X-11294791-G-A

Variant summary

Our verdict is Likely pathogenic. The variant received 8 ACMG points: 8P and 0B. PVS1_StrongPM2PP5_Moderate

The NM_001142.2(AMELX):​c.3G>A​(p.Met1?) variant causes a start lost change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 23)

Consequence

AMELX
NM_001142.2 start_lost

Scores

6
5
2

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 5.03

Publications

0 publications found
Variant links:
Genes affected
AMELX (HGNC:461): (amelogenin X-linked) This gene encodes a member of the amelogenin family of extracellular matrix proteins. Amelogenins are involved in biomineralization during tooth enamel development. Mutations in this gene cause X-linked amelogenesis imperfecta. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]
ARHGAP6 (HGNC:676): (Rho GTPase activating protein 6) This gene encodes a member of the rhoGAP family of proteins which play a role in the regulation of actin polymerization at the plasma membrane during several cellular processes. This protein is thought to have two independent functions, one as a GTPase-activating protein with specificity for RhoA, and another as a cytoskeletal protein that promotes actin remodeling. Multiple alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 8 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 6 pathogenic variants. Next in-frame start position is after 17 codons. Genomic position: 11294837. Lost 0.085 part of the original CDS.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant X-11294791-G-A is Pathogenic according to our data. Variant chrX-11294791-G-A is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 3598004.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001142.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AMELX
NM_001142.2
MANE Select
c.3G>Ap.Met1?
start_lost
Exon 2 of 6NP_001133.1Q99217-1
ARHGAP6
NM_013427.3
MANE Select
c.589-40084C>T
intron
N/ANP_038286.2O43182-1
AMELX
NM_182680.1
c.3G>Ap.Met1?
start_lost
Exon 2 of 7NP_872621.1Q99217-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AMELX
ENST00000380714.7
TSL:1 MANE Select
c.3G>Ap.Met1?
start_lost
Exon 2 of 6ENSP00000370090.3Q99217-1
AMELX
ENST00000380712.7
TSL:1
c.3G>Ap.Met1?
start_lost
Exon 2 of 7ENSP00000370088.3Q99217-3
ARHGAP6
ENST00000337414.9
TSL:1 MANE Select
c.589-40084C>T
intron
N/AENSP00000338967.4O43182-1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
23

ClinVar

ClinVar submissions
Significance:Likely pathogenic
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Amelogenesis imperfecta type 1E (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.61
D
BayesDel_noAF
Pathogenic
0.49
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.37
T
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.96
D
MetaRNN
Pathogenic
0.91
D
MetaSVM
Uncertain
-0.051
T
PhyloP100
5.0
PROVEAN
Benign
-1.1
N
REVEL
Uncertain
0.59
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.60
P
Vest4
0.77
MutPred
0.64
Gain of catalytic residue at M1 (P = 0.0237)
MVP
0.87
ClinPred
0.99
D
GERP RS
5.5
Varity_R
0.91
gMVP
0.40
Mutation Taster
=37/163
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.32
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.32
Position offset: -14

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

Publications

Other links and lift over

hg19: chrX-11312911; API