X-5892974-C-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_181332.3(NLGN4X):​c.2294G>A​(p.Arg765His) variant causes a missense change. The variant allele was found at a frequency of 0.0000141 in 1,209,347 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 21)
Exomes 𝑓: 0.000015 ( 0 hom. 4 hem. )

Consequence

NLGN4X
NM_181332.3 missense

Scores

3
9
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: 6.80
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 -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 4 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NLGN4XNM_181332.3 linkuse as main transcriptc.2294G>A p.Arg765His missense_variant 6/6 ENST00000381095.8 NP_851849.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NLGN4XENST00000381095.8 linkuse as main transcriptc.2294G>A p.Arg765His missense_variant 6/61 NM_181332.3 ENSP00000370485 P4Q8N0W4-1

Frequencies

GnomAD3 genomes
AF:
0.00000900
AC:
1
AN:
111079
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
33279
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:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000545
AC:
1
AN:
183525
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67953
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:
0.0000524
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000146
AC:
16
AN:
1098268
Hom.:
0
Cov.:
32
AF XY:
0.0000110
AC XY:
4
AN XY:
363622
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:
0.0000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000166
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.00000900
AC:
1
AN:
111079
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
33279
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:
0.0000189
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxMay 15, 2023Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Autism, susceptibility to, X-linked 2 Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingInstitute of Human Genetics, University of GoettingenJul 23, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.25
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.51
D;D;D;.;D
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Pathogenic
0.99
.;D;.;D;.
M_CAP
Benign
0.037
D
MetaRNN
Uncertain
0.69
D;D;D;D;D
MetaSVM
Benign
-0.83
T
MutationAssessor
Uncertain
2.1
M;M;M;.;M
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Pathogenic
0.88
D
PROVEAN
Uncertain
-3.1
D;.;D;.;D
REVEL
Uncertain
0.37
Sift
Uncertain
0.0010
D;.;D;.;D
Sift4G
Uncertain
0.0020
D;D;D;.;D
Polyphen
1.0
D;D;D;D;D
Vest4
0.40
MVP
0.57
MPC
2.4
ClinPred
0.87
D
GERP RS
3.8
Varity_R
0.45
gMVP
0.84

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: rs1323836608; hg19: chrX-5811015; COSMIC: COSV52027286; API