X-50596946-T-G

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_020717.5(SHROOM4):​c.4231A>C​(p.Lys1411Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000703 in 1,209,183 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 23 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 2 hem., cov: 24)
Exomes 𝑓: 0.000074 ( 0 hom. 21 hem. )

Consequence

SHROOM4
NM_020717.5 missense

Scores

3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.22

Publications

1 publications found
Variant links:
Genes affected
SHROOM4 (HGNC:29215): (shroom family member 4) This gene encodes a member of the APX/Shroom family, which contain an N-terminal PDZ domain and a C-terminal ASD2 motif. The encoded protein may play a role in cytoskeletal architecture. Mutations in this gene have been linked to the X-linked Stocco dos Santos syndrome characterized by cognitive disabilities. Alternatively spliced transcript variants have been described. [provided by RefSeq, Jul 2017]
SHROOM4 Gene-Disease associations (from GenCC):
  • congenital anomaly of kidney and urinary tract
    Inheritance: XL Classification: STRONG Submitted by: PanelApp Australia
  • idiopathic generalized epilepsy
    Inheritance: XL Classification: STRONG Submitted by: PanelApp Australia
  • X-linked intellectual disability, Stocco dos Santos type
    Inheritance: XL Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • complex neurodevelopmental disorder
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.007074088).
BS2
High Hemizygotes in GnomAd4 at 2 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020717.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SHROOM4
NM_020717.5
MANE Select
c.4231A>Cp.Lys1411Gln
missense
Exon 9 of 9NP_065768.2Q9ULL8-1
SHROOM4
NR_027121.3
n.4407A>C
non_coding_transcript_exon
Exon 9 of 10
SHROOM4
NR_172068.1
n.4272A>C
non_coding_transcript_exon
Exon 8 of 9

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SHROOM4
ENST00000376020.9
TSL:2 MANE Select
c.4231A>Cp.Lys1411Gln
missense
Exon 9 of 9ENSP00000365188.2Q9ULL8-1
SHROOM4
ENST00000289292.11
TSL:1
c.4231A>Cp.Lys1411Gln
missense
Exon 9 of 10ENSP00000289292.7Q9ULL8-1
SHROOM4
ENST00000898514.1
c.4096A>Cp.Lys1366Gln
missense
Exon 8 of 8ENSP00000568573.1

Frequencies

GnomAD3 genomes
AF:
0.0000356
AC:
4
AN:
112512
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000374
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
GnomAD2 exomes
AF:
0.000371
AC:
66
AN:
178054
AF XY:
0.000269
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00239
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000226
GnomAD4 exome
AF:
0.0000739
AC:
81
AN:
1096618
Hom.:
0
Cov.:
31
AF XY:
0.0000580
AC XY:
21
AN XY:
362098
show subpopulations
African (AFR)
AF:
0.0000379
AC:
1
AN:
26390
American (AMR)
AF:
0.00205
AC:
72
AN:
35147
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19362
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53684
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40240
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3916
European-Non Finnish (NFE)
AF:
0.00000713
AC:
6
AN:
841650
Other (OTH)
AF:
0.0000434
AC:
2
AN:
46039
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.435
Heterozygous variant carriers
0
5
10
14
19
24
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000355
AC:
4
AN:
112565
Hom.:
0
Cov.:
24
AF XY:
0.0000576
AC XY:
2
AN XY:
34727
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31016
American (AMR)
AF:
0.000374
AC:
4
AN:
10694
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2653
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3560
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2693
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6230
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
219
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53285
Other (OTH)
AF:
0.00
AC:
0
AN:
1529
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000133
Hom.:
0
Bravo
AF:
0.000117
ExAC
AF:
0.000338
AC:
41

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.49
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0066
T
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.68
T
M_CAP
Benign
0.054
D
MetaRNN
Benign
0.0071
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.3
L
PhyloP100
3.2
PrimateAI
Benign
0.46
T
PROVEAN
Benign
0.52
N
REVEL
Benign
0.18
Sift
Benign
0.12
T
Sift4G
Uncertain
0.057
T
Polyphen
0.71
P
Vest4
0.24
MVP
0.34
MPC
0.54
ClinPred
0.18
T
GERP RS
6.0
Varity_R
0.26
gMVP
0.25
Mutation Taster
=96/4
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs200066869; hg19: chrX-50339946; COSMIC: COSV56797476; COSMIC: COSV56797476; API