X-100408196-G-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001184880.2(PCDH19):​c.402C>A​(p.Ile134=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0794 in 1,210,548 control chromosomes in the GnomAD database, including 4,215 homozygotes. There are 33,894 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.077 ( 388 hom., 2925 hem., cov: 25)
Exomes 𝑓: 0.080 ( 3827 hom. 30969 hem. )

Consequence

PCDH19
NM_001184880.2 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -1.89
Variant links:
Genes affected
PCDH19 (HGNC:14270): (protocadherin 19) The protein encoded by this gene is a member of the delta-2 protocadherin subclass of the cadherin superfamily. The encoded protein is thought to be a calcium-dependent cell-adhesion protein that is primarily expressed in the brain. Mutations in this gene on human chromosome X are associated with sporadic infantile epileptic encephalopathy and to a female-restricted form of epilepsy (EFMR; also known as PCDH19RE). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.89).
BP6
Variant X-100408196-G-T is Benign according to our data. Variant chrX-100408196-G-T is described in ClinVar as [Benign]. Clinvar id is 93677.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-100408196-G-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.89 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.269 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PCDH19NM_001184880.2 linkuse as main transcriptc.402C>A p.Ile134= synonymous_variant 1/6 ENST00000373034.8 NP_001171809.1
PCDH19NM_001105243.2 linkuse as main transcriptc.402C>A p.Ile134= synonymous_variant 1/5 NP_001098713.1
PCDH19NM_020766.3 linkuse as main transcriptc.402C>A p.Ile134= synonymous_variant 1/5 NP_065817.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PCDH19ENST00000373034.8 linkuse as main transcriptc.402C>A p.Ile134= synonymous_variant 1/61 NM_001184880.2 ENSP00000362125 A1Q8TAB3-1
PCDH19ENST00000255531.8 linkuse as main transcriptc.402C>A p.Ile134= synonymous_variant 1/51 ENSP00000255531 P5Q8TAB3-2
PCDH19ENST00000420881.6 linkuse as main transcriptc.402C>A p.Ile134= synonymous_variant 1/51 ENSP00000400327 A1Q8TAB3-3

Frequencies

GnomAD3 genomes
AF:
0.0772
AC:
8676
AN:
112357
Hom.:
388
Cov.:
25
AF XY:
0.0845
AC XY:
2920
AN XY:
34539
show subpopulations
Gnomad AFR
AF:
0.0372
Gnomad AMI
AF:
0.0145
Gnomad AMR
AF:
0.203
Gnomad ASJ
AF:
0.0754
Gnomad EAS
AF:
0.284
Gnomad SAS
AF:
0.253
Gnomad FIN
AF:
0.0377
Gnomad MID
AF:
0.0840
Gnomad NFE
AF:
0.0578
Gnomad OTH
AF:
0.0968
GnomAD3 exomes
AF:
0.131
AC:
23719
AN:
181650
Hom.:
1781
AF XY:
0.128
AC XY:
8666
AN XY:
67492
show subpopulations
Gnomad AFR exome
AF:
0.0368
Gnomad AMR exome
AF:
0.291
Gnomad ASJ exome
AF:
0.0730
Gnomad EAS exome
AF:
0.294
Gnomad SAS exome
AF:
0.257
Gnomad FIN exome
AF:
0.0440
Gnomad NFE exome
AF:
0.0576
Gnomad OTH exome
AF:
0.112
GnomAD4 exome
AF:
0.0796
AC:
87447
AN:
1098136
Hom.:
3827
Cov.:
33
AF XY:
0.0852
AC XY:
30969
AN XY:
363502
show subpopulations
Gnomad4 AFR exome
AF:
0.0362
Gnomad4 AMR exome
AF:
0.280
Gnomad4 ASJ exome
AF:
0.0750
Gnomad4 EAS exome
AF:
0.266
Gnomad4 SAS exome
AF:
0.244
Gnomad4 FIN exome
AF:
0.0474
Gnomad4 NFE exome
AF:
0.0561
Gnomad4 OTH exome
AF:
0.0954
GnomAD4 genome
AF:
0.0772
AC:
8679
AN:
112412
Hom.:
388
Cov.:
25
AF XY:
0.0845
AC XY:
2925
AN XY:
34604
show subpopulations
Gnomad4 AFR
AF:
0.0372
Gnomad4 AMR
AF:
0.203
Gnomad4 ASJ
AF:
0.0754
Gnomad4 EAS
AF:
0.284
Gnomad4 SAS
AF:
0.252
Gnomad4 FIN
AF:
0.0377
Gnomad4 NFE
AF:
0.0578
Gnomad4 OTH
AF:
0.0975
Alfa
AF:
0.0475
Hom.:
466
Bravo
AF:
0.0912
EpiCase
AF:
0.0607
EpiControl
AF:
0.0578

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJul 15, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 34% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 32. Only high quality variants are reported. -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoFeb 08, 2013- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 10, 2014- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 09, 2012This 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. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Developmental and epileptic encephalopathy, 9 Benign:3
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabSep 05, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 05, 2021- -
Inborn genetic diseases Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 08, 2016This 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. -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.89
CADD
Benign
0.63
DANN
Benign
0.88

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs41300169; hg19: chrX-99663194; COSMIC: COSV55263041; COSMIC: COSV55263041; API