X-32644202-G-C

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BP4BP6_ModerateBS2_Supporting

The NM_004006.3(DMD):ā€‹c.1261C>Gā€‹(p.Gln421Glu) variant causes a missense change. The variant allele was found at a frequency of 0.00000182 in 1,096,397 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: not found (cov: 23)
Exomes š‘“: 0.0000018 ( 0 hom. 2 hem. )

Consequence

DMD
NM_004006.3 missense

Scores

5
11

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 4.37
Variant links:
Genes affected
DMD (HGNC:2928): (dystrophin) This gene spans a genomic range of greater than 2 Mb and encodes a large protein containing an N-terminal actin-binding domain and multiple spectrin repeats. The encoded protein forms a component of the dystrophin-glycoprotein complex (DGC), which bridges the inner cytoskeleton and the extracellular matrix. Deletions, duplications, and point mutations at this gene locus may cause Duchenne muscular dystrophy (DMD), Becker muscular dystrophy (BMD), or cardiomyopathy. Alternative promoter usage and alternative splicing result in numerous distinct transcript variants and protein isoforms for this gene. [provided by RefSeq, Dec 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3564061).
BP6
Variant X-32644202-G-C is Benign according to our data. Variant chrX-32644202-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 2905837.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Hemizygotes in GnomAdExome4 at 2 XL geneVariant has number of hemizygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DMDNM_004006.3 linkuse as main transcriptc.1261C>G p.Gln421Glu missense_variant 11/79 ENST00000357033.9 NP_003997.2 P11532

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DMDENST00000357033.9 linkuse as main transcriptc.1261C>G p.Gln421Glu missense_variant 11/791 NM_004006.3 ENSP00000354923.3 A0A075B6G3

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000546
AC:
1
AN:
182995
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67539
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:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000182
AC:
2
AN:
1096397
Hom.:
0
Cov.:
29
AF XY:
0.00000553
AC XY:
2
AN XY:
361857
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:
0.00000238
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Duchenne muscular dystrophy Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpApr 07, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.28
.;T;.;.;T
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.95
D;.;D;D;D
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.36
T;T;T;T;T
MetaSVM
Benign
-0.67
T
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-1.4
.;N;.;N;N
REVEL
Benign
0.13
Sift
Uncertain
0.019
.;D;.;D;D
Sift4G
Uncertain
0.040
D;D;D;D;T
Polyphen
0.95, 0.090
.;P;.;.;B
Vest4
0.46
MutPred
0.56
.;.;Gain of disorder (P = 0.1515);Gain of disorder (P = 0.1515);.;
MVP
0.64
MPC
0.019
ClinPred
0.34
T
GERP RS
5.8
gMVP
0.36

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: rs398123852; hg19: chrX-32662319; API