X-151923867-G-A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001011548.1(MAGEA4):​c.203G>A​(p.Gly68Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000163 in 1,209,618 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 62 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000098 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.00017 ( 0 hom. 61 hem. )

Consequence

MAGEA4
NM_001011548.1 missense

Scores

1
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.412

Publications

2 publications found
Variant links:
Genes affected
MAGEA4 (HGNC:6802): (MAGE family member A4) This gene is a member of the MAGEA gene family. The members of this family encode proteins with 50 to 80% sequence identity to each other. The promoters and first exons of the MAGEA genes show considerable variability, suggesting that the existence of this gene family enables the same function to be expressed under different transcriptional controls. The MAGEA genes are clustered at chromosomal location Xq28. They have been implicated in some hereditary disorders, such as dyskeratosis congenita. Several variants encoding the same protein have been found for this gene. [provided by RefSeq, Aug 2020]

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06849176).
BS2
High Hemizygotes in GnomAdExome4 at 61 gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001011548.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MAGEA4
NM_001011548.1
MANE Select
c.203G>Ap.Gly68Glu
missense
Exon 3 of 3NP_001011548.1P43358
MAGEA4
NM_001011549.1
c.203G>Ap.Gly68Glu
missense
Exon 3 of 3NP_001011549.1P43358
MAGEA4
NM_001011550.1
c.203G>Ap.Gly68Glu
missense
Exon 3 of 3NP_001011550.1P43358

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MAGEA4
ENST00000276344.6
TSL:2 MANE Select
c.203G>Ap.Gly68Glu
missense
Exon 3 of 3ENSP00000276344.2P43358
MAGEA4
ENST00000360243.6
TSL:1
c.203G>Ap.Gly68Glu
missense
Exon 3 of 3ENSP00000353379.2P43358
MAGEA4
ENST00000370335.5
TSL:1
c.203G>Ap.Gly68Glu
missense
Exon 3 of 3ENSP00000359360.1P43358

Frequencies

GnomAD3 genomes
AF:
0.0000985
AC:
11
AN:
111724
Hom.:
0
Cov.:
23
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:
0.000207
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000191
AC:
35
AN:
182936
AF XY:
0.000208
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 FIN exome
AF:
0.000125
Gnomad NFE exome
AF:
0.000355
Gnomad OTH exome
AF:
0.000443
GnomAD4 exome
AF:
0.000169
AC:
186
AN:
1097894
Hom.:
0
Cov.:
36
AF XY:
0.000168
AC XY:
61
AN XY:
363350
show subpopulations
African (AFR)
AF:
0.0000379
AC:
1
AN:
26401
American (AMR)
AF:
0.00
AC:
0
AN:
35198
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19368
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30205
South Asian (SAS)
AF:
0.000222
AC:
12
AN:
54120
European-Finnish (FIN)
AF:
0.000174
AC:
7
AN:
40315
Middle Eastern (MID)
AF:
0.00121
AC:
5
AN:
4137
European-Non Finnish (NFE)
AF:
0.000176
AC:
148
AN:
842061
Other (OTH)
AF:
0.000282
AC:
13
AN:
46089
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
10
20
29
39
49
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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
AF:
0.0000985
AC:
11
AN:
111724
Hom.:
0
Cov.:
23
AF XY:
0.0000295
AC XY:
1
AN XY:
33878
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30698
American (AMR)
AF:
0.00
AC:
0
AN:
10610
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2646
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3523
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2613
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6104
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.000207
AC:
11
AN:
53105
Other (OTH)
AF:
0.00
AC:
0
AN:
1505
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.535
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000425
Hom.:
9
Bravo
AF:
0.000136
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.000157
AC:
19
EpiCase
AF:
0.000491
EpiControl
AF:
0.000356

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.083
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.80
CADD
Benign
7.8
DANN
Benign
0.92
DEOGEN2
Benign
0.0057
T
FATHMM_MKL
Benign
0.058
N
LIST_S2
Benign
0.057
T
M_CAP
Benign
0.0036
T
MetaRNN
Benign
0.068
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.8
L
PhyloP100
0.41
PrimateAI
Benign
0.26
T
PROVEAN
Uncertain
-3.2
D
REVEL
Benign
0.024
Sift
Benign
0.40
T
Sift4G
Benign
0.49
T
Polyphen
0.93
P
Vest4
0.018
MVP
0.23
MPC
0.0061
ClinPred
0.12
T
GERP RS
2.3
Varity_R
0.17
gMVP
0.052
Mutation Taster
=99/1
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
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

Other links and lift over

dbSNP: rs199930521; hg19: chrX-151092339; API