X-63638108-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4BP6

The NM_001353921.2(ARHGEF9):​c.1492G>A​(p.Val498Ile) variant causes a missense change. The variant allele was found at a frequency of 0.000000912 in 1,096,211 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 9.1e-7 ( 0 hom. 0 hem. )

Consequence

ARHGEF9
NM_001353921.2 missense

Scores

8
9

Clinical Significance

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

Conservation

PhyloP100: 5.59
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 Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.34662145).
BP6
Variant X-63638108-C-T is Benign according to our data. Variant chrX-63638108-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 1218587.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ARHGEF9NM_001353921.2 linkuse as main transcriptc.1492G>A p.Val498Ile missense_variant 10/10 ENST00000671741.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ARHGEF9ENST00000671741.2 linkuse as main transcriptc.1492G>A p.Val498Ile missense_variant 10/10 NM_001353921.2 A1

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD4 exome
AF:
9.12e-7
AC:
1
AN:
1096211
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
361667
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:
0.00000119
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxDec 10, 2019Not observed in large population cohorts (Lek et al., 2016); In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Developmental and epileptic encephalopathy, 8 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 10, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.036
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.22
T;.;T;T;T;T;T;T;.;T;.;T;T;.;T;.;T
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.94
D;D;D;.;D;.;.;.;D;.;D;.;.;D;.;D;D
M_CAP
Benign
0.050
D
MetaRNN
Benign
0.35
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.49
T
MutationAssessor
Uncertain
2.1
M;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-0.78
N;.;.;.;.;.;.;.;.;.;.;.;.;.;N;.;.
REVEL
Uncertain
0.30
Sift
Uncertain
0.013
D;.;.;.;.;.;.;.;.;.;.;.;.;.;D;.;.
Sift4G
Uncertain
0.018
D;D;.;.;.;.;.;.;D;D;.;.;.;.;D;D;.
Polyphen
0.83
P;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.
Vest4
0.23
MutPred
0.21
Loss of disorder (P = 0.1856);Loss of disorder (P = 0.1856);.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;
MVP
0.85
MPC
1.3
ClinPred
0.89
D
GERP RS
5.3
Varity_R
0.30
gMVP
0.73

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

No publications associated with this variant yet.

Other links and lift over

hg19: chrX-62857988; API