X-54470441-C-T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_004463.3(FGD1):​c.676G>A​(p.Ala226Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00321 in 1,203,728 control chromosomes in the GnomAD database, including 8 homozygotes. There are 1,169 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0025 ( 0 hom., 99 hem., cov: 23)
Exomes 𝑓: 0.0033 ( 8 hom. 1070 hem. )

Consequence

FGD1
NM_004463.3 missense

Scores

2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -0.0210

Publications

4 publications found
Variant links:
Genes affected
FGD1 (HGNC:3663): (FYVE, RhoGEF and PH domain containing 1) This gene encodes a protein that contains Dbl (DH) and pleckstrin (PH) homology domains and is similar to the Rho family of small GTP-binding proteins. The encoded protein specifically binds to the Rho family GTPase Cdc42Hs and can stimulate the GDP-GTP exchange of the isoprenylated form of Cdc42Hs. It also stimulates the mitogen activated protein kinase cascade leading to c-Jun kinase SAPK/JNK1 activation. Defects in this gene are the cause of the faciogenital dysplasia in Aarskog-Scott syndrome and a syndromatic form of X-linked cognitive disability. [provided by RefSeq, Jul 2017]
FGD1 Gene-Disease associations (from GenCC):
  • Aarskog-Scott syndrome, X-linked
    Inheritance: AD, XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004192412).
BP6
Variant X-54470441-C-T is Benign according to our data. Variant chrX-54470441-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 95094.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 281 AD,XL gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FGD1NM_004463.3 linkc.676G>A p.Ala226Thr missense_variant Exon 4 of 18 ENST00000375135.4 NP_004454.2 P98174A0A024R9Y5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FGD1ENST00000375135.4 linkc.676G>A p.Ala226Thr missense_variant Exon 4 of 18 1 NM_004463.3 ENSP00000364277.3 P98174

Frequencies

GnomAD3 genomes
AF:
0.00252
AC:
281
AN:
111497
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000457
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00653
Gnomad ASJ
AF:
0.000378
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000375
Gnomad FIN
AF:
0.00362
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00323
Gnomad OTH
AF:
0.00201
GnomAD2 exomes
AF:
0.00268
AC:
463
AN:
172713
AF XY:
0.00212
show subpopulations
Gnomad AFR exome
AF:
0.000250
Gnomad AMR exome
AF:
0.00288
Gnomad ASJ exome
AF:
0.000814
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00460
Gnomad NFE exome
AF:
0.00383
Gnomad OTH exome
AF:
0.00371
GnomAD4 exome
AF:
0.00328
AC:
3581
AN:
1092179
Hom.:
8
Cov.:
32
AF XY:
0.00297
AC XY:
1070
AN XY:
359709
show subpopulations
African (AFR)
AF:
0.000304
AC:
8
AN:
26352
American (AMR)
AF:
0.00265
AC:
93
AN:
35133
Ashkenazi Jewish (ASJ)
AF:
0.00103
AC:
20
AN:
19342
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30119
South Asian (SAS)
AF:
0.0000932
AC:
5
AN:
53653
European-Finnish (FIN)
AF:
0.00441
AC:
160
AN:
36257
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4133
European-Non Finnish (NFE)
AF:
0.00375
AC:
3157
AN:
841219
Other (OTH)
AF:
0.00300
AC:
138
AN:
45971
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.461
Heterozygous variant carriers
0
143
285
428
570
713
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
126
252
378
504
630
<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:
0.00252
AC:
281
AN:
111549
Hom.:
0
Cov.:
23
AF XY:
0.00293
AC XY:
99
AN XY:
33775
show subpopulations
African (AFR)
AF:
0.000456
AC:
14
AN:
30697
American (AMR)
AF:
0.00653
AC:
69
AN:
10573
Ashkenazi Jewish (ASJ)
AF:
0.000378
AC:
1
AN:
2648
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3497
South Asian (SAS)
AF:
0.000376
AC:
1
AN:
2657
European-Finnish (FIN)
AF:
0.00362
AC:
22
AN:
6074
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.00323
AC:
171
AN:
52998
Other (OTH)
AF:
0.00199
AC:
3
AN:
1511
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
9
19
28
38
47
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00300
Hom.:
133
Bravo
AF:
0.00252
TwinsUK
AF:
0.00216
AC:
8
ALSPAC
AF:
0.00381
AC:
11
ESP6500AA
AF:
0.000523
AC:
2
ESP6500EA
AF:
0.00343
AC:
23
ExAC
AF:
0.00231
AC:
280

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:6
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Jun 01, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
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

- -

Jan 11, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

not specified Benign:1
Feb 11, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Jun 27, 2017
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

FGD1-related disorder Benign:1
Feb 28, 2020
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Intellectual disability Benign:1
Dec 30, 2019
Cambridge Genomics Laboratory, East Genomic Laboratory Hub, NHS Genomic Medicine Service
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
0.080
BayesDel_addAF
Benign
-0.77
T
BayesDel_noAF
Benign
-0.88
CADD
Benign
10
DANN
Uncertain
0.98
DEOGEN2
Benign
0.066
T
FATHMM_MKL
Benign
0.029
N
LIST_S2
Benign
0.65
T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.0042
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
N
PhyloP100
-0.021
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-0.49
N
REVEL
Benign
0.036
Sift
Benign
0.19
T
Sift4G
Benign
0.78
T
Polyphen
0.012
B
Vest4
0.017
MVP
0.28
MPC
0.30
ClinPred
0.011
T
GERP RS
1.5
Varity_R
0.048
gMVP
0.12
Mutation Taster
=100/0
polymorphism (auto)

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: rs138723423; hg19: chrX-54496874; API