X-71101342-C-T

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_005938.4(FOXO4):​c.1112C>T​(p.Thr371Ile) variant causes a missense change. The variant allele was found at a frequency of 0.0000455 in 1,209,621 control chromosomes in the GnomAD database, including 1 homozygotes. There are 37 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000045 ( 0 hom., 3 hem., cov: 22)
Exomes 𝑓: 0.000046 ( 1 hom. 34 hem. )

Consequence

FOXO4
NM_005938.4 missense

Scores

3
10
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.67
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 -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.26403916).
BS2
High Hemizygotes in GnomAd4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FOXO4NM_005938.4 linkuse as main transcriptc.1112C>T p.Thr371Ile missense_variant 2/3 ENST00000374259.8 NP_005929.2 P98177-1
FOXO4NM_001170931.2 linkuse as main transcriptc.947C>T p.Thr316Ile 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.1112C>T p.Thr371Ile missense_variant 2/31 NM_005938.4 ENSP00000363377.3 P98177-1
FOXO4ENST00000341558.3 linkuse as main transcriptc.947C>T p.Thr316Ile missense_variant 3/45 ENSP00000342209.3 P98177-2

Frequencies

GnomAD3 genomes
AF:
0.0000448
AC:
5
AN:
111496
Hom.:
0
Cov.:
22
AF XY:
0.0000891
AC XY:
3
AN XY:
33670
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:
0.00153
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000721
AC:
13
AN:
180293
Hom.:
0
AF XY:
0.000120
AC XY:
8
AN XY:
66683
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:
0.000631
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000124
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000455
AC:
50
AN:
1098071
Hom.:
1
Cov.:
32
AF XY:
0.0000936
AC XY:
34
AN XY:
363433
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000684
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000238
Gnomad4 OTH exome
AF:
0.000108
GnomAD4 genome
AF:
0.0000448
AC:
5
AN:
111550
Hom.:
0
Cov.:
22
AF XY:
0.0000889
AC XY:
3
AN XY:
33734
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:
0.00153
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000189
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151
ExAC
AF:
0.0000744
AC:
9
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

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 GeneticsMay 08, 2024The c.1112C>T (p.T371I) alteration is located in exon 2 (coding exon 2) of the FOXO4 gene. This alteration results from a C to T substitution at nucleotide position 1112, causing the threonine (T) at amino acid position 371 to be replaced by an isoleucine (I). 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
0.22
BayesDel_addAF
Benign
-0.012
T
BayesDel_noAF
Uncertain
0.11
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.86
D;.
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.26
T;T
MetaSVM
Pathogenic
0.98
D
MutationAssessor
Uncertain
2.9
M;.
PrimateAI
Uncertain
0.65
T
PROVEAN
Pathogenic
-4.5
D;D
REVEL
Uncertain
0.63
Sift
Uncertain
0.0020
D;D
Sift4G
Uncertain
0.0050
D;D
Polyphen
0.75
P;P
Vest4
0.16
MutPred
0.27
Loss of glycosylation at T371 (P = 0.011);.;
MVP
0.92
MPC
0.84
ClinPred
0.49
T
GERP RS
4.8
Varity_R
0.71
gMVP
0.82

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs775256209; hg19: chrX-70321192; API