X-68432888-C-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002547.3(OPHN1):​c.133G>A​(p.Ala45Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00155 in 1,210,661 control chromosomes in the GnomAD database, including 4 homozygotes. There are 587 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0013 ( 1 hom., 38 hem., cov: 24)
Exomes 𝑓: 0.0016 ( 3 hom. 549 hem. )

Consequence

OPHN1
NM_002547.3 missense

Scores

1
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -1.11
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 was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0061807036).
BP6
Variant X-68432888-C-T is Benign according to our data. Variant chrX-68432888-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 94073.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-68432888-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00131 (148/112716) while in subpopulation NFE AF = 0.00206 (110/53331). AF 95% confidence interval is 0.00175. There are 1 homozygotes in GnomAd4. There are 38 alleles in the male GnomAd4 subpopulation. Median coverage is 24. This position FAILED quality control check.
BS2
High Hemizygotes in GnomAd4 at 38 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
OPHN1NM_002547.3 linkc.133G>A p.Ala45Thr missense_variant Exon 2 of 25 ENST00000355520.6 NP_002538.1 O60890-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
OPHN1ENST00000355520.6 linkc.133G>A p.Ala45Thr missense_variant Exon 2 of 25 1 NM_002547.3 ENSP00000347710.5 O60890-1

Frequencies

GnomAD3 genomes
AF:
0.00131
AC:
148
AN:
112663
Hom.:
1
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.000257
Gnomad AMI
AF:
0.0322
Gnomad AMR
AF:
0.000562
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:
0.00206
Gnomad OTH
AF:
0.00132
GnomAD2 exomes
AF:
0.000906
AC:
166
AN:
183238
AF XY:
0.000931
show subpopulations
Gnomad AFR exome
AF:
0.0000760
Gnomad AMR exome
AF:
0.000583
Gnomad ASJ exome
AF:
0.000267
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00171
Gnomad OTH exome
AF:
0.00110
GnomAD4 exome
AF:
0.00158
AC:
1734
AN:
1097945
Hom.:
3
Cov.:
30
AF XY:
0.00151
AC XY:
549
AN XY:
363305
show subpopulations
Gnomad4 AFR exome
AF:
0.000114
AC:
3
AN:
26396
Gnomad4 AMR exome
AF:
0.000540
AC:
19
AN:
35205
Gnomad4 ASJ exome
AF:
0.000206
AC:
4
AN:
19385
Gnomad4 EAS exome
AF:
0.0000331
AC:
1
AN:
30205
Gnomad4 SAS exome
AF:
0.0000739
AC:
4
AN:
54142
Gnomad4 FIN exome
AF:
0.000247
AC:
10
AN:
40474
Gnomad4 NFE exome
AF:
0.00193
AC:
1621
AN:
841916
Gnomad4 Remaining exome
AF:
0.00152
AC:
70
AN:
46087
Heterozygous variant carriers
0
66
132
197
263
329
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
66
132
198
264
330
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00131
AC:
148
AN:
112716
Hom.:
1
Cov.:
24
AF XY:
0.00109
AC XY:
38
AN XY:
34852
show subpopulations
Gnomad4 AFR
AF:
0.000257
AC:
0.000256847
AN:
0.000256847
Gnomad4 AMR
AF:
0.000562
AC:
0.000561693
AN:
0.000561693
Gnomad4 ASJ
AF:
0.00
AC:
0
AN:
0
Gnomad4 EAS
AF:
0.00
AC:
0
AN:
0
Gnomad4 SAS
AF:
0.00
AC:
0
AN:
0
Gnomad4 FIN
AF:
0.00
AC:
0
AN:
0
Gnomad4 NFE
AF:
0.00206
AC:
0.00206259
AN:
0.00206259
Gnomad4 OTH
AF:
0.00131
AC:
0.00130548
AN:
0.00130548
Heterozygous variant carriers
0
6
12
17
23
29
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00159
Hom.:
64
Bravo
AF:
0.00143
TwinsUK
AF:
0.00216
AC:
8
ALSPAC
AF:
0.00208
AC:
6
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00178
AC:
12
ExAC
AF:
0.000881
AC:
107
EpiCase
AF:
0.00180
EpiControl
AF:
0.00202

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Jun 05, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Dec 09, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 16221952, 10818214) -

not specified Benign:3
Feb 16, 2024
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 26, 2013
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 08, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Sep 25, 2017
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

X-linked intellectual disability-cerebellar hypoplasia syndrome Benign:1
Oct 26, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.84
T
BayesDel_noAF
Benign
-0.98
CADD
Benign
17
DANN
Benign
0.90
DEOGEN2
Benign
0.042
T
FATHMM_MKL
Benign
0.039
N
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.0096
T
MetaRNN
Benign
0.0062
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.4
L
PrimateAI
Benign
0.45
T
PROVEAN
Benign
-0.22
N
REVEL
Benign
0.028
Sift
Benign
0.57
T
Sift4G
Benign
0.63
T
Polyphen
0.46
P
Vest4
0.049
MVP
0.58
MPC
0.96
ClinPred
0.0056
T
GERP RS
-0.81
Varity_R
0.051
gMVP
0.48
Mutation Taster
=97/3
polymorphism (auto)

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: rs148262378; hg19: chrX-67652730; API