X-63638021-G-C

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBS1BS2

The NM_001353921.2(ARHGEF9):​c.*7C>G variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000293 in 1,203,372 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 112 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., 7 hem., cov: 22)
Exomes 𝑓: 0.00030 ( 0 hom. 105 hem. )

Consequence

ARHGEF9
NM_001353921.2 3_prime_UTR

Scores

2

Clinical Significance

Likely benign criteria provided, single submitter B:2

Conservation

PhyloP100: 0.106
Variant links:
Genes affected
ARHGEF9 (HGNC:14561): (Cdc42 guanine nucleotide exchange factor 9) The protein encoded by this gene is a Rho-like GTPase that switches between the active (GTP-bound) state and inactive (GDP-bound) state to regulate CDC42 and other genes. This brain-specific protein also acts as an adaptor protein for the recruitment of gephyrin and together these proteins facilitate receceptor recruitement in GABAnergic and glycinergic synapses. Defects in this gene are the cause of startle disease with epilepsy (STHEE), also known as hyperekplexia with epilepsy, as well as several other types of cognitive disability. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.49).
BP6
Variant X-63638021-G-C is Benign according to our data. Variant chrX-63638021-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 383126.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000262 (29/110676) while in subpopulation AMR AF= 0.000971 (10/10303). AF 95% confidence interval is 0.000526. There are 0 homozygotes in gnomad4. There are 7 alleles in male gnomad4 subpopulation. Median coverage is 22. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 7 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ARHGEF9NM_001353921.2 linkuse as main transcriptc.*7C>G 3_prime_UTR_variant 10/10 ENST00000671741.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ARHGEF9ENST00000671741.2 linkuse as main transcriptc.*7C>G 3_prime_UTR_variant 10/10 NM_001353921.2 A1

Frequencies

GnomAD3 genomes
AF:
0.000262
AC:
29
AN:
110626
Hom.:
0
Cov.:
22
AF XY:
0.000213
AC XY:
7
AN XY:
32866
show subpopulations
Gnomad AFR
AF:
0.0000659
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000972
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:
0.000321
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000412
AC:
71
AN:
172454
Hom.:
0
AF XY:
0.000242
AC XY:
14
AN XY:
57878
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00102
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000653
Gnomad NFE exome
AF:
0.000524
Gnomad OTH exome
AF:
0.000703
GnomAD4 exome
AF:
0.000296
AC:
323
AN:
1092696
Hom.:
0
Cov.:
30
AF XY:
0.000293
AC XY:
105
AN XY:
358614
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000977
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000496
Gnomad4 NFE exome
AF:
0.000330
Gnomad4 OTH exome
AF:
0.000218
GnomAD4 genome
AF:
0.000262
AC:
29
AN:
110676
Hom.:
0
Cov.:
22
AF XY:
0.000213
AC XY:
7
AN XY:
32926
show subpopulations
Gnomad4 AFR
AF:
0.0000658
Gnomad4 AMR
AF:
0.000971
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000321
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000391
Hom.:
2
Bravo
AF:
0.000525

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxJan 26, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
ARHGEF9-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 23, 2019This 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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.49
CADD
Benign
7.7
DANN
Benign
0.74

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: rs202232026; hg19: chrX-62857901; API