X-10523193-CAAAAAAAA-CAAAAAAAAA
Variant names: 
Variant summary
Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1
The NM_000381.4(MID1):c.661-7dupT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).
Frequency
 Genomes: 𝑓 0.082   (  127   hom.,  533   hem.,  cov: 19) 
 Exomes 𝑓:  0.099   (  7   hom.  96   hem.  ) 
Consequence
 MID1
NM_000381.4 splice_region, intron
NM_000381.4 splice_region, intron
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  0.00  
Publications
3 publications found 
Genes affected
 MID1  (HGNC:7095):  (midline 1) The protein encoded by this gene is a member of the tripartite motif (TRIM) family, also known as the 'RING-B box-coiled coil' (RBCC) subgroup of RING finger proteins. The TRIM motif includes three zinc-binding domains, a RING, a B-box type 1 and a B-box type 2, and a coiled-coil region. This protein forms homodimers which associate with microtubules in the cytoplasm. The protein is likely involved in the formation of multiprotein structures acting as anchor points to microtubules. Mutations in this gene have been associated with the X-linked form of Opitz syndrome, which is characterized by midline abnormalities such as cleft lip, laryngeal cleft, heart defects, hypospadias, and agenesis of the corpus callosum. This gene was also the first example of a gene subject to X inactivation in human while escaping it in mouse. Alternative promoter use, alternative splicing and alternative polyadenylation result in multiple transcript variants that have different tissue specificities. [provided by RefSeq, Dec 2016] 
MID1 Gene-Disease associations (from GenCC):
- X-linked Opitz G/BBB syndromeInheritance: XL Classification: DEFINITIVE, STRONG Submitted by: ClinGen, G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
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ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -16 ACMG points.
BP6
Variant X-10523193-C-CA is Benign according to our data. Variant chrX-10523193-C-CA is described in ClinVar as Benign. ClinVar VariationId is 196261.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.165  is higher than 0.05. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| MID1 | NM_000381.4 | c.661-7dupT | splice_region_variant, intron_variant | Intron 2 of 9 | ENST00000317552.9 | NP_000372.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| MID1 | ENST00000317552.9 | c.661-7_661-6insT | splice_region_variant, intron_variant | Intron 2 of 9 | 1 | NM_000381.4 | ENSP00000312678.4 | |||
| MID1 | ENST00000380782.6 | c.661-7_661-6insT | splice_region_variant, intron_variant | Intron 2 of 9 | 1 | ENSP00000370159.1 | 
Frequencies
GnomAD3 genomes  0.0820  AC: 3713AN: 45300Hom.:  127  Cov.: 19 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
3713
AN: 
45300
Hom.: 
Cov.: 
19
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.138  AC: 6132AN: 44423 AF XY:  0.0135   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
6132
AN: 
44423
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
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Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.0987  AC: 65056AN: 659239Hom.:  7  Cov.: 0 AF XY:  0.000648  AC XY: 96AN XY: 148087 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
65056
AN: 
659239
Hom.: 
Cov.: 
0
 AF XY: 
AC XY: 
96
AN XY: 
148087
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
2239
AN: 
15282
American (AMR) 
 AF: 
AC: 
1607
AN: 
19625
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
1240
AN: 
12975
East Asian (EAS) 
 AF: 
AC: 
1905
AN: 
21430
South Asian (SAS) 
 AF: 
AC: 
2034
AN: 
29888
European-Finnish (FIN) 
 AF: 
AC: 
2436
AN: 
23323
Middle Eastern (MID) 
 AF: 
AC: 
175
AN: 
1966
European-Non Finnish (NFE) 
 AF: 
AC: 
50416
AN: 
504988
Other (OTH) 
 AF: 
AC: 
3004
AN: 
29762
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.303 
Heterozygous variant carriers
 0 
 4908 
 9817 
 14725 
 19634 
 24542 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 1912 
 3824 
 5736 
 7648 
 9560 
 <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  0.0820  AC: 3716AN: 45299Hom.:  127  Cov.: 19 AF XY:  0.0594  AC XY: 533AN XY: 8979 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
3716
AN: 
45299
Hom.: 
Cov.: 
19
 AF XY: 
AC XY: 
533
AN XY: 
8979
show subpopulations 
African (AFR) 
 AF: 
AC: 
2616
AN: 
15318
American (AMR) 
 AF: 
AC: 
150
AN: 
3434
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
43
AN: 
1062
East Asian (EAS) 
 AF: 
AC: 
13
AN: 
1275
South Asian (SAS) 
 AF: 
AC: 
55
AN: 
964
European-Finnish (FIN) 
 AF: 
AC: 
121
AN: 
1494
Middle Eastern (MID) 
 AF: 
AC: 
3
AN: 
51
European-Non Finnish (NFE) 
 AF: 
AC: 
670
AN: 
20874
Other (OTH) 
 AF: 
AC: 
44
AN: 
573
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.498 
Heterozygous variant carriers
 0 
 127 
 255 
 382 
 510 
 637 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 40 
 80 
 120 
 160 
 200 
 <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: 
Hom.: 
ClinVar
Significance: Benign 
Submissions summary: Benign:5 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not specified    Benign:3 
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
Nov 30, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
not provided    Benign:2 
May 04, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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