X-154379368-G-T

Variant names:

• chrX-154379368-G-T
• rs1364497478
• NM_000117.3:c.-117G>T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2 BP4_Strong

The NM_000117.3(EMD):​c.-117G>T variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000156 in 640,278 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. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: not found (cov: 26)
  • Exomes 𝑓: 0.0000016 (0 hom. 0 hem.)
• Consequence: EMD NM_000117.3 5_prime_UTR
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 0.311
• Publications: 0 publications found

Genes affected

EMD (HGNC:3331): (emerin) Emerin is a serine-rich nuclear membrane protein and a member of the nuclear lamina-associated protein family. It mediates membrane anchorage to the cytoskeleton. Dreifuss-Emery muscular dystrophy is an X-linked inherited degenerative myopathy resulting from mutation in the emerin gene. [provided by RefSeq, Jul 2008]

EMD Gene-Disease associations (from GenCC):

• X-linked Emery-Dreifuss muscular dystrophy

  Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
• heart conduction disease

  Inheritance: XL Classification: STRONG Submitted by: Genomics England PanelApp

ACMG classification

Our verdict: Likely_benign. The variant received -2 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.82).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000117.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	EMD	NM_000117.3	MANE Select	c.-117G>T		5_prime_UTR	Exon 1 of 6	NP_000108.1	P50402

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	EMD	ENST00000369842.9	TSL:1 MANE Select	c.-117G>T		5_prime_UTR	Exon 1 of 6	ENSP00000358857.4	P50402
	EMD	ENST00000933532.1		c.-117G>T		5_prime_UTR	Exon 1 of 6	ENSP00000603591.1
	EMD	ENST00000369835.3	TSL:3	c.-117G>T		5_prime_UTR	Exon 1 of 5	ENSP00000358850.3	Q5HY57

Frequencies

GnomAD3 genomes Cov.: 26

GnomAD4 exome AF: 0.00000156 AC: 1 AN: 640278 Hom.: 0 Cov.: 10 AF XY: 0.00 AC XY: 0 AN XY: 174446

⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.

African (AFR) AF: 0.00 AC: 0 AN: 14156

American (AMR) AF: 0.00 AC: 0 AN: 19578

Ashkenazi Jewish (ASJ) AF: 0.00 AC: 0 AN: 13177

East Asian (EAS) AF: 0.00 AC: 0 AN: 23017

South Asian (SAS) AF: 0.00 AC: 0 AN: 35784

European-Finnish (FIN) AF: 0.0000331 AC: 1 AN: 30227

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 2075

European-Non Finnish (NFE) AF: 0.00 AC: 0 AN: 472207

Other (OTH) AF: 0.00 AC: 0 AN: 30057

⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.

GnomAD4 genome Cov.: 26

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.82
CADD	Benign	12
DANN	Benign	0.73
PhyloP100		0.31
PromoterAI		0.075	Neutral
RBP_binding_hub_radar		0.0
RBP_regulation_power_radar		1.0

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

Other links and lift over

dbSNP: rs1364497478; hg19: chrX-153607728;