X-38286458-C-A

Variant names:

• chrX-38286458-C-A
• rs750364695
• NM_001034853.2:c.2541G>T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_Strong BP7

The NM_001034853.2(RPGR):​c.2541G>T​(p.Gly847Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Synonymous variant affecting the same amino acid position (i.e. G847G) has been classified as Likely benign.

• Frequency:
  • Genomes: 𝑓 0.0 (0 hom., 0 hem., cov: 3)
  • Exomes 𝑓: 0.0000028 (0 hom. 0 hem.)
  • Failed GnomAD Quality Control
• Consequence: RPGR NM_001034853.2 synonymous
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.405
• Publications: 0 publications found

Genes affected

RPGR (HGNC:10295): (retinitis pigmentosa GTPase regulator) This gene encodes a protein with a series of six RCC1-like domains (RLDs), characteristic of the highly conserved guanine nucleotide exchange factors. The encoded protein is found in the Golgi body and interacts with RPGRIP1. This protein localizes to the outer segment of rod photoreceptors and is essential for their viability. Mutations in this gene have been associated with X-linked retinitis pigmentosa (XLRP). Multiple alternatively spliced transcript variants that encode different isoforms of this gene have been reported, but the full-length natures of only some have been determined. [provided by RefSeq, Dec 2008]

RPGR Gene-Disease associations (from GenCC):

• retinitis pigmentosa 3

  Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
• RPGR-related retinopathy

  Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
• primary ciliary dyskinesia-retinitis pigmentosa syndrome

  Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
• cone-rod dystrophy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• primary ciliary dyskinesia

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• retinitis pigmentosa

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• macular degeneration, X-linked atrophic

  Inheritance: XL Classification: LIMITED Submitted by: G2P

ENSG00000250349 (HGNC:):

ACMG classification

Our verdict: Likely_benign. The variant received -5 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.68).
• BP7: Synonymous conserved (PhyloP=-0.405 with no splicing effect.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001034853.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	RPGR	NM_001034853.2	MANE Select	c.2541G>T	p.Gly847Gly	synonymous	Exon 15 of 15	NP_001030025.1
	RPGR	NM_000328.3		c.1905+636G>T		intron	N/A	NP_000319.1
	RPGR	NM_001367245.1		c.1902+636G>T		intron	N/A	NP_001354174.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	RPGR	ENST00000645032.1	MANE Select	c.2541G>T	p.Gly847Gly	synonymous	Exon 15 of 15	ENSP00000495537.1
	ENSG00000250349	ENST00000465127.1	TSL:5	c.172-379663C>A		intron	N/A	ENSP00000417050.1
	RPGR	ENST00000339363.7	TSL:5	c.2520+636G>T		intron	N/A	ENSP00000343671.3

Frequencies

GnomAD3 genomes AF: 0.00 AC: 0 AN: 10733 Hom.: 0 Cov.: 3

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: 0.00

Gnomad OTH AF: 0.00

GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.00000279 AC: 2 AN: 717198 Hom.: 0 Cov.: 23 AF XY: 0.00 AC XY: 0 AN XY: 198710

⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.

African (AFR) AF: 0.00 AC: 0 AN: 12483

American (AMR) AF: 0.00 AC: 0 AN: 8133

Ashkenazi Jewish (ASJ) AF: 0.00 AC: 0 AN: 8634

East Asian (EAS) AF: 0.00 AC: 0 AN: 12806

South Asian (SAS) AF: 0.00 AC: 0 AN: 24302

European-Finnish (FIN) AF: 0.00 AC: 0 AN: 20395

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 1556

European-Non Finnish (NFE) AF: 0.00000333 AC: 2 AN: 601340

Other (OTH) AF: 0.00 AC: 0 AN: 27549

⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0000000000983081), which strongly suggests a high chance of mosaicism in these individuals.

GnomAD4 genome Data not reliable, filtered out with message: AC0;AS_VQSR AF: 0.00 AC: 0 AN: 10733 Hom.: 0 Cov.: 3 AF XY: 0.00 AC XY: 0 AN XY: 783

African (AFR) AF: 0.00 AC: 0 AN: 2070

American (AMR) AF: 0.00 AC: 0 AN: 949

Ashkenazi Jewish (ASJ) AF: 0.00 AC: 0 AN: 279

East Asian (EAS) AF: 0.00 AC: 0 AN: 429

South Asian (SAS) AF: 0.00 AC: 0 AN: 152

European-Finnish (FIN) AF: 0.00 AC: 0 AN: 781

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 21

European-Non Finnish (NFE) AF: 0.00 AC: 0 AN: 5851

Other (OTH) AF: 0.00 AC: 0 AN: 138

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.68
CADD	Benign	0.20
DANN	Benign	0.74
PhyloP100		-0.41

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

Other links and lift over

dbSNP: rs750364695; hg19: chrX-38145711;