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chr19-48960990-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM1BP4_ModerateBS2

The ENST00000293288.12(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. 13/18 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
ENST00000293288.12 missense

Scores

14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.247
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]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM1
In a mutagenesis_site Constitutive cytoplasmic location. (size 0) in uniprot entity BAX_HUMAN
BP4
Computational evidence support a benign effect (MetaRNN=0.08016494).
BS2
High AC in GnomAd4 at 10 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
BAXNM_138761.4 linkuse as main transcriptc.474+76G>A intron_variant ENST00000345358.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
BAXENST00000345358.12 linkuse as main transcriptc.474+76G>A intron_variant 1 NM_138761.4 P1Q07812-1

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
GnomAD3 exomes
AF:
0.0000245
AC:
6
AN:
245292
Hom.:
0
AF XY:
0.00000749
AC XY:
1
AN XY:
133590
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 SAS 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
Gnomad4 AFR exome
AF:
0.000311
Gnomad4 AMR exome
AF:
0.0000768
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:
0.00000684
Gnomad4 OTH exome
AF:
0.000114
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
Gnomad4 AFR
AF:
0.000228
Gnomad4 AMR
AF:
0.0000689
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
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

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 GeneticsMar 07, 2023The c.550G>A (p.A184T) alteration is located in exon 5 (coding exon 5) of the BAX gene. This alteration results from a G to A substitution at nucleotide position 550, causing the alanine (A) at amino acid position 184 to be replaced by a threonine (T). 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
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;T
M_CAP
Benign
0.0031
T
MetaRNN
Benign
0.080
T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Benign
0.30
T
Sift4G
Benign
0.074
T;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

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs142107485; hg19: chr19-49464247; COSMIC: COSV53170483; COSMIC: COSV53170483; API