X-72129887-G-A

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_001024455.4(RTL5):​c.1654C>T​(p.Arg552Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000804 in 1,207,043 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 35 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000086 ( 0 hom. 34 hem. )

Consequence

RTL5
NM_001024455.4 missense

Scores

2
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 0.631
Variant links:
Genes affected
RTL5 (HGNC:29430): (retrotransposon Gag like 5)
NHSL2 (HGNC:33737): (NHS like 2) Predicted to enable calcium ion binding activity. Predicted to be involved in cell differentiation. Predicted to be active in cytoplasm. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.092077255).
BP6
Variant X-72129887-G-A is Benign according to our data. Variant chrX-72129887-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 2660896.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS2
High Hemizygotes in GnomAdExome4 at 34 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RTL5NM_001405151.1 linkuse as main transcriptc.1654C>T p.Arg552Cys missense_variant 1/1 ENST00000609883.3 NP_001392080.1
RTL5NM_001024455.4 linkuse as main transcriptc.1654C>T p.Arg552Cys missense_variant 1/2 NP_001019626.1
NHSL2NM_001013627.3 linkuse as main transcriptc.281-2192G>A intron_variant ENST00000633930.2 NP_001013649.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RTL5ENST00000609883.3 linkuse as main transcriptc.1654C>T p.Arg552Cys missense_variant 1/1 NM_001405151.1 ENSP00000476792 P1
NHSL2ENST00000633930.2 linkuse as main transcriptc.281-2192G>A intron_variant 5 NM_001013627.3 ENSP00000488668 P3Q5HYW2-1

Frequencies

GnomAD3 genomes
AF:
0.0000268
AC:
3
AN:
111845
Hom.:
0
Cov.:
23
AF XY:
0.0000294
AC XY:
1
AN XY:
34009
show subpopulations
Gnomad AFR
AF:
0.0000326
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
GnomAD3 exomes
AF:
0.0000569
AC:
10
AN:
175797
Hom.:
0
AF XY:
0.0000643
AC XY:
4
AN XY:
62231
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000149
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000765
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000858
AC:
94
AN:
1095198
Hom.:
0
Cov.:
29
AF XY:
0.0000942
AC XY:
34
AN XY:
361016
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000143
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:
0.0000940
Gnomad4 OTH exome
AF:
0.000174
GnomAD4 genome
AF:
0.0000268
AC:
3
AN:
111845
Hom.:
0
Cov.:
23
AF XY:
0.0000294
AC XY:
1
AN XY:
34009
show subpopulations
Gnomad4 AFR
AF:
0.0000326
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
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.0000745
AC:
9

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 06, 2023The c.1654C>T (p.R552C) alteration is located in exon 1 (coding exon 1) of the RGAG4 gene. This alteration results from a C to T substitution at nucleotide position 1654, causing the arginine (R) at amino acid position 552 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2022NHSL2: BS2; RTL5: BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0033
T
FATHMM_MKL
Benign
0.42
N
LIST_S2
Benign
0.67
T
M_CAP
Benign
0.0076
T
MetaRNN
Benign
0.092
T
MetaSVM
Benign
-0.96
T
MutationTaster
Benign
1.0
D;N;N
PrimateAI
Uncertain
0.69
T
Sift4G
Benign
0.20
T
Polyphen
0.10
B
Vest4
0.19
MutPred
0.40
Gain of catalytic residue at L553 (P = 0.0092);
MVP
0.20
ClinPred
0.048
T
GERP RS
1.8
Varity_R
0.071
gMVP
0.093

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: rs769386611; hg19: chrX-71349737; COSMIC: COSV65453888; COSMIC: COSV65453888; API