X-644478-T-C

Position:

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM1BP4_ModerateBS2

The NM_000451.4(SHOX):ā€‹c.721T>Cā€‹(p.Phe241Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000328 in 1,523,430 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 11/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another nucleotide change resulting in same amino acid change has been previously reported as Uncertain significancein ClinVar. Synonymous variant affecting the same amino acid position (i.e. F241F) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., 0 hem., cov: 33)
Exomes š‘“: 0.0000029 ( 0 hom. 2 hem. )

Consequence

SHOX
NM_000451.4 missense

Scores

2
2
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.55
Variant links:
Genes affected
SHOX (HGNC:10853): (SHOX homeobox) This gene belongs to the paired homeobox family and is located in the pseudoautosomal region 1 (PAR1) of X and Y chromosomes. Defects in this gene are associated with idiopathic growth retardation and in the short stature phenotype of Turner syndrome patients. This gene is highly conserved across species from mammals to fish to flies. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM1
In a chain Short stature homeobox protein (size 291) in uniprot entity SHOX_HUMAN there are 38 pathogenic changes around while only 6 benign (86%) in NM_000451.4
BP4
Computational evidence support a benign effect (MetaRNN=0.14463082).
BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SHOXNM_000451.4 linkuse as main transcriptc.721T>C p.Phe241Leu missense_variant 5/5 ENST00000686671.1
SHOXNM_006883.2 linkuse as main transcriptc.633+3391T>C intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SHOXENST00000686671.1 linkuse as main transcriptc.721T>C p.Phe241Leu missense_variant 5/5 NM_000451.4 P1O15266-1
SHOXENST00000381575.6 linkuse as main transcriptc.633+3391T>C intron_variant 1 O15266-2
SHOXENST00000381578.6 linkuse as main transcriptc.721T>C p.Phe241Leu missense_variant 6/65 P1O15266-1
SHOXENST00000334060.8 linkuse as main transcriptc.633+3391T>C intron_variant 5 O15266-2

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152044
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74264
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:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000166
AC:
2
AN:
120294
Hom.:
0
AF XY:
0.0000303
AC XY:
2
AN XY:
66076
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:
0.0000964
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000292
AC:
4
AN:
1371386
Hom.:
0
Cov.:
32
AF XY:
0.00000295
AC XY:
2
AN XY:
676932
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:
0.0000258
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.30e-7
Gnomad4 OTH exome
AF:
0.0000175
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
152044
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74264
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:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000105
AC:
1

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAthena DiagnosticsJun 19, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.045
T
BayesDel_noAF
Benign
-0.10
CADD
Benign
22
DANN
Benign
0.95
DEOGEN2
Benign
0.018
T
FATHMM_MKL
Benign
0.65
D
LIST_S2
Uncertain
0.97
D
M_CAP
Pathogenic
0.30
D
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-0.37
T
MutationAssessor
Benign
0.81
L
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Pathogenic
0.95
D
PROVEAN
Benign
-2.0
N
REVEL
Uncertain
0.43
Sift
Benign
0.64
T
Sift4G
Benign
0.61
T
Polyphen
0.63
P
Vest4
0.18
MutPred
0.23
Gain of glycosylation at P245 (P = 0.0856);
MVP
0.92
MPC
1.2
ClinPred
0.33
T
GERP RS
1.7
Varity_R
0.24

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: rs752020837; hg19: chrX-605213; API