X-71096539-G-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_005938.4(FOXO4):​c.11G>T​(p.Gly4Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000664 in 1,205,273 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. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000055 ( 0 hom. 2 hem. )

Consequence

FOXO4
NM_005938.4 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.0920
Variant links:
Genes affected
FOXO4 (HGNC:7139): (forkhead box O4) This gene encodes a member of the O class of winged helix/forkhead transcription factor family. Proteins encoded by this class are regulated by factors involved in growth and differentiation indicating they play a role in these processes. A translocation involving this gene on chromosome X and the homolog of the Drosophila trithorax gene, encoding a DNA binding protein, located on chromosome 11 is associated with leukemia. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.065850675).
BS2
High Hemizygotes in GnomAdExome4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FOXO4NM_005938.4 linkuse as main transcriptc.11G>T p.Gly4Val missense_variant 1/3 ENST00000374259.8 NP_005929.2 P98177-1
FOXO4NM_001170931.2 linkuse as main transcriptc.11G>T p.Gly4Val missense_variant 1/4 NP_001164402.1 P98177-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FOXO4ENST00000374259.8 linkuse as main transcriptc.11G>T p.Gly4Val missense_variant 1/31 NM_005938.4 ENSP00000363377.3 P98177-1
FOXO4ENST00000341558.3 linkuse as main transcriptc.11G>T p.Gly4Val missense_variant 1/45 ENSP00000342209.3 P98177-2
FOXO4ENST00000466874.1 linkuse as main transcriptn.287G>T non_coding_transcript_exon_variant 1/33

Frequencies

GnomAD3 genomes
AF:
0.0000178
AC:
2
AN:
112166
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34346
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:
0.0000377
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000549
AC:
6
AN:
1093107
Hom.:
0
Cov.:
30
AF XY:
0.00000557
AC XY:
2
AN XY:
359321
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:
0.00000715
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000178
AC:
2
AN:
112166
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34346
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:
0.0000377
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000302

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 23, 2024The c.11G>T (p.G4V) alteration is located in exon 1 (coding exon 1) of the FOXO4 gene. This alteration results from a G to T substitution at nucleotide position 11, causing the glycine (G) at amino acid position 4 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
17
DANN
Benign
0.94
DEOGEN2
Benign
0.33
T;.
FATHMM_MKL
Benign
0.35
N
LIST_S2
Benign
0.68
T;T
M_CAP
Benign
0.037
D
MetaRNN
Benign
0.066
T;T
MetaSVM
Uncertain
-0.057
T
MutationAssessor
Benign
0.34
N;N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-0.28
N;N
REVEL
Benign
0.23
Sift
Benign
0.14
T;D
Sift4G
Benign
0.55
T;T
Polyphen
0.0
B;B
Vest4
0.083
MutPred
0.069
Loss of catalytic residue at G4 (P = 0.1277);Loss of catalytic residue at G4 (P = 0.1277);
MVP
0.70
MPC
0.43
ClinPred
0.057
T
GERP RS
1.6
Varity_R
0.076
gMVP
0.32

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: rs987355232; hg19: chrX-70316389; API