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GeneBe

X-74739478-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 0P and 0B.

The NM_001008537.3(NEXMIF):c.4478T>C(p.Leu1493Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000126 in 1,193,171 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 6 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L1493R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000091 ( 0 hom., 1 hem., cov: 21)
Exomes 𝑓: 0.000013 ( 0 hom. 5 hem. )

Consequence

NEXMIF
NM_001008537.3 missense

Scores

3
4
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.89
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 Uncertain_significance. Variant got 0 ACMG points.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NEXMIFNM_001008537.3 linkuse as main transcriptc.4478T>C p.Leu1493Pro missense_variant 4/4 ENST00000055682.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NEXMIFENST00000055682.12 linkuse as main transcriptc.4478T>C p.Leu1493Pro missense_variant 4/41 NM_001008537.3 P1
NEXMIFENST00000616200.2 linkuse as main transcriptc.4478T>C p.Leu1493Pro missense_variant 4/51 P1
NEXMIFENST00000642681.2 linkuse as main transcriptc.*618T>C 3_prime_UTR_variant 3/3

Frequencies

GnomAD3 genomes
AF:
0.00000912
AC:
1
AN:
109649
Hom.:
0
Cov.:
21
AF XY:
0.0000313
AC XY:
1
AN XY:
31907
show subpopulations
Gnomad AFR
AF:
0.0000332
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000596
AC:
1
AN:
167837
Hom.:
0
AF XY:
0.0000182
AC XY:
1
AN XY:
54865
show subpopulations
Gnomad AFR exome
AF:
0.0000801
Gnomad AMR exome
AF:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000129
AC:
14
AN:
1083471
Hom.:
0
Cov.:
26
AF XY:
0.0000143
AC XY:
5
AN XY:
350133
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:
0.0000168
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000912
AC:
1
AN:
109700
Hom.:
0
Cov.:
21
AF XY:
0.0000313
AC XY:
1
AN XY:
31968
show subpopulations
Gnomad4 AFR
AF:
0.0000331
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:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000165
AC:
2

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 testingInvitaeJun 29, 2022The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. 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. Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The proline amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. ClinVar contains an entry for this variant (Variation ID: 1016367). This variant has not been reported in the literature in individuals affected with NEXMIF-related conditions. This sequence change replaces leucine, which is neutral and non-polar, with proline, which is neutral and non-polar, at codon 1493 of the NEXMIF protein (p.Leu1493Pro). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.080
Cadd
Benign
20
Dann
Benign
0.97
DEOGEN2
Benign
0.077
T;T
FATHMM_MKL
Uncertain
0.85
D
M_CAP
Pathogenic
0.45
D
MetaRNN
Uncertain
0.61
D;D
MetaSVM
Benign
-0.91
T
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
0.34
N;.
REVEL
Benign
0.26
Sift
Benign
0.035
D;.
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.55
MutPred
0.42
Loss of stability (P = 0.0139);Loss of stability (P = 0.0139);
MVP
0.70
MPC
0.40
ClinPred
0.21
T
GERP RS
5.5
Varity_R
0.48
gMVP
0.69

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs770049770; hg19: chrX-73959313; API