0.201
AC:
1087
AN:
5410
Middle Eastern (MID)
AF:
0.360
AC:
76
AN:
211
European-Non Finnish (NFE)
AF:
0.329
AC:
16906
AN:
51409
Other (OTH)
AF:
0.290
AC:
409
AN:
1410
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
740
1481
2221
2962
3702
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
290
580
870
1160
1450
<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:
0.171
Hom.:
966

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Dec 29, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 19, 2015
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Oct 11, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

X-linked intellectual disability, Stocco dos Santos type Benign:1
Jul 15, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.35
Mutation Taster
=84/16
polymorphism (auto)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs143151534; hg19: chrX-50350728; COSMIC: COSV56786318; API