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GeneBe

X-68052552-C-T

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BS2_Supporting

The NM_002547.3(OPHN1):​c.2363G>A​(p.Arg788Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000266 in 1,205,036 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R788W) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000071 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000022 ( 0 hom. 2 hem. )

Consequence

OPHN1
NM_002547.3 missense

Scores

1
6
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 2.74
Variant links:
Genes affected
OPHN1 (HGNC:8148): (oligophrenin 1) This gene encodes a Rho-GTPase-activating protein that promotes GTP hydrolysis of Rho subfamily members. Rho proteins are important mediators of intracellular signal transduction, which affects cell migration and cell morphogenesis. Mutations in this gene are responsible for OPHN1-related X-linked cognitive disability with cerebellar hypoplasia and distinctive facial dysmorhphism. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 2 XL geneVariant has number of hemizygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
OPHN1NM_002547.3 linkuse as main transcriptc.2363G>A p.Arg788Gln missense_variant 23/25 ENST00000355520.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
OPHN1ENST00000355520.6 linkuse as main transcriptc.2363G>A p.Arg788Gln missense_variant 23/251 NM_002547.3 P1O60890-1

Frequencies

GnomAD3 genomes
AF:
0.0000715
AC:
8
AN:
111859
Hom.:
0
Cov.:
23
AF XY:
0.0000294
AC XY:
1
AN XY:
34049
show subpopulations
Gnomad AFR
AF:
0.0000326
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000944
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000281
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000752
Gnomad OTH
AF:
0.000665
GnomAD3 exomes
AF:
0.0000411
AC:
7
AN:
170427
Hom.:
0
AF XY:
0.0000177
AC XY:
1
AN XY:
56645
show subpopulations
Gnomad AFR exome
AF:
0.0000811
Gnomad AMR exome
AF:
0.0000378
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000756
Gnomad SAS exome
AF:
0.0000585
Gnomad FIN exome
AF:
0.0000656
Gnomad NFE exome
AF:
0.0000268
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000220
AC:
24
AN:
1093126
Hom.:
0
Cov.:
30
AF XY:
0.00000557
AC XY:
2
AN XY:
359282
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000288
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000996
Gnomad4 SAS exome
AF:
0.0000378
Gnomad4 FIN exome
AF:
0.0000248
Gnomad4 NFE exome
AF:
0.0000203
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000715
AC:
8
AN:
111910
Hom.:
0
Cov.:
23
AF XY:
0.0000293
AC XY:
1
AN XY:
34110
show subpopulations
Gnomad4 AFR
AF:
0.0000325
Gnomad4 AMR
AF:
0.0000943
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000282
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000752
Gnomad4 OTH
AF:
0.000657
Bravo
AF:
0.00000756
ExAC
AF:
0.0000495
AC:
6

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 29, 2016There is insufficient or conflicting evidence for classification of this alteration. -
X-linked intellectual disability-cerebellar hypoplasia syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJul 15, 2021- -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeJan 25, 2024This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 788 of the OPHN1 protein (p.Arg788Gln). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This missense change has been observed in individual(s) with clinical features of OPHN1-related conditions (PMID: 23552953, 26542245). ClinVar contains an entry for this variant (Variation ID: 225074). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.58
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.16
T
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Uncertain
0.86
D
M_CAP
Pathogenic
0.30
D
MetaRNN
Uncertain
0.42
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.8
L
MutationTaster
Benign
0.99
D;N
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-0.96
N
REVEL
Benign
0.10
Sift
Uncertain
0.017
D
Sift4G
Benign
0.11
T
Polyphen
0.99
D
Vest4
0.61
MVP
0.45
MPC
0.31
ClinPred
0.99
D
GERP RS
3.9
Varity_R
0.32
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs192628082; hg19: chrX-67272394; COSMIC: COSV104440744; API