X-15534277-C-T

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BS2

The NM_203281.3(BMX):​c.1085C>T​(p.Ala362Val) variant causes a missense change. The variant allele was found at a frequency of 0.0000268 in 1,194,565 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.000027 ( 0 hom. 8 hem. )

Consequence

BMX
NM_203281.3 missense

Scores

5
10
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.03
Variant links:
Genes affected
BMX (HGNC:1079): (BMX non-receptor tyrosine kinase) This gene encodes a non-receptor tyrosine kinase belonging to the Tec kinase family. The protein contains a PH-like domain, which mediates membrane targeting by binding to phosphatidylinositol 3,4,5-triphosphate (PIP3), and a SH2 domain that binds to tyrosine-phosphorylated proteins and functions in signal transduction. The protein is implicated in several signal transduction pathways including the Stat pathway, and regulates differentiation and tumorigenicity of several types of cancer cells. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2016]
ACE2 (HGNC:13557): (angiotensin converting enzyme 2) The protein encoded by this gene belongs to the angiotensin-converting enzyme family of dipeptidyl carboxydipeptidases and has considerable homology to human angiotensin 1 converting enzyme. This secreted protein catalyzes the cleavage of angiotensin I into angiotensin 1-9, and angiotensin II into the vasodilator angiotensin 1-7. ACE2 is known to be expressed in various human organs, and its organ- and cell-specific expression suggests that it may play a role in the regulation of cardiovascular and renal function, as well as fertility. In addition, the encoded protein is a functional receptor for the spike glycoprotein of the human coronavirus HCoV-NL63 and the human severe acute respiratory syndrome coronaviruses, SARS-CoV and SARS-CoV-2, the latter is the causative agent of coronavirus disease-2019 (COVID-19). Multiple splice variants have been found for this gene and the dACE2 (or MIRb-ACE2) splice variant has been found to be interferon inducible. [provided by RefSeq, Nov 2020]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 8 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BMXNM_203281.3 linkc.1085C>T p.Ala362Val missense_variant Exon 12 of 19 ENST00000348343.11 NP_975010.1 P51813

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BMXENST00000348343.11 linkc.1085C>T p.Ala362Val missense_variant Exon 12 of 19 1 NM_203281.3 ENSP00000308774.6 P51813

Frequencies

GnomAD3 genomes
AF:
0.0000268
AC:
3
AN:
112039
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0000648
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000118
AC:
2
AN:
169347
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.000163
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000268
AC:
29
AN:
1082526
Hom.:
0
Cov.:
27
AF XY:
0.0000228
AC XY:
8
AN XY:
350884
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25672
American (AMR)
AF:
0.00
AC:
0
AN:
33774
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19075
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29487
South Asian (SAS)
AF:
0.00
AC:
0
AN:
51941
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40336
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4081
European-Non Finnish (NFE)
AF:
0.0000348
AC:
29
AN:
832655
Other (OTH)
AF:
0.00
AC:
0
AN:
45505
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
2
4
5
7
9
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
GnomAD4 genome
AF:
0.0000268
AC:
3
AN:
112039
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34217
show subpopulations
African (AFR)
AF:
0.0000648
AC:
2
AN:
30879
American (AMR)
AF:
0.00
AC:
0
AN:
10513
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2646
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3600
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2721
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6071
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
240
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53172
Other (OTH)
AF:
0.00
AC:
0
AN:
1508
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.558
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.0000712
Hom.:
0
Bravo
AF:
0.0000302
ExAC
AF:
0.0000165
AC:
2

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Apr 10, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.1085C>T (p.A362V) alteration is located in exon 12 (coding exon 11) of the BMX gene. This alteration results from a C to T substitution at nucleotide position 1085, causing the alanine (A) at amino acid position 362 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.77
BayesDel_addAF
Benign
-0.068
T
BayesDel_noAF
Uncertain
-0.070
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.73
D;D;D
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.86
.;.;D
M_CAP
Pathogenic
0.63
D
MetaRNN
Uncertain
0.63
D;D;D
MetaSVM
Uncertain
0.68
D
MutationAssessor
Uncertain
2.1
M;M;M
PhyloP100
5.0
PrimateAI
Uncertain
0.69
T
PROVEAN
Uncertain
-3.5
D;D;D
REVEL
Pathogenic
0.72
Sift
Uncertain
0.0010
D;D;D
Sift4G
Uncertain
0.0040
D;D;D
Polyphen
0.99
D;D;D
Vest4
0.50
MVP
0.93
MPC
0.65
ClinPred
0.77
D
GERP RS
5.1
Varity_R
0.72
gMVP
0.33
Mutation Taster
=48/52
disease causing

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: rs747011166; hg19: chrX-15552400; API