chr1-47416333-CATGG-C

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_012186.3(FOXE3):​c.21_24del​(p.Met7IlefsTer216) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000327 in 1,222,594 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000033 ( 0 hom. )

Consequence

FOXE3
NM_012186.3 frameshift

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 1.65
Variant links:
Genes affected
FOXE3 (HGNC:3808): (forkhead box E3) This intronless gene belongs to the forkhead family of transcription factors, which is characterized by a distinct forkhead domain. The protein encoded functions as a lens-specific transcription factor and plays an important role in vertebrate lens formation. Mutations in this gene are associated with anterior segment mesenchymal dysgenesis and congenital primary aphakia. [provided by RefSeq, Dec 2009]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 43 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 1-47416333-CATGG-C is Pathogenic according to our data. Variant chr1-47416333-CATGG-C is described in ClinVar as [Pathogenic]. Clinvar id is 1077103.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-47416333-CATGG-C is described in Lovd as [Pathogenic]. Variant chr1-47416333-CATGG-C is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FOXE3NM_012186.3 linkuse as main transcriptc.21_24del p.Met7IlefsTer216 frameshift_variant 1/1 ENST00000335071.4
LINC01389NR_126355.1 linkuse as main transcriptn.29-6436_29-6433del intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FOXE3ENST00000335071.4 linkuse as main transcriptc.21_24del p.Met7IlefsTer216 frameshift_variant 1/1 NM_012186.3 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000152
AC:
1
AN:
65918
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
38302
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000679
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000327
AC:
4
AN:
1222594
Hom.:
0
AF XY:
0.00000333
AC XY:
2
AN XY:
600326
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000446
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000520
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Congenital primary aphakia;C1862839:Anterior segment dysgenesis Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 01, 2023For these reasons, this variant has been classified as Pathogenic. This variant disrupts a region of the FOXE3 protein in which other variant(s) (p.Cys240*) have been determined to be pathogenic (PMID: 16826526, 20140963, 24033328). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. Experimental studies have shown that this premature translational stop signal affects FOXE3 function (PMID: 25504734). Algorithms developed to predict the effect of variants on protein structure and function are not available or were not evaluated for this variant. ClinVar contains an entry for this variant (Variation ID: 1077103). This premature translational stop signal has been observed in individuals with autosomal recessive FOXE3-related conditions (PMID: 19708017, 25504734, 26995144). This variant is present in population databases (no rsID available, gnomAD 0.007%). This sequence change creates a premature translational stop signal (p.Met7Ilefs*216) in the FOXE3 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 313 amino acid(s) of the FOXE3 protein. -
Congenital primary aphakia Pathogenic:1
Pathogenic, no assertion criteria providedresearchHuman Developmental Genetics Laboratory, Medical College of WisconsinMay 01, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs1464817302; hg19: chr1-47882005; API