chr6-98905509-T-C
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6BP7
The NM_001278716.2(FBXL4):c.1020A>G(p.Leu340Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000304 in 1,613,902 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 Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_001278716.2 synonymous
Scores
Clinical Significance
Conservation
Publications
- Leigh syndromeInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- mitochondrial DNA depletion syndrome 13Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| FBXL4 | ENST00000369244.7 | c.1020A>G | p.Leu340Leu | synonymous_variant | Exon 6 of 10 | 1 | NM_001278716.2 | ENSP00000358247.1 | ||
| FBXL4 | ENST00000229971.2 | c.1020A>G | p.Leu340Leu | synonymous_variant | Exon 5 of 9 | 1 | ENSP00000229971.1 | 
Frequencies
GnomAD3 genomes  0.0000131  AC: 2AN: 152120Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000517  AC: 13AN: 251366 AF XY:  0.0000589   show subpopulations 
GnomAD4 exome  AF:  0.0000322  AC: 47AN: 1461782Hom.:  0  Cov.: 33 AF XY:  0.0000330  AC XY: 24AN XY: 727194 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000131  AC: 2AN: 152120Hom.:  0  Cov.: 32 AF XY:  0.00  AC XY: 0AN XY: 74306 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Mitochondrial DNA depletion syndrome 13    Uncertain:1 
The NM_012160.4:c.1020A>G (NP_036292.2:p.Leu340=) [GRCH38: NC_000006.12:g.98905509T>C] variant in FBXL4 gene is interpretated to be a Uncertain Significance - Conflicting Evidence based on ACMG guidelines (PMID: 25741868). This variant meets one or more of the following evidence codes reported in the ACMG-guideline. PM2:This variant is absent in key population databases. BP4:Computational evidence/predictors indicate no impact on the FBXL4 structure, function, or protein-protein interaction. BP7:The variant is silent with non predicted splice impact. Based on this evidence code ClinGen Pathogenicity Calculator (PMID:28081714) suggested that the variant is Uncertain Significance - Conflicting Evidence. -
FBXL4-related disorder    Benign:1 
This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided    Benign:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at