chr19-15228067-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_024794.3(EPHX3):​c.650G>A​(p.Arg217His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00018 in 1,359,108 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts 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. R217C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00015 ( 0 hom., cov: 30)
Exomes 𝑓: 0.00018 ( 0 hom. )

Consequence

EPHX3
NM_024794.3 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.426
Variant links:
Genes affected
EPHX3 (HGNC:23760): (epoxide hydrolase 3) Enables epoxide hydrolase activity. Involved in epoxide metabolic process. Located in intracellular membrane-bounded organelle and membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2024681).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EPHX3NM_024794.3 linkuse as main transcriptc.650G>A p.Arg217His missense_variant 5/7 ENST00000221730.8
EPHX3NM_001142886.2 linkuse as main transcriptc.650G>A p.Arg217His missense_variant 6/8
EPHX3XM_024451725.2 linkuse as main transcriptc.650G>A p.Arg217His missense_variant 7/9
EPHX3XM_047439452.1 linkuse as main transcriptc.650G>A p.Arg217His missense_variant 7/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EPHX3ENST00000221730.8 linkuse as main transcriptc.650G>A p.Arg217His missense_variant 5/71 NM_024794.3 P1
EPHX3ENST00000435261.5 linkuse as main transcriptc.650G>A p.Arg217His missense_variant 6/81 P1
EPHX3ENST00000602233.5 linkuse as main transcriptc.650G>A p.Arg217His missense_variant 7/95 P1

Frequencies

GnomAD3 genomes
AF:
0.000153
AC:
21
AN:
137290
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.000107
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000147
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:
0.000234
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000132
AC:
33
AN:
250794
Hom.:
0
AF XY:
0.000125
AC XY:
17
AN XY:
135674
show subpopulations
Gnomad AFR exome
AF:
0.000185
Gnomad AMR exome
AF:
0.0000869
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000203
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000183
AC:
223
AN:
1221704
Hom.:
0
Cov.:
40
AF XY:
0.000173
AC XY:
105
AN XY:
605396
show subpopulations
Gnomad4 AFR exome
AF:
0.000265
Gnomad4 AMR exome
AF:
0.0000266
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000132
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000204
Gnomad4 OTH exome
AF:
0.000202
GnomAD4 genome
AF:
0.000153
AC:
21
AN:
137404
Hom.:
0
Cov.:
30
AF XY:
0.000121
AC XY:
8
AN XY:
66076
show subpopulations
Gnomad4 AFR
AF:
0.000107
Gnomad4 AMR
AF:
0.000147
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000234
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000239
Hom.:
0
Bravo
AF:
0.000166
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000157
AC:
19
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000436
EpiControl
AF:
0.000652

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 09, 2024The c.650G>A (p.R217H) alteration is located in exon 5 (coding exon 5) of the EPHX3 gene. This alteration results from a G to A substitution at nucleotide position 650, causing the arginine (R) at amino acid position 217 to be replaced by a histidine (H). 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
Benign
0.076
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T;T;T
Eigen
Benign
0.14
Eigen_PC
Benign
-0.0059
FATHMM_MKL
Benign
0.39
N
LIST_S2
Benign
0.71
.;T;.
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.20
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.6
M;M;M
MutationTaster
Benign
0.90
D;D
PrimateAI
Benign
0.32
T
PROVEAN
Uncertain
-3.4
D;D;.
REVEL
Benign
0.11
Sift
Benign
0.042
D;D;.
Sift4G
Uncertain
0.058
T;T;T
Polyphen
1.0
D;D;D
Vest4
0.34
MVP
0.32
MPC
0.27
ClinPred
0.12
T
GERP RS
2.9
Varity_R
0.089
gMVP
0.35

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.20
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.20
Position offset: -26

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: rs199794526; hg19: chr19-15338878; API