chr1-47416547-G-A

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PM1PP3PP5_Very_Strong

The NM_012186.3(FOXE3):​c.232G>A​(p.Ala78Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000451 in 1,574,228 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. A78A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000054 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000044 ( 0 hom. )

Consequence

FOXE3
NM_012186.3 missense

Scores

8
9
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:5U:1

Conservation

PhyloP100: 5.69

Publications

5 publications found
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]
LINC01389 (HGNC:50661): (long intergenic non-protein coding RNA 1389)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 13 uncertain in NM_012186.3
PP3
MetaRNN computational evidence supports a deleterious effect, 0.816
PP5
Variant 1-47416547-G-A is Pathogenic according to our data. Variant chr1-47416547-G-A is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 427852.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_012186.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXE3
NM_012186.3
MANE Select
c.232G>Ap.Ala78Thr
missense
Exon 1 of 1NP_036318.1
LINC01389
NR_126355.1
n.29-6646C>T
intron
N/A

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXE3
ENST00000335071.4
TSL:6 MANE Select
c.232G>Ap.Ala78Thr
missense
Exon 1 of 1ENSP00000334472.2
LINC01389
ENST00000828805.1
n.207+16816C>T
intron
N/A
LINC01389
ENST00000828806.1
n.92+684C>T
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.0000535
AC:
8
AN:
149452
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000244
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000666
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:
0.0000891
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000363
AC:
8
AN:
220408
AF XY:
0.0000330
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000977
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000508
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000442
AC:
63
AN:
1424776
Hom.:
0
Cov.:
33
AF XY:
0.0000508
AC XY:
36
AN XY:
708840
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31510
American (AMR)
AF:
0.000121
AC:
5
AN:
41350
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24906
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83544
European-Finnish (FIN)
AF:
0.0000196
AC:
1
AN:
51030
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5136
European-Non Finnish (NFE)
AF:
0.0000522
AC:
57
AN:
1091880
Other (OTH)
AF:
0.00
AC:
0
AN:
58246
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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:
0.0000535
AC:
8
AN:
149452
Hom.:
0
Cov.:
32
AF XY:
0.0000686
AC XY:
5
AN XY:
72930
show subpopulations
African (AFR)
AF:
0.0000244
AC:
1
AN:
41016
American (AMR)
AF:
0.0000666
AC:
1
AN:
15004
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3450
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5058
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4768
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9516
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.0000891
AC:
6
AN:
67358
Other (OTH)
AF:
0.00
AC:
0
AN:
2062
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
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

Genome Het
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
Alfa
AF:
0.0000451
Hom.:
0
Bravo
AF:
0.0000567
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000118
AC:
1
ExAC
AF:
0.0000415
AC:
5

ClinVar

ClinVar submissions as Germline

Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
2
-
-
Congenital primary aphakia (2)
2
-
-
not provided (2)
-
1
-
Cardiovascular phenotype (1)
1
-
-
Congenital primary aphakia;C1862839:Anterior segment dysgenesis (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Uncertain
0.054
T
BayesDel_noAF
Uncertain
0.050
CADD
Pathogenic
30
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.82
D
Eigen
Uncertain
0.43
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.93
D
M_CAP
Pathogenic
0.91
D
MetaRNN
Pathogenic
0.82
D
MetaSVM
Pathogenic
0.98
D
MutationAssessor
Benign
2.0
M
PhyloP100
5.7
PrimateAI
Pathogenic
0.96
D
PROVEAN
Uncertain
-3.8
D
REVEL
Pathogenic
0.86
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.50
MVP
0.88
ClinPred
0.73
D
GERP RS
3.1
PromoterAI
0.056
Neutral
Varity_R
0.59
gMVP
0.37
Mutation Taster
=12/88
disease causing (ClinVar)

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: rs377669670; hg19: chr1-47882219; API