X-24210293-A-C

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_003410.4(ZFX):ā€‹c.1335A>Cā€‹(p.Lys445Asn) variant causes a missense change. The variant allele was found at a frequency of 0.0000438 in 1,209,843 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 18 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000045 ( 0 hom., 5 hem., cov: 23)
Exomes š‘“: 0.000044 ( 0 hom. 13 hem. )

Consequence

ZFX
NM_003410.4 missense

Scores

3
6
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.49
Variant links:
Genes affected
ZFX (HGNC:12869): (zinc finger protein X-linked) This gene on the X chromosome is structurally similar to a related gene on the Y chromosome. It encodes a member of the krueppel C2H2-type zinc-finger protein family. The full-length protein contains an acidic transcriptional activation domain (AD), a nuclear localization sequence (NLS) and a DNA binding domain (DBD) consisting of 13 C2H2-type zinc fingers. Studies in mouse embryonic and adult hematopoietic stem cells showed that this gene was required as a transcriptional regulator for self-renewal of both stem cell types, but it was dispensable for growth and differentiation of their progeny. Multiple alternatively spliced transcript variants encoding different isoforms have been identified, but the full-length nature of some variants has not been determined. [provided by RefSeq, May 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAd4 at 5 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ZFXNM_003410.4 linkuse as main transcriptc.1335A>C p.Lys445Asn missense_variant 10/10 ENST00000304543.10 NP_003401.2 P17010-1A0A024RC04Q8WXB7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ZFXENST00000304543.10 linkuse as main transcriptc.1335A>C p.Lys445Asn missense_variant 10/105 NM_003410.4 ENSP00000304985.5 P17010-1

Frequencies

GnomAD3 genomes
AF:
0.0000448
AC:
5
AN:
111574
Hom.:
0
Cov.:
23
AF XY:
0.000148
AC XY:
5
AN XY:
33748
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000941
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000218
AC:
4
AN:
183515
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67945
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000488
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000437
AC:
48
AN:
1098269
Hom.:
0
Cov.:
31
AF XY:
0.0000358
AC XY:
13
AN XY:
363623
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.0000511
Gnomad4 OTH exome
AF:
0.000108
GnomAD4 genome
AF:
0.0000448
AC:
5
AN:
111574
Hom.:
0
Cov.:
23
AF XY:
0.000148
AC XY:
5
AN XY:
33748
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000941
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000130
Hom.:
1
Bravo
AF:
0.0000529
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

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 GeneticsMar 02, 2023The c.1335A>C (p.K445N) alteration is located in exon 11 (coding exon 7) of the ZFX gene. This alteration results from a A to C substitution at nucleotide position 1335, causing the lysine (K) at amino acid position 445 to be replaced by an asparagine (N). 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
0.96
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.42
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
.;.;T;T;.
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Pathogenic
0.98
D;D;.;D;D
M_CAP
Benign
0.070
D
MetaRNN
Uncertain
0.46
T;T;T;T;T
MetaSVM
Benign
-0.71
T
MutationAssessor
Benign
1.3
.;.;L;L;.
PrimateAI
Pathogenic
0.85
D
PROVEAN
Uncertain
-3.1
D;.;D;D;D
REVEL
Benign
0.24
Sift
Uncertain
0.0010
D;.;D;D;D
Sift4G
Uncertain
0.0050
D;D;D;D;D
Polyphen
0.80
.;.;P;P;.
Vest4
0.76
MutPred
0.66
.;.;Loss of catalytic residue at K445 (P = 0.0025);Loss of catalytic residue at K445 (P = 0.0025);.;
MVP
0.63
MPC
2.4
ClinPred
0.43
T
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.84
gMVP
0.66

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: rs750678446; hg19: chrX-24228410; API