X-53234948-ATGGTGGTGG-ATGGTGG

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP3BP6BS2

The NM_001111125.3(IQSEC2):​c.3735_3737delCCA​(p.His1246del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.0000766 in 1,149,281 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 27 hemizygotes in GnomAD. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. H1245H) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 0 hem., cov: 21)
Exomes 𝑓: 0.000082 ( 0 hom. 27 hem. )

Consequence

IQSEC2
NM_001111125.3 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

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

Conservation

PhyloP100: 6.85

Publications

6 publications found
Variant links:
Genes affected
IQSEC2 (HGNC:29059): (IQ motif and Sec7 domain ArfGEF 2) This gene encodes a guanine nucleotide exchange factor for the ARF family of small GTP-binding proteins. The encoded protein is a component of the postsynaptic density at excitatory synapses, and may play a critical role in cytoskeletal and synaptic organization through the activation of selected ARF substrates including ARF1 and ARF6. Mutations in this gene have been implicated in nonsyndromic X-linked cognitive disability. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Aug 2011]
IQSEC2 Gene-Disease associations (from GenCC):
  • complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: Ambry Genetics
  • intellectual disability, X-linked 1
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • severe intellectual disability-progressive postnatal microcephaly- midline stereotypic hand movements syndrome
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001111125.3
BP6
Variant X-53234948-ATGG-A is Benign according to our data. Variant chrX-53234948-ATGG-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 516662.
BS2
High Hemizygotes in GnomAdExome4 at 27 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IQSEC2NM_001111125.3 linkc.3735_3737delCCA p.His1246del disruptive_inframe_deletion Exon 15 of 15 ENST00000642864.1 NP_001104595.1 Q5JU85-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IQSEC2ENST00000642864.1 linkc.3735_3737delCCA p.His1246del disruptive_inframe_deletion Exon 15 of 15 NM_001111125.3 ENSP00000495726.1 Q5JU85-2

Frequencies

GnomAD3 genomes
AF:
0.0000270
AC:
3
AN:
110946
Hom.:
0
Cov.:
21
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:
0.0000569
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000256
AC:
27
AN:
105302
AF XY:
0.000112
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000214
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000283
Gnomad NFE exome
AF:
0.000447
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000819
AC:
85
AN:
1038296
Hom.:
0
AF XY:
0.0000806
AC XY:
27
AN XY:
335138
show subpopulations
African (AFR)
AF:
0.0000407
AC:
1
AN:
24540
American (AMR)
AF:
0.000145
AC:
4
AN:
27608
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18342
East Asian (EAS)
AF:
0.0000374
AC:
1
AN:
26768
South Asian (SAS)
AF:
0.0000616
AC:
3
AN:
48682
European-Finnish (FIN)
AF:
0.0000817
AC:
3
AN:
36723
Middle Eastern (MID)
AF:
0.000260
AC:
1
AN:
3847
European-Non Finnish (NFE)
AF:
0.0000866
AC:
70
AN:
808034
Other (OTH)
AF:
0.0000457
AC:
2
AN:
43752
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.431
Heterozygous variant carriers
0
4
8
12
16
20
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.0000270
AC:
3
AN:
110985
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
33371
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30529
American (AMR)
AF:
0.00
AC:
0
AN:
10585
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2625
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3464
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2630
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6058
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
213
European-Non Finnish (NFE)
AF:
0.0000569
AC:
3
AN:
52683
Other (OTH)
AF:
0.00
AC:
0
AN:
1516
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
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:
0.00577
Hom.:
0

ClinVar

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

Submissions by phenotype

Intellectual disability, X-linked 1 Uncertain:1
Dec 17, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant, c.3735_3737del, results in the deletion of 1 amino acid(s) of the IQSEC2 protein (p.His1247del), but otherwise preserves the integrity of the reading frame. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with IQSEC2-related conditions. ClinVar contains an entry for this variant (Variation ID: 516662). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

not provided Benign:1
Mar 24, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
6.8
Mutation Taster
=73/27
polymorphism

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

Other links and lift over

dbSNP: rs782189881; hg19: chrX-53264130; COSMIC: COSV64723875; COSMIC: COSV64723875; API