chr19-48960990-G-A

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_004324.4(BAX):​c.550G>A​(p.Ala184Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000247 in 1,292,976 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000070 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000019 ( 0 hom. )

Consequence

BAX
NM_004324.4 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.247

Publications

3 publications found
Variant links:
Genes affected
BAX (HGNC:959): (BCL2 associated X, apoptosis regulator) The protein encoded by this gene belongs to the BCL2 protein family. BCL2 family members form hetero- or homodimers and act as anti- or pro-apoptotic regulators that are involved in a wide variety of cellular activities. This protein forms a heterodimer with BCL2, and functions as an apoptotic activator. The association and the ratio of BAX to BCL2 also determines survival or death of a cell following an apoptotic stimulus. This protein is reported to interact with, and increase the opening of, the mitochondrial voltage-dependent anion channel (VDAC), which leads to the loss in membrane potential and the release of cytochrome c. The expression of this gene is regulated by the tumor suppressor P53 and has been shown to be involved in P53-mediated apoptosis. Multiple alternatively spliced transcript variants, which encode different isoforms, have been reported for this gene. [provided by RefSeq, Dec 2019]
BAX Gene-Disease associations (from GenCC):
  • leukemia, acute lymphocytic, susceptibility to, 1
    Inheritance: Unknown Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08016494).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004324.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BAX
NM_138761.4
MANE Select
c.474+76G>A
intron
N/ANP_620116.1Q07812-1
BAX
NM_004324.4
c.550G>Ap.Ala184Thr
missense
Exon 5 of 5NP_004315.1Q07812-2
BAX
NM_001291429.2
c.439G>Ap.Ala147Thr
missense
Exon 4 of 4NP_001278358.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BAX
ENST00000293288.12
TSL:1
c.550G>Ap.Ala184Thr
missense
Exon 5 of 5ENSP00000293288.8Q07812-2
BAX
ENST00000539787.2
TSL:1
c.316G>Ap.Ala106Thr
missense
Exon 3 of 3ENSP00000441413.2I6LPK7
BAX
ENST00000345358.12
TSL:1 MANE Select
c.474+76G>A
intron
N/AENSP00000263262.9Q07812-1

Frequencies

GnomAD3 genomes
AF:
0.0000698
AC:
10
AN:
143298
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000228
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000689
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:
0.0000245
AC:
6
AN:
245292
AF XY:
0.00000749
show subpopulations
Gnomad AFR exome
AF:
0.000259
Gnomad AMR exome
AF:
0.0000580
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:
0.0000191
AC:
22
AN:
1149678
Hom.:
0
Cov.:
34
AF XY:
0.0000156
AC XY:
9
AN XY:
576298
show subpopulations
African (AFR)
AF:
0.000311
AC:
8
AN:
25698
American (AMR)
AF:
0.0000768
AC:
3
AN:
39044
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18396
East Asian (EAS)
AF:
0.00
AC:
0
AN:
23740
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81870
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34848
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4556
European-Non Finnish (NFE)
AF:
0.00000684
AC:
6
AN:
877626
Other (OTH)
AF:
0.000114
AC:
5
AN:
43900
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.457
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.0000698
AC:
10
AN:
143298
Hom.:
0
Cov.:
31
AF XY:
0.0000861
AC XY:
6
AN XY:
69660
show subpopulations
African (AFR)
AF:
0.000228
AC:
9
AN:
39396
American (AMR)
AF:
0.0000689
AC:
1
AN:
14510
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3380
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4260
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3960
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9140
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
310
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
65500
Other (OTH)
AF:
0.00
AC:
0
AN:
2004
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.520
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.00
Hom.:
0
Bravo
AF:
0.0000831
ESP6500AA
AF:
0.000465
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000330
AC:
4
EpiCase
AF:
0.0000546
EpiControl
AF:
0.00

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.092
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
0.95
DANN
Benign
0.89
DEOGEN2
Benign
0.0079
T
Eigen
Benign
-0.82
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.035
N
LIST_S2
Benign
0.30
T
M_CAP
Benign
0.0031
T
MetaRNN
Benign
0.080
T
MetaSVM
Benign
-1.0
T
PhyloP100
-0.25
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.020
N
REVEL
Benign
0.047
Sift
Uncertain
0.020
D
Sift4G
Benign
0.074
T
Polyphen
0.98
D
Vest4
0.12
MVP
0.31
MPC
0.18
ClinPred
0.16
T
GERP RS
0.16
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
gMVP
0.11
Mutation Taster
=99/1
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: rs142107485; hg19: chr19-49464247; COSMIC: COSV53170483; COSMIC: COSV53170483; API