X-17800833-T-G

Variant summary

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

The NM_021785.6(RAI2):ā€‹c.1178A>Cā€‹(p.Glu393Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000645 in 1,209,664 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 19 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 (ā˜…).

Frequency

Genomes: š‘“ 0.000036 ( 0 hom., 1 hem., cov: 23)
Exomes š‘“: 0.000067 ( 0 hom. 18 hem. )

Consequence

RAI2
NM_021785.6 missense

Scores

3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.52
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=0.1528461).
BS2
High Hemizygotes in GnomAdExome4 at 18 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RAI2NM_021785.6 linkuse as main transcriptc.1178A>C p.Glu393Ala 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.1178A>C p.Glu393Ala missense_variant 2/21 NM_021785.6 ENSP00000401323 P1Q9Y5P3-1

Frequencies

GnomAD3 genomes
AF:
0.0000358
AC:
4
AN:
111578
Hom.:
0
Cov.:
23
AF XY:
0.0000296
AC XY:
1
AN XY:
33766
show subpopulations
Gnomad AFR
AF:
0.0000326
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:
0.000164
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000377
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000382
AC:
7
AN:
183134
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67606
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000729
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:
0.0000612
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000674
AC:
74
AN:
1098086
Hom.:
0
Cov.:
31
AF XY:
0.0000495
AC XY:
18
AN XY:
363446
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
Gnomad4 AMR exome
AF:
0.0000568
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000247
Gnomad4 NFE exome
AF:
0.0000772
Gnomad4 OTH exome
AF:
0.000108
GnomAD4 genome
AF:
0.0000358
AC:
4
AN:
111578
Hom.:
0
Cov.:
23
AF XY:
0.0000296
AC XY:
1
AN XY:
33766
show subpopulations
Gnomad4 AFR
AF:
0.0000326
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000164
Gnomad4 NFE
AF:
0.0000377
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000208
Hom.:
0
Bravo
AF:
0.0000453
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

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 GeneticsApr 15, 2024The c.1178A>C (p.E393A) alteration is located in exon 3 (coding exon 1) of the RAI2 gene. This alteration results from a A to C substitution at nucleotide position 1178, causing the glutamic acid (E) at amino acid position 393 to be replaced by an alanine (A). 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
0.091
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
17
DANN
Uncertain
0.98
DEOGEN2
Benign
0.22
.;T;T;T;T
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.65
T;.;.;.;T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.15
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
2.0
.;M;M;M;M
MutationTaster
Benign
0.67
N;N;N;N;N
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-1.9
N;N;N;N;N
REVEL
Benign
0.041
Sift
Benign
0.073
T;T;T;T;T
Sift4G
Uncertain
0.011
D;D;D;D;D
Polyphen
0.0010
.;B;B;B;B
Vest4
0.16
MutPred
0.077
.;Loss of solvent accessibility (P = 0.0062);Loss of solvent accessibility (P = 0.0062);Loss of solvent accessibility (P = 0.0062);Loss of solvent accessibility (P = 0.0062);
MVP
0.89
MPC
0.14
ClinPred
0.076
T
GERP RS
2.8
Varity_R
0.091
gMVP
0.38

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: rs201030059; hg19: chrX-17818953; API