X-46463210-C-T

Variant summary

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

The NM_001129898.2(KRBOX4):​c.155C>T​(p.Ala52Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000082 in 1,097,528 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000082 ( 0 hom. 4 hem. )

Consequence

KRBOX4
NM_001129898.2 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.320
Variant links:
Genes affected
KRBOX4 (HGNC:26007): (KRAB box domain containing 4) This encodes a zinc finger protein with an N-terminal KRAB (Kruppel-associated) domain found in transcriptional repressors. This gene is located in a region of the X chromosome thought to be involved in nonsyndromic X-linked cognitive disability. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2011]

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=0.09330425).
BS2
High Hemizygotes in GnomAdExome4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KRBOX4NM_001129898.2 linkuse as main transcriptc.155C>T p.Ala52Val missense_variant 5/6 ENST00000344302.9 NP_001123370.1 Q5JUW0-1
KRBOX4NM_017776.3 linkuse as main transcriptc.155C>T p.Ala52Val missense_variant 5/6 NP_060246.2 Q5JUW0-2
KRBOX4NM_001129899.2 linkuse as main transcriptc.155C>T p.Ala52Val missense_variant 5/7 NP_001123371.1 Q5JUW0-3
KRBOX4NM_001129900.2 linkuse as main transcriptc.155C>T p.Ala52Val missense_variant 5/7 NP_001123372.1 Q5JUW0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KRBOX4ENST00000344302.9 linkuse as main transcriptc.155C>T p.Ala52Val missense_variant 5/62 NM_001129898.2 ENSP00000345797.4 Q5JUW0-1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.0000164
AC:
3
AN:
183299
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67775
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000144
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:
0.00000820
AC:
9
AN:
1097528
Hom.:
0
Cov.:
30
AF XY:
0.0000110
AC XY:
4
AN XY:
362894
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000951
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
Bravo
AF:
0.00000756
ExAC
AF:
0.0000247
AC:
3

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 GeneticsJan 26, 2023The c.155C>T (p.A52V) alteration is located in exon 5 (coding exon 3) of the KRBOX4 gene. This alteration results from a C to T substitution at nucleotide position 155, causing the alanine (A) at amino acid position 52 to be replaced by a valine (V). 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
0.25
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.85
CADD
Benign
3.6
DANN
Benign
0.90
DEOGEN2
Benign
0.028
T;.;.;.;.;.
FATHMM_MKL
Benign
0.073
N
LIST_S2
Benign
0.036
T;T;.;T;T;T
M_CAP
Benign
0.0048
T
MetaRNN
Benign
0.093
T;T;T;T;T;T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
0.32
N;N;N;.;.;N
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-1.3
N;N;N;N;N;N
REVEL
Benign
0.017
Sift
Benign
0.096
T;T;T;T;T;T
Sift4G
Benign
0.088
T;T;T;T;T;T
Polyphen
0.0070
B;B;D;D;.;D
Vest4
0.15
MutPred
0.45
Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);
MVP
0.26
MPC
0.44
ClinPred
0.046
T
GERP RS
0.38
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.048
gMVP
0.069

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs199723291; hg19: chrX-46322645; API