X-49191502-C-T

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_003179.3(SYP):​c.877G>A​(p.Gly293Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00123 in 1,210,400 control chromosomes in the GnomAD database, including 3 homozygotes. There are 493 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0011 ( 1 hom., 34 hem., cov: 24)
Exomes 𝑓: 0.0012 ( 2 hom. 459 hem. )

Consequence

SYP
NM_003179.3 missense

Scores

2
3
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:5

Conservation

PhyloP100: 4.39
Variant links:
Genes affected
SYP (HGNC:11506): (synaptophysin) This gene encodes an integral membrane protein of small synaptic vesicles in brain and endocrine cells. The protein also binds cholesterol and is thought to direct targeting of vesicle-associated membrane protein 2 (synaptobrevin) to intracellular compartments. Mutations in this gene are associated with an X-linked form of cognitive disability. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0060765147).
BP6
Variant X-49191502-C-T is Benign according to our data. Variant chrX-49191502-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 368465.We mark this variant Likely_benign, oryginal submissions are: {Benign=2, Uncertain_significance=2}. Variant chrX-49191502-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00115 (130/113139) while in subpopulation NFE AF= 0.00171 (91/53344). AF 95% confidence interval is 0.00142. There are 1 homozygotes in gnomad4. There are 34 alleles in male gnomad4 subpopulation. Median coverage is 24. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 34 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SYPNM_003179.3 linkc.877G>A p.Gly293Ser missense_variant Exon 6 of 7 ENST00000263233.9 NP_003170.1 P08247-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SYPENST00000263233.9 linkc.877G>A p.Gly293Ser missense_variant Exon 6 of 7 1 NM_003179.3 ENSP00000263233.4 P08247-1

Frequencies

GnomAD3 genomes
AF:
0.00115
AC:
130
AN:
113085
Hom.:
1
Cov.:
24
AF XY:
0.000965
AC XY:
34
AN XY:
35225
show subpopulations
Gnomad AFR
AF:
0.0000963
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000741
Gnomad ASJ
AF:
0.00301
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00288
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00171
Gnomad OTH
AF:
0.00131
GnomAD3 exomes
AF:
0.00126
AC:
224
AN:
177311
Hom.:
2
AF XY:
0.00102
AC XY:
66
AN XY:
64715
show subpopulations
Gnomad AFR exome
AF:
0.0000808
Gnomad AMR exome
AF:
0.000184
Gnomad ASJ exome
AF:
0.00448
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000531
Gnomad FIN exome
AF:
0.00503
Gnomad NFE exome
AF:
0.00130
Gnomad OTH exome
AF:
0.00114
GnomAD4 exome
AF:
0.00123
AC:
1353
AN:
1097261
Hom.:
2
Cov.:
31
AF XY:
0.00126
AC XY:
459
AN XY:
362953
show subpopulations
Gnomad4 AFR exome
AF:
0.0000758
Gnomad4 AMR exome
AF:
0.000142
Gnomad4 ASJ exome
AF:
0.00464
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000555
Gnomad4 FIN exome
AF:
0.00438
Gnomad4 NFE exome
AF:
0.00122
Gnomad4 OTH exome
AF:
0.00104
GnomAD4 genome
AF:
0.00115
AC:
130
AN:
113139
Hom.:
1
Cov.:
24
AF XY:
0.000963
AC XY:
34
AN XY:
35289
show subpopulations
Gnomad4 AFR
AF:
0.0000961
Gnomad4 AMR
AF:
0.000741
Gnomad4 ASJ
AF:
0.00301
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00288
Gnomad4 NFE
AF:
0.00171
Gnomad4 OTH
AF:
0.00129
Alfa
AF:
0.00177
Hom.:
72
Bravo
AF:
0.000839
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00138
AC:
4
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00134
AC:
9
ExAC
AF:
0.00111
AC:
134

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:4
Jun 01, 2016
CeGaT Center for Human Genetics Tuebingen
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

History of neurodevelopmental disorder Uncertain:1
Sep 12, 2012
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

There is insufficient or conflicting evidence for classification of this alteration. -

not specified Benign:1
Oct 10, 2019
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
22
DANN
Benign
0.94
DEOGEN2
Benign
0.30
T;T
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.87
.;D
M_CAP
Pathogenic
0.75
D
MetaRNN
Benign
0.0061
T;T
MetaSVM
Benign
-0.59
T
MutationAssessor
Benign
0.94
L;L
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.42
N;N
REVEL
Uncertain
0.29
Sift
Benign
0.86
T;T
Sift4G
Benign
0.61
T;T
Polyphen
0.0050
B;B
Vest4
0.43
MVP
0.60
MPC
0.45
ClinPred
0.032
T
GERP RS
2.8
Varity_R
0.098
gMVP
0.42

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: rs139475570; hg19: chrX-49047959; API