X-50813989-G-C

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP6BS2

The NM_020717.5(SHROOM4):​c.30C>G​(p.Tyr10*) variant causes a stop gained change. The variant allele was found at a frequency of 0.0000116 in 1,206,179 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0000091 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.000012 ( 0 hom. 3 hem. )

Consequence

SHROOM4
NM_020717.5 stop_gained

Scores

4
2
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 3.95

Publications

0 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):
  • 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: Likely_benign. The variant received -5 ACMG points.

BP6
Variant X-50813989-G-C is Benign according to our data. Variant chrX-50813989-G-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 436726.
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SHROOM4NM_020717.5 linkc.30C>G p.Tyr10* stop_gained Exon 1 of 9 ENST00000376020.9 NP_065768.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SHROOM4ENST00000376020.9 linkc.30C>G p.Tyr10* stop_gained Exon 1 of 9 2 NM_020717.5 ENSP00000365188.2
SHROOM4ENST00000289292.11 linkc.30C>G p.Tyr10* stop_gained Exon 1 of 10 1 ENSP00000289292.7

Frequencies

GnomAD3 genomes
AF:
0.00000906
AC:
1
AN:
110361
Hom.:
0
Cov.:
22
show subpopulations
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:
0.0000190
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000119
AC:
13
AN:
1095818
Hom.:
0
Cov.:
29
AF XY:
0.00000830
AC XY:
3
AN XY:
361304
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26382
American (AMR)
AF:
0.00
AC:
0
AN:
35120
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19335
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53842
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40436
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4115
European-Non Finnish (NFE)
AF:
0.0000155
AC:
13
AN:
840419
Other (OTH)
AF:
0.00
AC:
0
AN:
45987
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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:
0.00000906
AC:
1
AN:
110361
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
32631
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30350
American (AMR)
AF:
0.00
AC:
0
AN:
10448
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2628
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3446
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2452
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5951
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
236
European-Non Finnish (NFE)
AF:
0.0000190
AC:
1
AN:
52722
Other (OTH)
AF:
0.00
AC:
0
AN:
1461
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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1Benign:1
Jan 06, 2017
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 20, 2023
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: SHROOM4 c.30C>G (p.Tyr10X) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay. The variant was absent in 177854 control chromosomes, however other loss of function variants have been reported in gnomad in a small number of hemizygous individuals. To our knowledge, no occurrence of c.30C>G in individuals affected with X-Linked Intellectual Disability, Stocco Dos Santos Type and no experimental evidence demonstrating its impact on protein function have been reported. One submitter has cited clinical-significance assessments for this variant to ClinVar after 2014 and has classified the variant as likely benign. Due to the association of SHROOM4 with disease not being clearly established the variant was classified as VUS.

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.55
D
BayesDel_noAF
Pathogenic
0.55
CADD
Pathogenic
36
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0
.;.
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.0
.;.
MetaRNN
Benign
0.0
.;.
MutationAssessor
Benign
0.0
.;.
PhyloP100
4.0
PROVEAN
Benign
0.0
.;.
REVEL
Benign
0.0
Sift
Pathogenic
0.0
.;.
Sift4G
Pathogenic
0.0
.;.
Vest4
0.21
GERP RS
5.0
PromoterAI
-0.12
Neutral
Mutation Taster
=9/191
disease causing (fs/PTC)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs1428157543; hg19: chrX-50556989; API