X-63638110-T-C

Variant summary

Our verdict is Benign. Variant got -11 ACMG points: 0P and 11B. BP4BP6_ModerateBS1BS2

The NM_001353921.2(ARHGEF9):ā€‹c.1490A>Gā€‹(p.Gln497Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000282 in 1,207,291 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 11 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: š‘“ 0.000027 ( 0 hom., 0 hem., cov: 22)
Exomes š‘“: 0.000028 ( 0 hom. 11 hem. )

Consequence

ARHGEF9
NM_001353921.2 missense

Scores

1
9
7

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 7.48
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -11 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.32513314).
BP6
Variant X-63638110-T-C is Benign according to our data. Variant chrX-63638110-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 1161327.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000027 (3/111283) while in subpopulation NFE AF= 0.0000565 (3/53086). AF 95% confidence interval is 0.000015. There are 0 homozygotes in gnomad4. There are 0 alleles in male gnomad4 subpopulation. Median coverage is 22. This position pass quality control queck.
BS2
High Hemizygotes in GnomAdExome4 at 11 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ARHGEF9NM_001353921.2 linkuse as main transcriptc.1490A>G p.Gln497Arg missense_variant 10/10 ENST00000671741.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ARHGEF9ENST00000671741.2 linkuse as main transcriptc.1490A>G p.Gln497Arg missense_variant 10/10 NM_001353921.2 A1

Frequencies

GnomAD3 genomes
AF:
0.0000270
AC:
3
AN:
111283
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33469
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:
0.0000565
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000451
AC:
8
AN:
177332
Hom.:
0
AF XY:
0.0000482
AC XY:
3
AN XY:
62248
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:
0.000102
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000283
AC:
31
AN:
1096008
Hom.:
0
Cov.:
31
AF XY:
0.0000304
AC XY:
11
AN XY:
361458
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:
0.0000369
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000270
AC:
3
AN:
111283
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33469
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:
0.0000565
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.0000412
AC:
5

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Developmental and epileptic encephalopathy, 8 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 19, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.28
CADD
Uncertain
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.52
D;.;T;T;T;T;T;T;.;T;.;T;T;.;T;.;T
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.94
D;D;D;.;D;.;.;.;D;.;D;.;.;D;.;D;D
M_CAP
Benign
0.048
D
MetaRNN
Benign
0.33
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.43
T
MutationAssessor
Uncertain
2.2
M;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Uncertain
-2.9
D;.;.;.;.;.;.;.;.;.;.;.;.;.;D;.;.
REVEL
Uncertain
0.31
Sift
Uncertain
0.0020
D;.;.;.;.;.;.;.;.;.;.;.;.;.;D;.;.
Sift4G
Uncertain
0.0060
D;D;.;.;.;.;.;.;D;D;.;.;.;.;D;D;.
Polyphen
0.47
P;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.
Vest4
0.17
MVP
0.92
MPC
1.3
ClinPred
0.35
T
GERP RS
5.3
Varity_R
0.61
gMVP
0.82

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: rs371200226; hg19: chrX-62857990; API