chr4-56655999-A-G

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PVS1PM2

The NM_139211.5(HOPX):ā€‹c.2T>Cā€‹(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.0000194 in 1,598,782 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: š‘“ 0.000013 ( 0 hom., cov: 33)
Exomes š‘“: 0.000020 ( 0 hom. )

Consequence

HOPX
NM_139211.5 start_lost

Scores

1
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.39
Variant links:
Genes affected
HOPX (HGNC:24961): (HOP homeobox) The protein encoded by this gene is a homeodomain protein that lacks certain conserved residues required for DNA binding. It was reported that choriocarcinoma cell lines and tissues failed to express this gene, which suggested the possible involvement of this gene in malignant conversion of placental trophoblasts. Studies in mice suggest that this protein may interact with serum response factor (SRF) and modulate SRF-dependent cardiac-specific gene expression and cardiac development. Multiple alternatively spliced transcript variants have been identified for this gene. [provided by RefSeq, Feb 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PVS1
Start lost variant, no new inframe start found.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HOPXNM_032495.6 linkuse as main transcriptc.56T>C p.Met19Thr missense_variant 3/4 ENST00000420433.6 NP_115884.4 Q9BPY8-3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HOPXENST00000420433.6 linkuse as main transcriptc.56T>C p.Met19Thr missense_variant 3/45 NM_032495.6 ENSP00000396275.1 Q9BPY8-3

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151920
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000431
AC:
1
AN:
231780
Hom.:
0
AF XY:
0.00000793
AC XY:
1
AN XY:
126024
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.00000951
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000200
AC:
29
AN:
1446862
Hom.:
0
Cov.:
34
AF XY:
0.0000209
AC XY:
15
AN XY:
719224
show subpopulations
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:
0.0000253
Gnomad4 OTH exome
AF:
0.0000168
GnomAD4 genome
AF:
0.0000132
AC:
2
AN:
151920
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74210
show subpopulations
Gnomad4 AFR
AF:
0.0000242
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000189
ExAC
AF:
0.00000826
AC:
1

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 GeneticsOct 07, 2024The c.56T>C (p.M19T) alteration is located in exon 3 (coding exon 2) of the HOPX gene. This alteration results from a T to C substitution at nucleotide position 56, causing the methionine (M) at amino acid position 19 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
Uncertain
0.16
D
BayesDel_noAF
Uncertain
-0.010
CADD
Benign
20
DANN
Benign
0.94
DEOGEN2
Benign
0.25
.;T;.;T;T;T;T;T;T;T;.;T
Eigen
Uncertain
0.33
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.38
T;.;T;.;.;.;.;.;.;.;D;D
M_CAP
Uncertain
0.20
D
MetaRNN
Pathogenic
0.97
D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.57
T
PROVEAN
Benign
-2.0
N;N;N;N;N;N;N;N;N;N;N;N
REVEL
Uncertain
0.39
Sift
Benign
0.035
D;D;D;D;D;D;D;D;D;D;D;D
Sift4G
Benign
0.12
T;D;D;D;D;D;D;D;D;D;D;D
Polyphen
0.96
.;D;.;D;D;D;D;D;D;D;.;D
Vest4
0.69
MutPred
0.99
.;Gain of glycosylation at M1 (P = 0.0055);.;Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);Gain of glycosylation at M1 (P = 0.0055);
MVP
0.56
MPC
0.38
ClinPred
0.88
D
GERP RS
4.8
Varity_R
0.76
gMVP
0.21

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: rs767484156; hg19: chr4-57522165; API