X-74739448-G-A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2

The NM_001008537.3(NEXMIF):​c.4508C>T​(p.Pro1503Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000209 in 1,197,802 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. P1503P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 2 hem., cov: 21)
Exomes 𝑓: 0.000021 ( 0 hom. 6 hem. )

Consequence

NEXMIF
NM_001008537.3 missense

Scores

4
5
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.12
Variant links:
Genes affected
NEXMIF (HGNC:29433): (neurite extension and migration factor) An inversion on the X chromosome which disrupts this gene and a G-protein coupled purinergic receptor gene located in the pseudoautosomal region of the X chromosome has been linked to X linked cognitive disability.[provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.786
BS2
High Hemizygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NEXMIFNM_001008537.3 linkuse as main transcriptc.4508C>T p.Pro1503Leu missense_variant 4/4 ENST00000055682.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NEXMIFENST00000055682.12 linkuse as main transcriptc.4508C>T p.Pro1503Leu missense_variant 4/41 NM_001008537.3 P1
NEXMIFENST00000616200.2 linkuse as main transcriptc.4508C>T p.Pro1503Leu missense_variant 4/51 P1
NEXMIFENST00000642681.2 linkuse as main transcriptc.*648C>T 3_prime_UTR_variant 3/3

Frequencies

GnomAD3 genomes
AF:
0.0000182
AC:
2
AN:
109860
Hom.:
0
Cov.:
21
AF XY:
0.0000622
AC XY:
2
AN XY:
32178
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:
0.0000380
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000211
AC:
23
AN:
1087942
Hom.:
0
Cov.:
27
AF XY:
0.0000169
AC XY:
6
AN XY:
355324
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:
0.0000251
Gnomad4 OTH exome
AF:
0.0000437
GnomAD4 genome
AF:
0.0000182
AC:
2
AN:
109860
Hom.:
0
Cov.:
21
AF XY:
0.0000622
AC XY:
2
AN XY:
32178
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:
0.0000380
Gnomad4 OTH
AF:
0.00

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 11, 2023This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 1503 of the NEXMIF protein (p.Pro1503Leu). This variant is present in population databases (no rsID available, gnomAD 0.01%), including at least one homozygous and/or hemizygous individual. This variant has not been reported in the literature in individuals affected with NEXMIF-related conditions. An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Uncertain
0.050
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.086
T;T
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.85
.;D
M_CAP
Pathogenic
0.49
D
MetaRNN
Pathogenic
0.79
D;D
MetaSVM
Benign
-0.85
T
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
0.020
N;.
REVEL
Benign
0.25
Sift
Pathogenic
0.0
D;.
Sift4G
Uncertain
0.017
D;D
Polyphen
1.0
D;D
Vest4
0.64
MutPred
0.53
Loss of catalytic residue at P1503 (P = 0.1527);Loss of catalytic residue at P1503 (P = 0.1527);
MVP
0.42
MPC
0.62
ClinPred
0.87
D
GERP RS
5.5
Varity_R
0.29
gMVP
0.43

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs973158487; hg19: chrX-73959283; API