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GeneBe

chr7-97021019-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_005221.6(DLX5):ā€‹c.587T>Gā€‹(p.Met196Arg) variant causes a missense change. The variant allele was found at a frequency of 0.000000684 in 1,461,028 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

DLX5
NM_005221.6 missense

Scores

4
8
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.19
Variant links:
Genes affected
DLX5 (HGNC:2918): (distal-less homeobox 5) This gene encodes a member of a homeobox transcription factor gene family similiar to the Drosophila distal-less gene. The encoded protein may play a role in bone development and fracture healing. Mutation in this gene, which is located in a tail-to-tail configuration with another member of the family on the long arm of chromosome 7, may be associated with split-hand/split-foot malformation. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a DNA_binding_region Homeobox (size 59) in uniprot entity DLX5_HUMAN there are 5 pathogenic changes around while only 1 benign (83%) in NM_005221.6
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DLX5NM_005221.6 linkuse as main transcriptc.587T>G p.Met196Arg missense_variant 3/3 ENST00000648378.1
DLX5XM_005250185.4 linkuse as main transcriptc.203T>G p.Met68Arg missense_variant 3/3
DLX5XM_017011803.2 linkuse as main transcriptc.203T>G p.Met68Arg missense_variant 3/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DLX5ENST00000648378.1 linkuse as main transcriptc.587T>G p.Met196Arg missense_variant 3/3 NM_005221.6 P1P56178-1
DLX5ENST00000493764.1 linkuse as main transcriptn.709T>G non_coding_transcript_exon_variant 3/35

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461028
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726770
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:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 04, 2024The c.587T>G (p.M196R) alteration is located in exon 3 (coding exon 3) of the DLX5 gene. This alteration results from a T to G substitution at nucleotide position 587, causing the methionine (M) at amino acid position 196 to be replaced by an arginine (R). 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
Pathogenic
0.95
BayesDel_addAF
Pathogenic
0.41
D
BayesDel_noAF
Pathogenic
0.36
CADD
Pathogenic
26
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.50
T;T
Eigen
Benign
0.024
Eigen_PC
Benign
0.18
FATHMM_MKL
Uncertain
0.96
D
M_CAP
Uncertain
0.16
D
MetaRNN
Uncertain
0.47
T;T
MetaSVM
Uncertain
0.38
D
MutationAssessor
Benign
1.9
M;M
MutationTaster
Benign
1.0
D
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
-2.3
N;.
REVEL
Uncertain
0.62
Sift
Uncertain
0.0070
D;.
Sift4G
Benign
0.067
T;.
Polyphen
0.014
B;B
Vest4
0.78
MutPred
0.27
Gain of methylation at K197 (P = 0.0303);Gain of methylation at K197 (P = 0.0303);
MVP
0.98
MPC
1.3
ClinPred
0.90
D
GERP RS
5.1
Varity_R
0.91
gMVP
0.83

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: rs1224132623; hg19: chr7-96650331; API