X-154478014-A-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_006014.5(LAGE3):​c.362T>C​(p.Ile121Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000827 in 1,211,198 control chromosomes in the GnomAD database, including 16 homozygotes. There are 311 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00032 ( 2 hom., 11 hem., cov: 24)
Exomes 𝑓: 0.00088 ( 14 hom. 300 hem. )

Consequence

LAGE3
NM_006014.5 missense

Scores

1
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.481
Variant links:
Genes affected
LAGE3 (HGNC:26058): (L antigen family member 3) This gene belongs to the ESO/LAGE gene family, members of which are clustered together on chromosome Xq28, and have similar exon-intron structures. Unlike the other family members which are normally expressed only in testis and activated in a wide range of human tumors, this gene is ubiquitously expressed in somatic tissues. The latter, combined with the finding that it is highly conserved in mouse and rat, suggests that the encoded protein is functionally important. An intronless pseudogene with high sequence similarity to this gene is located on chromosome 9. [provided by RefSeq, Jul 2008]
PLXNA3 (HGNC:9101): (plexin A3) This gene encodes a member of the plexin class of proteins. The encoded protein is a class 3 semaphorin receptor, and may be involved in cytoskeletal remodeling and as well as apoptosis. Studies of a similar gene in zebrafish suggest that it is important for axon pathfinding in the developing nervous system. This gene may be associated with tumor progression. [provided by RefSeq, Aug 2013]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009085059).
BP6
Variant X-154478014-A-G is Benign according to our data. Variant chrX-154478014-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 721916.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population eas. gnomad4_exome allele frequency = 0.00088 (966/1098008) while in subpopulation EAS AF= 0.0314 (949/30201). AF 95% confidence interval is 0.0298. There are 14 homozygotes in gnomad4_exome. There are 300 alleles in male gnomad4_exome subpopulation. Median coverage is 30. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LAGE3NM_006014.5 linkc.362T>C p.Ile121Thr missense_variant Exon 3 of 3 ENST00000357360.5 NP_006005.2 Q14657
PLXNA3NM_017514.5 linkc.*5329A>G downstream_gene_variant ENST00000369682.4 NP_059984.3 P51805

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LAGE3ENST00000357360.5 linkc.362T>C p.Ile121Thr missense_variant Exon 3 of 3 1 NM_006014.5 ENSP00000349923.4 Q14657
PLXNA3ENST00000369682.4 linkc.*5329A>G downstream_gene_variant 1 NM_017514.5 ENSP00000358696.3 P51805

Frequencies

GnomAD3 genomes
AF:
0.000318
AC:
36
AN:
113136
Hom.:
2
Cov.:
24
AF XY:
0.000312
AC XY:
11
AN XY:
35258
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000930
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00962
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000257
AC:
47
AN:
183066
Hom.:
2
AF XY:
0.000177
AC XY:
12
AN XY:
67652
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000183
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00289
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000443
GnomAD4 exome
AF:
0.000880
AC:
966
AN:
1098008
Hom.:
14
Cov.:
30
AF XY:
0.000826
AC XY:
300
AN XY:
363366
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000114
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0314
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.000282
GnomAD4 genome
AF:
0.000318
AC:
36
AN:
113190
Hom.:
2
Cov.:
24
AF XY:
0.000311
AC XY:
11
AN XY:
35322
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000929
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00965
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000212
Hom.:
8
Bravo
AF:
0.000117
ExAC
AF:
0.000255
AC:
31

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

LAGE3-related disorder Benign:1
Aug 30, 2023
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This 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). -

not provided Benign:1
Oct 17, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Galloway-Mowat syndrome 2, X-linked Benign:1
Mar 16, 2022
Fulgent Genetics, Fulgent Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.40
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
20
DANN
Benign
0.53
DEOGEN2
Benign
0.011
T
FATHMM_MKL
Benign
0.039
N
LIST_S2
Benign
0.71
T
MetaRNN
Benign
0.0091
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.5
L
PrimateAI
Benign
0.41
T
PROVEAN
Benign
0.61
N
REVEL
Benign
0.049
Sift
Benign
0.39
T
Sift4G
Benign
0.62
T
Polyphen
0.15
B
Vest4
0.15
MVP
0.68
MPC
0.33
ClinPred
0.034
T
GERP RS
-0.88
Varity_R
0.16
gMVP
0.68

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs146063259; hg19: chrX-153706353; COSMIC: COSV100635694; COSMIC: COSV100635694; API