X-136206403-G-A

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001159699.2(FHL1):​c.23-4G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000637 in 1,098,055 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: not found (cov: 24)
Exomes 𝑓: 0.0000064 ( 0 hom. 2 hem. )

Consequence

FHL1
NM_001159699.2 splice_region, intron

Scores

2
Splicing: ADA: 0.0001974
2

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: -1.29
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.67).
BP6
Variant X-136206403-G-A is Benign according to our data. Variant chrX-136206403-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 3350784.Status of the report is no_assertion_criteria_provided, 0 stars.
BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FHL1NM_001159702.3 linkuse as main transcriptc.-26-4G>A splice_region_variant, intron_variant ENST00000394155.8 NP_001153174.1 Q13642-2
FHL1NM_001159699.2 linkuse as main transcriptc.23-4G>A splice_region_variant, intron_variant ENST00000370683.6 NP_001153171.1 Q13642-5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FHL1ENST00000394155.8 linkuse as main transcriptc.-26-4G>A splice_region_variant, intron_variant 5 NM_001159702.3 ENSP00000377710.2 Q13642-2
FHL1ENST00000370683.6 linkuse as main transcriptc.23-4G>A splice_region_variant, intron_variant 1 NM_001159699.2 ENSP00000359717.1 Q13642-5

Frequencies

GnomAD3 genomes
Cov.:
24
GnomAD3 exomes
AF:
0.0000109
AC:
2
AN:
183394
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67840
show subpopulations
Gnomad AFR exome
AF:
0.0000760
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:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000637
AC:
7
AN:
1098055
Hom.:
0
Cov.:
31
AF XY:
0.00000550
AC XY:
2
AN XY:
363425
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
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:
0.00000594
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
Cov.:
24
Bravo
AF:
0.0000151
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

FHL1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 28, 2020This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.67
CADD
Benign
0.048
DANN
Benign
0.74

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00020
dbscSNV1_RF
Benign
0.0020
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: rs113620195; hg19: chrX-135288562; API