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GeneBe

X-5892863-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_181332.3(NLGN4X):c.2405A>G(p.Gln802Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0000232 in 1,209,339 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.000023 ( 0 hom. 8 hem. )

Consequence

NLGN4X
NM_181332.3 missense

Scores

1
1
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.78
Variant links:
Genes affected
NLGN4X (HGNC:14287): (neuroligin 4 X-linked) This gene encodes a member of the type-B carboxylesterase/lipase protein family. The encoded protein belongs to a family of neuronal cell surface proteins. Members of this family may act as splice site-specific ligands for beta-neurexins and may be involved in the formation and remodeling of central nervous system synapses. The encoded protein interacts with discs large homolog 4 (DLG4). Mutations in this gene have been associated with autism and Asperger syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.20155981).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NLGN4XNM_181332.3 linkuse as main transcriptc.2405A>G p.Gln802Arg missense_variant 6/6 ENST00000381095.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NLGN4XENST00000381095.8 linkuse as main transcriptc.2405A>G p.Gln802Arg missense_variant 6/61 NM_181332.3 P4Q8N0W4-1

Frequencies

GnomAD3 genomes
AF:
0.0000270
AC:
3
AN:
111152
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33326
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:
0.0000566
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000545
AC:
1
AN:
183497
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67925
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000228
AC:
25
AN:
1098187
Hom.:
0
Cov.:
31
AF XY:
0.0000220
AC XY:
8
AN XY:
363543
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000297
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000270
AC:
3
AN:
111152
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33326
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000566
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 17, 2023The c.2405A>G (p.Q802R) alteration is located in exon 6 (coding exon 5) of the NLGN4X gene. This alteration results from a A to G substitution at nucleotide position 2405, causing the glutamine (Q) at amino acid position 802 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.39
Cadd
Benign
11
Dann
Benign
0.46
DEOGEN2
Benign
0.17
T;T;T;.;T
FATHMM_MKL
Uncertain
0.80
D
M_CAP
Benign
0.043
D
MetaRNN
Benign
0.20
T;T;T;T;T
MetaSVM
Benign
-0.86
T
MutationAssessor
Benign
1.1
L;L;L;.;L
MutationTaster
Benign
0.99
D;D;D;D;D
PrimateAI
Pathogenic
0.81
D
PROVEAN
Benign
-1.1
N;.;N;.;N
REVEL
Benign
0.16
Sift
Benign
0.33
T;.;T;.;T
Sift4G
Benign
0.34
T;T;T;.;T
Polyphen
0.0
B;B;B;B;B
Vest4
0.32
MVP
0.86
MPC
1.2
ClinPred
0.064
T
GERP RS
3.8
Varity_R
0.19
gMVP
0.53

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: rs1216283437; hg19: chrX-5810904; API