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GeneBe

X-123885666-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_001167.4(XIAP):c.4A>G(p.Thr2Ala) variant causes a missense change. The variant allele was found at a frequency of 0.00000165 in 1,208,509 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 9.1e-7 ( 0 hom. 0 hem. )

Consequence

XIAP
NM_001167.4 missense

Scores

1
3
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.87
Variant links:
Genes affected
XIAP (HGNC:592): (X-linked inhibitor of apoptosis) This gene encodes a protein that belongs to a family of apoptotic suppressor proteins. Members of this family share a conserved motif termed, baculovirus IAP repeat, which is necessary for their anti-apoptotic function. This protein functions through binding to tumor necrosis factor receptor-associated factors TRAF1 and TRAF2 and inhibits apoptosis induced by menadione, a potent inducer of free radicals, and interleukin 1-beta converting enzyme. This protein also inhibits at least two members of the caspase family of cell-death proteases, caspase-3 and caspase-7. Mutations in this gene are the cause of X-linked lymphoproliferative syndrome. Alternate splicing results in multiple transcript variants. Pseudogenes of this gene are found on chromosomes 2 and 11.[provided by RefSeq, Feb 2011]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.36283326).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
XIAPNM_001167.4 linkuse as main transcriptc.4A>G p.Thr2Ala missense_variant 2/7 ENST00000371199.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
XIAPENST00000371199.8 linkuse as main transcriptc.4A>G p.Thr2Ala missense_variant 2/71 NM_001167.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00000890
AC:
1
AN:
112408
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34554
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000187
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
9.12e-7
AC:
1
AN:
1096101
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
361735
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000890
AC:
1
AN:
112408
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34554
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000187
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 22, 2022The c.4A>G (p.T2A) alteration is located in exon 2 (coding exon 1) of the XIAP gene. This alteration results from a A to G substitution at nucleotide position 4, causing the threonine (T) at amino acid position 2 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
BayesDel_addAF
Benign
-0.025
T
BayesDel_noAF
Benign
-0.27
Cadd
Benign
22
Dann
Uncertain
0.99
FATHMM_MKL
Uncertain
0.96
D
M_CAP
Benign
0.071
D
MetaRNN
Benign
0.36
T;T;T;T;T
MetaSVM
Benign
-0.55
T
MutationTaster
Benign
0.60
N;N;N
PrimateAI
Uncertain
0.52
T
PROVEAN
Pathogenic
-5.0
D;N;N;N;N
REVEL
Benign
0.12
Polyphen
0.95
.;P;.;P;P
Vest4
0.36, 0.36
MutPred
0.18
Loss of glycosylation at T2 (P = 0.0258);Loss of glycosylation at T2 (P = 0.0258);Loss of glycosylation at T2 (P = 0.0258);Loss of glycosylation at T2 (P = 0.0258);Loss of glycosylation at T2 (P = 0.0258);
MVP
0.55
MPC
0.32
ClinPred
0.98
D
GERP RS
5.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.24
gMVP
0.71

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs2053344360; hg19: chrX-123019516; API