X-71100792-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_005938.4(FOXO4):​c.562G>A​(p.Gly188Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000146 in 1,097,354 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 9 hemizygotes in GnomAD. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 2 hem., cov: 22)
Exomes 𝑓: 0.000015 ( 0 hom. 9 hem. )
Failed GnomAD Quality Control

Consequence

FOXO4
NM_005938.4 missense

Scores

10
5
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.69
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 9 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FOXO4NM_005938.4 linkuse as main transcriptc.562G>A p.Gly188Ser missense_variant 2/3 ENST00000374259.8 NP_005929.2 P98177-1
FOXO4NM_001170931.2 linkuse as main transcriptc.397G>A p.Gly133Ser missense_variant 3/4 NP_001164402.1 P98177-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FOXO4ENST00000374259.8 linkuse as main transcriptc.562G>A p.Gly188Ser missense_variant 2/31 NM_005938.4 ENSP00000363377.3 P98177-1
FOXO4ENST00000341558.3 linkuse as main transcriptc.397G>A p.Gly133Ser missense_variant 3/45 ENSP00000342209.3 P98177-2
FOXO4ENST00000464598.1 linkuse as main transcriptn.255G>A non_coding_transcript_exon_variant 2/22
FOXO4ENST00000466874.1 linkuse as main transcriptn.*20G>A downstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000179
AC:
2
AN:
111779
Hom.:
0
Cov.:
22
AF XY:
0.0000589
AC XY:
2
AN XY:
33957
show subpopulations
Gnomad AFR
AF:
0.0000325
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000566
AC:
1
AN:
176768
Hom.:
0
AF XY:
0.0000155
AC XY:
1
AN XY:
64340
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:
0.0000534
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000146
AC:
16
AN:
1097354
Hom.:
0
Cov.:
32
AF XY:
0.0000248
AC XY:
9
AN XY:
362766
show subpopulations
Gnomad4 AFR exome
AF:
0.0000758
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000111
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000713
Gnomad4 OTH exome
AF:
0.0000434
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000179
AC:
2
AN:
111779
Hom.:
0
Cov.:
22
AF XY:
0.0000589
AC XY:
2
AN XY:
33957
show subpopulations
Gnomad4 AFR
AF:
0.0000325
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:
0.0000188
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000169
Hom.:
1
Bravo
AF:
0.00000378

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 GeneticsSep 03, 2024The c.562G>A (p.G188S) alteration is located in exon 2 (coding exon 2) of the FOXO4 gene. This alteration results from a G to A substitution at nucleotide position 562, causing the glycine (G) at amino acid position 188 to be replaced by a serine (S). 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
0.17
BayesDel_addAF
Pathogenic
0.52
D
BayesDel_noAF
Pathogenic
0.51
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.90
D;.
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Pathogenic
0.98
D;D
M_CAP
Uncertain
0.23
D
MetaRNN
Uncertain
0.58
D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
2.9
M;.
PrimateAI
Uncertain
0.77
T
PROVEAN
Pathogenic
-5.7
D;D
REVEL
Pathogenic
0.80
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.55
MutPred
0.34
Gain of glycosylation at G188 (P = 0.0091);.;
MVP
0.98
MPC
1.1
ClinPred
0.96
D
GERP RS
5.0
Varity_R
0.96
gMVP
0.76

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: rs1335231839; hg19: chrX-70320642; COSMIC: COSV58575184; COSMIC: COSV58575184; API