X-644478-T-G

Position:

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 4P and 2B. PM1PM2BP4_Moderate

The NM_000451.4(SHOX):ā€‹c.721T>Gā€‹(p.Phe241Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000197 in 1,523,430 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. F241L) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., 0 hem., cov: 33)
Exomes š‘“: 0.0000015 ( 0 hom. 1 hem. )

Consequence

SHOX
NM_000451.4 missense

Scores

3
5
8

Clinical Significance

Not reported in ClinVar

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 Uncertain_significance. Variant got 2 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
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.22861835).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SHOXNM_000451.4 linkuse as main transcriptc.721T>G p.Phe241Val missense_variant 5/5 ENST00000686671.1
SHOXNM_006883.2 linkuse as main transcriptc.633+3391T>G intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SHOXENST00000686671.1 linkuse as main transcriptc.721T>G p.Phe241Val missense_variant 5/5 NM_000451.4 P1O15266-1
SHOXENST00000381575.6 linkuse as main transcriptc.633+3391T>G intron_variant 1 O15266-2
SHOXENST00000381578.6 linkuse as main transcriptc.721T>G p.Phe241Val missense_variant 6/65 P1O15266-1
SHOXENST00000334060.8 linkuse as main transcriptc.633+3391T>G 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:
0.000194
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000146
AC:
2
AN:
1371386
Hom.:
0
Cov.:
32
AF XY:
0.00000148
AC XY:
1
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:
0.00
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:
0.000194
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
24
DANN
Benign
0.93
DEOGEN2
Benign
0.034
T
FATHMM_MKL
Benign
0.74
D
LIST_S2
Uncertain
0.97
D
M_CAP
Pathogenic
0.40
D
MetaRNN
Benign
0.23
T
MetaSVM
Uncertain
-0.27
T
MutationAssessor
Benign
1.5
L
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Pathogenic
0.94
D
PROVEAN
Uncertain
-2.6
D
REVEL
Uncertain
0.54
Sift
Benign
0.50
T
Sift4G
Benign
0.48
T
Polyphen
0.90
P
Vest4
0.17
MutPred
0.23
Gain of phosphorylation at Y238 (P = 0.0896);
MVP
0.97
MPC
1.5
ClinPred
0.97
D
GERP RS
1.7
Varity_R
0.33

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