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GeneBe

X-77656597-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 1P and 1B. PP2BP4

The NM_000489.6(ATRX):​c.4177G>A​(p.Val1393Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000058 in 1,206,743 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V1393L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000055 ( 0 hom. 0 hem. )

Consequence

ATRX
NM_000489.6 missense

Scores

7
8

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.20
Variant links:
Genes affected
ATRX (HGNC:886): (ATRX chromatin remodeler) The protein encoded by this gene contains an ATPase/helicase domain, and thus it belongs to the SWI/SNF family of chromatin remodeling proteins. This protein is found to undergo cell cycle-dependent phosphorylation, which regulates its nuclear matrix and chromatin association, and suggests its involvement in the gene regulation at interphase and chromosomal segregation in mitosis. Mutations in this gene are associated with X-linked syndromes exhibiting cognitive disabilities as well as alpha-thalassemia (ATRX) syndrome. These mutations have been shown to cause diverse changes in the pattern of DNA methylation, which may provide a link between chromatin remodeling, DNA methylation, and gene expression in developmental processes. Multiple alternatively spliced transcript variants encoding distinct isoforms have been reported. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PP2
Missense variant where missense usually causes diseases, ATRX
BP4
Computational evidence support a benign effect (MetaRNN=0.2719603).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATRXNM_000489.6 linkuse as main transcriptc.4177G>A p.Val1393Ile missense_variant 13/35 ENST00000373344.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATRXENST00000373344.11 linkuse as main transcriptc.4177G>A p.Val1393Ile missense_variant 13/351 NM_000489.6 P3P46100-1
ATRXENST00000395603.7 linkuse as main transcriptc.4063G>A p.Val1355Ile missense_variant 12/341 A2P46100-4
ATRXENST00000624166.3 linkuse as main transcriptc.3973G>A p.Val1325Ile missense_variant 13/141
ATRXENST00000480283.5 linkuse as main transcriptc.*3805G>A 3_prime_UTR_variant, NMD_transcript_variant 14/361

Frequencies

GnomAD3 genomes
AF:
0.00000895
AC:
1
AN:
111760
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33950
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000548
AC:
6
AN:
1094983
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
361265
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:
0.00000714
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000895
AC:
1
AN:
111760
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33950
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:
0.0000188
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Uncertain
0.012
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
21
DANN
Benign
0.95
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Uncertain
0.88
D;.;D
M_CAP
Uncertain
0.15
D
MetaRNN
Benign
0.27
T;T;T
MetaSVM
Uncertain
0.58
D
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-0.37
N;N;.
REVEL
Uncertain
0.32
Sift
Benign
0.13
T;T;.
Sift4G
Benign
0.30
T;T;T
Vest4
0.12
MVP
0.87
MPC
1.1
ClinPred
0.57
D
GERP RS
5.2
gMVP
0.065

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: rs147331649; hg19: chrX-76912087; API