X-17800729-T-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_021785.6(RAI2):​c.1282A>T​(p.Ile428Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000992 in 1,209,762 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000082 ( 0 hom. 3 hem. )

Consequence

RAI2
NM_021785.6 missense

Scores

4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.54
Variant links:
Genes affected
RAI2 (HGNC:9835): (retinoic acid induced 2) Retinoic acid plays a critical role in development, cellular growth, and differentiation. The specific function of this retinoic acid-induced gene has not yet been determined but it may play a role in development. The chromosomal location of this gene designates it to be a candidate for diseases such as Nance-Horan syndrome, sensorineural deafness, non-specific X-linked cognitive disability, oral-facial-digital syndrome, and Fried syndrome. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Feb 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.11773902).
BS2
High Hemizygotes in GnomAdExome4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RAI2NM_021785.6 linkuse as main transcriptc.1282A>T p.Ile428Phe missense_variant 2/2 ENST00000451717.6 NP_068557.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RAI2ENST00000451717.6 linkuse as main transcriptc.1282A>T p.Ile428Phe missense_variant 2/21 NM_021785.6 ENSP00000401323 P1Q9Y5P3-1

Frequencies

GnomAD3 genomes
AF:
0.0000269
AC:
3
AN:
111683
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33849
show subpopulations
Gnomad AFR
AF:
0.0000978
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000328
AC:
6
AN:
183123
Hom.:
0
AF XY:
0.0000296
AC XY:
2
AN XY:
67571
show subpopulations
Gnomad AFR exome
AF:
0.000456
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000820
AC:
9
AN:
1098079
Hom.:
0
Cov.:
31
AF XY:
0.00000825
AC XY:
3
AN XY:
363445
show subpopulations
Gnomad4 AFR exome
AF:
0.000341
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000269
AC:
3
AN:
111683
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33849
show subpopulations
Gnomad4 AFR
AF:
0.0000978
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.0000982
ESP6500AA
AF:
0.000782
AC:
3
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000494
AC:
6

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 27, 2021The c.1282A>T (p.I428F) alteration is located in exon 3 (coding exon 1) of the RAI2 gene. This alteration results from a A to T substitution at nucleotide position 1282, causing the isoleucine (I) at amino acid position 428 to be replaced by a phenylalanine (F). 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
Benign
0.090
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
15
DANN
Benign
0.97
DEOGEN2
Benign
0.23
.;T;T;T;T
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.75
T;.;.;.;T
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.12
T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.7
.;L;L;L;L
MutationTaster
Benign
0.97
D;D;D;D;D
PrimateAI
Benign
0.29
T
PROVEAN
Uncertain
-3.1
D;N;N;N;N
REVEL
Benign
0.13
Sift
Uncertain
0.016
D;D;D;D;D
Sift4G
Uncertain
0.029
D;D;D;D;D
Polyphen
0.14
.;B;B;B;B
Vest4
0.40
MVP
0.55
MPC
0.21
ClinPred
0.10
T
GERP RS
1.1
Varity_R
0.21
gMVP
0.21

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: rs35817256; hg19: chrX-17818849; API