chr19-12995863-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP2PP3

The NM_001365902.3(NFIX):ā€‹c.26A>Gā€‹(p.Gln9Arg) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Q9P) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 29)
Exomes š‘“: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

NFIX
NM_001365902.3 missense, splice_region

Scores

1
3
14
Splicing: ADA: 0.9977
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.552
Variant links:
Genes affected
NFIX (HGNC:7788): (nuclear factor I X) The protein encoded by this gene is a transcription factor that binds the palindromic sequence 5'-TTGGCNNNNNGCCAA-3 in viral and cellular promoters. The encoded protein can also stimulate adenovirus replication in vitro. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2012]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), NFIX. . Gene score misZ 4.0788 (greater than the threshold 3.09). Trascript score misZ 5.3516 (greater than threshold 3.09). GenCC has associacion of gene with Marshall-Smith syndrome, Malan overgrowth syndrome.
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NFIXNM_001365902.3 linkuse as main transcriptc.26A>G p.Gln9Arg missense_variant, splice_region_variant 1/11 ENST00000592199.6
NFIXNM_002501.4 linkuse as main transcriptc.26A>G p.Gln9Arg missense_variant, splice_region_variant 1/10
NFIXNM_001365982.2 linkuse as main transcriptc.26A>G p.Gln9Arg missense_variant, splice_region_variant 1/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NFIXENST00000592199.6 linkuse as main transcriptc.26A>G p.Gln9Arg missense_variant, splice_region_variant 1/115 NM_001365902.3 P4Q14938-1
NFIXENST00000397661.6 linkuse as main transcriptc.26A>G p.Gln9Arg missense_variant, splice_region_variant 1/105 Q14938-3

Frequencies

GnomAD3 genomes
Cov.:
29
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
836706
Hom.:
0
Cov.:
26
AF XY:
0.00
AC XY:
0
AN XY:
387672
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
29

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 28, 2023The c.26A>G (p.Q9R) alteration is located in exon 1 (coding exon 1) of the NFIX gene. This alteration results from a A to G substitution at nucleotide position 26, causing the glutamine (Q) at amino acid position 9 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.67
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
23
DANN
Benign
0.92
DEOGEN2
Uncertain
0.54
.;D
Eigen
Benign
-0.48
Eigen_PC
Benign
-0.46
FATHMM_MKL
Benign
0.39
N
LIST_S2
Uncertain
0.89
D;D
M_CAP
Uncertain
0.24
D
MetaRNN
Benign
0.31
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L;L
MutationTaster
Benign
1.0
D;D
PROVEAN
Benign
-2.0
N;.
REVEL
Benign
0.092
Sift
Benign
0.066
T;.
Sift4G
Benign
0.066
T;T
Polyphen
0.0
B;.
Vest4
0.27
MutPred
0.71
Gain of phosphorylation at T8 (P = 0.099);Gain of phosphorylation at T8 (P = 0.099);
MVP
0.70
MPC
1.4
ClinPred
0.091
T
GERP RS
1.8
Varity_R
0.15
gMVP
0.86

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.85
SpliceAI score (max)
0.20
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.20
Position offset: 1

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-13106677; API