NM_203281.3:c.1371C>A

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 4P and 4B. PP3_StrongBS2

The NM_203281.3(BMX):​c.1371C>A​(p.Phe457Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000116 in 1,208,702 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.000012 ( 0 hom. 2 hem. )

Consequence

BMX
NM_203281.3 missense

Scores

7
7
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.21

Publications

7 publications found
Variant links:
Genes affected
BMX (HGNC:1079): (BMX non-receptor tyrosine kinase) This gene encodes a non-receptor tyrosine kinase belonging to the Tec kinase family. The protein contains a PH-like domain, which mediates membrane targeting by binding to phosphatidylinositol 3,4,5-triphosphate (PIP3), and a SH2 domain that binds to tyrosine-phosphorylated proteins and functions in signal transduction. The protein is implicated in several signal transduction pathways including the Stat pathway, and regulates differentiation and tumorigenicity of several types of cancer cells. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2016]
ACE2 (HGNC:13557): (angiotensin converting enzyme 2) The protein encoded by this gene belongs to the angiotensin-converting enzyme family of dipeptidyl carboxydipeptidases and has considerable homology to human angiotensin 1 converting enzyme. This secreted protein catalyzes the cleavage of angiotensin I into angiotensin 1-9, and angiotensin II into the vasodilator angiotensin 1-7. ACE2 is known to be expressed in various human organs, and its organ- and cell-specific expression suggests that it may play a role in the regulation of cardiovascular and renal function, as well as fertility. In addition, the encoded protein is a functional receptor for the spike glycoprotein of the human coronavirus HCoV-NL63 and the human severe acute respiratory syndrome coronaviruses, SARS-CoV and SARS-CoV-2, the latter is the causative agent of coronavirus disease-2019 (COVID-19). Multiple splice variants have been found for this gene and the dACE2 (or MIRb-ACE2) splice variant has been found to be interferon inducible. [provided by RefSeq, Nov 2020]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.974
BS2
High Hemizygotes in GnomAdExome4 at 2 gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_203281.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BMX
NM_203281.3
MANE Select
c.1371C>Ap.Phe457Leu
missense
Exon 14 of 19NP_975010.1P51813
BMX
NM_001721.7
c.1371C>Ap.Phe457Leu
missense
Exon 14 of 19NP_001712.1P51813
BMX
NM_001320866.2
c.1368C>Ap.Phe456Leu
missense
Exon 14 of 19NP_001307795.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BMX
ENST00000348343.11
TSL:1 MANE Select
c.1371C>Ap.Phe457Leu
missense
Exon 14 of 19ENSP00000308774.6P51813
BMX
ENST00000342014.6
TSL:1
c.1371C>Ap.Phe457Leu
missense
Exon 14 of 19ENSP00000340082.6P51813
BMX
ENST00000357607.6
TSL:2
c.1371C>Ap.Phe457Leu
missense
Exon 14 of 19ENSP00000350224.2P51813

Frequencies

GnomAD3 genomes
AF:
0.00000897
AC:
1
AN:
111463
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000953
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000441
AC:
8
AN:
181308
AF XY:
0.0000303
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000259
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:
0.000223
GnomAD4 exome
AF:
0.0000118
AC:
13
AN:
1097239
Hom.:
0
Cov.:
31
AF XY:
0.00000551
AC XY:
2
AN XY:
362907
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26337
American (AMR)
AF:
0.000228
AC:
8
AN:
35023
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19342
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30162
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53974
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40516
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4113
European-Non Finnish (NFE)
AF:
0.00000238
AC:
2
AN:
841723
Other (OTH)
AF:
0.0000651
AC:
3
AN:
46049
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.00000897
AC:
1
AN:
111463
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33657
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30618
American (AMR)
AF:
0.0000953
AC:
1
AN:
10490
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2641
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3543
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2668
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5991
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53090
Other (OTH)
AF:
0.00
AC:
0
AN:
1499
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.00
Hom.:
0
Bravo
AF:
0.0000302
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000346
AC:
1
ExAC
AF:
0.0000165
AC:
2

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Pathogenic
0.37
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.81
D
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.88
D
M_CAP
Uncertain
0.12
D
MetaRNN
Pathogenic
0.97
D
MetaSVM
Uncertain
0.14
D
MutationAssessor
Benign
1.2
L
PhyloP100
2.2
PrimateAI
Uncertain
0.66
T
PROVEAN
Pathogenic
-5.8
D
REVEL
Pathogenic
0.84
Sift
Uncertain
0.021
D
Sift4G
Benign
0.061
T
Polyphen
1.0
D
Vest4
0.87
MutPred
0.86
Gain of disorder (P = 0.1769)
MVP
0.99
MPC
1.2
ClinPred
0.69
D
GERP RS
3.8
Varity_R
0.91
gMVP
0.71
Mutation Taster
=76/24
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: rs754428384; hg19: chrX-15555405; COSMIC: COSV59590089; API