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GeneBe

X-136197115-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PVS1

The NM_001159699.2(FHL1):c.3G>A(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.00001 in 1,095,515 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.000010 ( 0 hom. 3 hem. )

Consequence

FHL1
NM_001159699.2 start_lost

Scores

3
6
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.75
Variant links:
Genes affected
FHL1 (HGNC:3702): (four and a half LIM domains 1) This gene encodes a member of the four-and-a-half-LIM-only protein family. Family members contain two highly conserved, tandemly arranged, zinc finger domains with four highly conserved cysteines binding a zinc atom in each zinc finger. Expression of these family members occurs in a cell- and tissue-specific mode and these proteins are involved in many cellular processes. Mutations in this gene have been found in patients with Emery-Dreifuss muscular dystrophy. Multiple alternately spliced transcript variants which encode different protein isoforms have been described.[provided by RefSeq, Nov 2009]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PVS1
Start lost variant, no new inframe start found.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FHL1NM_001159699.2 linkuse as main transcriptc.3G>A p.Met1? start_lost 1/6 ENST00000370683.6
FHL1NM_001159702.3 linkuse as main transcriptc.-26-9292G>A intron_variant ENST00000394155.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FHL1ENST00000370683.6 linkuse as main transcriptc.3G>A p.Met1? start_lost 1/61 NM_001159699.2 P1Q13642-5
FHL1ENST00000394155.8 linkuse as main transcriptc.-26-9292G>A intron_variant 5 NM_001159702.3 Q13642-2

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000555
AC:
1
AN:
180069
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
66521
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000124
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000100
AC:
11
AN:
1095515
Hom.:
0
Cov.:
28
AF XY:
0.00000831
AC XY:
3
AN XY:
361067
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:
0.0000131
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxNov 05, 2019Has not been previously published as pathogenic or benign to our knowledge; Not observed at a significant frequency in large population cohorts (Lek et al., 2016); Initiation codon variant in a gene for which loss-of-function is not a known mechanism of disease -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.74
D
BayesDel_noAF
Uncertain
-0.030
Cadd
Uncertain
24
Dann
Uncertain
1.0
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Uncertain
0.25
D
MetaRNN
Uncertain
0.71
D;D
MetaSVM
Benign
-0.30
T
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D
PROVEAN
Benign
-0.92
N;N
REVEL
Uncertain
0.31
Sift
Pathogenic
0.0
D;D
Sift4G
Benign
0.34
T;D
Vest4
0.82
MutPred
0.59
Gain of catalytic residue at M1 (P = 0.0632);Gain of catalytic residue at M1 (P = 0.0632);
MVP
0.93
ClinPred
0.82
D
GERP RS
5.7

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs1421289849; hg19: chrX-135279274; API