X-85864699-T-C

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000390.4(CHM):​c.1893A>G​(p.Ile631Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000414 in 1,207,853 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. 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. I631V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000036 ( 0 hom. 1 hem. )

Consequence

CHM
NM_000390.4 missense

Scores

16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: -0.319

Publications

0 publications found
Variant links:
Genes affected
CHM (HGNC:1940): (CHM Rab escort protein) This gene encodes component A of the RAB geranylgeranyl transferase holoenzyme. In the dimeric holoenzyme, this subunit binds unprenylated Rab GTPases and then presents them to the catalytic Rab GGTase subunit for the geranylgeranyl transfer reaction. Rab GTPases need to be geranylgeranyled on either one or two cysteine residues in their C-terminus to localize to the correct intracellular membrane. Mutations in this gene are a cause of choroideremia; also known as tapetochoroidal dystrophy (TCD). This X-linked disease is characterized by progressive dystrophy of the choroid, retinal pigment epithelium and retina. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2016]
CHM Gene-Disease associations (from GenCC):
  • choroideremia
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Illumina, Labcorp Genetics (formerly Invitae), ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.09212878).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000390.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHM
NM_000390.4
MANE Select
c.1893A>Gp.Ile631Met
missense
Exon 15 of 15NP_000381.1P24386-1
CHM
NM_001320959.1
c.1449A>Gp.Ile483Met
missense
Exon 15 of 15NP_001307888.1B4DRL9
CHM
NM_001362517.1
c.1449A>Gp.Ile483Met
missense
Exon 15 of 15NP_001349446.1B4DRL9

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHM
ENST00000357749.7
TSL:1 MANE Select
c.1893A>Gp.Ile631Met
missense
Exon 15 of 15ENSP00000350386.2P24386-1
CHM
ENST00000891168.1
c.1890A>Gp.Ile630Met
missense
Exon 15 of 15ENSP00000561227.1
CHM
ENST00000891170.1
c.1878A>Gp.Ile626Met
missense
Exon 15 of 15ENSP00000561229.1

Frequencies

GnomAD3 genomes
AF:
0.00000896
AC:
1
AN:
111599
Hom.:
0
Cov.:
23
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000559
AC:
1
AN:
178909
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.0000773
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS 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:
0.00000365
AC:
4
AN:
1096254
Hom.:
0
Cov.:
29
AF XY:
0.00000276
AC XY:
1
AN XY:
361794
show subpopulations
African (AFR)
AF:
0.000152
AC:
4
AN:
26379
American (AMR)
AF:
0.00
AC:
0
AN:
35140
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19356
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30112
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53798
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40441
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4118
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
840907
Other (OTH)
AF:
0.00
AC:
0
AN:
46003
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00000896
AC:
1
AN:
111599
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33771
show subpopulations
African (AFR)
AF:
0.0000326
AC:
1
AN:
30673
American (AMR)
AF:
0.00
AC:
0
AN:
10493
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2650
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3544
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2642
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6014
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
233
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53170
Other (OTH)
AF:
0.00
AC:
0
AN:
1498
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.00000824
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Choroideremia (1)
-
1
-
Inborn genetic diseases (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.56
CADD
Benign
0.57
DANN
Benign
0.58
DEOGEN2
Benign
0.16
T
FATHMM_MKL
Benign
0.058
N
LIST_S2
Benign
0.52
T
M_CAP
Benign
0.045
D
MetaRNN
Benign
0.092
T
MetaSVM
Benign
-0.58
T
MutationAssessor
Benign
1.4
L
PhyloP100
-0.32
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-0.19
N
REVEL
Benign
0.14
Sift
Benign
0.14
T
Sift4G
Benign
0.10
T
Polyphen
0.021
B
Vest4
0.065
MVP
0.65
MPC
0.20
ClinPred
0.013
T
GERP RS
-0.80
Varity_R
0.087
gMVP
0.12
Mutation Taster
=93/7
polymorphism

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

Other links and lift over

dbSNP: rs778210722; hg19: chrX-85119704; API