X-74591484-G-A

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM1PM2PP3_StrongPP5_Moderate

The NM_016120.4(RLIM):​c.1831C>T​(p.Arg611Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 12/20 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0 ( 0 hom. 0 hem. )
Failed GnomAD Quality Control

Consequence

RLIM
NM_016120.4 missense

Scores

14
2
1

Clinical Significance

Likely pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 9.30
Variant links:
Genes affected
RLIM (HGNC:13429): (ring finger protein, LIM domain interacting) The protein encoded by this gene is a RING-H2 zinc finger protein. It has been shown to be an E3 ubiquitin protein ligase that targets LIM domain binding 1 (LDB1/CLIM), and causes proteasome-dependent degradation of LDB1. This protein and LDB1 are co-repressors of LHX1/LIM-1, a homeodomain transcription factor. Multiple alternatively spliced variants, encoding the same protein, have been identified. [provided by RefSeq, Feb 2009]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PM1
In a zinc_finger_region RING-type (size 41) in uniprot entity RNF12_HUMAN there are 5 pathogenic changes around while only 1 benign (83%) in NM_016120.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.956
PP5
Variant X-74591484-G-A is Pathogenic according to our data. Variant chrX-74591484-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 585245.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chrX-74591484-G-A is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RLIMNM_016120.4 linkuse as main transcriptc.1831C>T p.Arg611Cys missense_variant 4/4 ENST00000332687.11
RLIMNM_183353.3 linkuse as main transcriptc.1831C>T p.Arg611Cys missense_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RLIMENST00000332687.11 linkuse as main transcriptc.1831C>T p.Arg611Cys missense_variant 4/41 NM_016120.4 P1Q9NVW2-1
RLIMENST00000349225.2 linkuse as main transcriptc.1831C>T p.Arg611Cys missense_variant 5/52 P1Q9NVW2-1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
Data not reliable, filtered out with message: AC0;AS_VQSR
AF:
0.00
AC:
0
AN:
1096456
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
361838
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Intellectual disability, X-linked 61 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMOct 31, 2019- -
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGeneDxAug 31, 2022Published functional studies demonstrate a damaging effect on ubiquitination and in vitro studies suggest a loss of function allele (Frints et al., 2019); Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 29728705) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.45
D
BayesDel_noAF
Pathogenic
0.41
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.49
T;T
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
.;D
M_CAP
Pathogenic
0.70
D
MetaRNN
Pathogenic
0.96
D;D
MetaSVM
Uncertain
0.35
D
MutationAssessor
Pathogenic
4.9
H;H
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.88
D
PROVEAN
Pathogenic
-7.6
D;D
REVEL
Pathogenic
0.81
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0010
D;D
Polyphen
1.0
D;D
Vest4
0.87
MutPred
0.79
Loss of MoRF binding (P = 0.0922);Loss of MoRF binding (P = 0.0922);
MVP
0.95
MPC
2.1
ClinPred
1.0
D
GERP RS
5.4
Varity_R
0.96
gMVP
0.99

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: rs1569309449; hg19: chrX-73811319; COSMIC: COSV60325078; API