chrX-100922922-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_212559.3(XKRX):​c.475C>T​(p.Arg159Trp) variant causes a missense change. The variant allele was found at a frequency of 0.0000322 in 1,209,403 control chromosomes in the GnomAD database, including 1 homozygotes. There are 14 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000045 ( 0 hom., 2 hem., cov: 22)
Exomes 𝑓: 0.000031 ( 1 hom. 12 hem. )

Consequence

XKRX
NM_212559.3 missense

Scores

4
10
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.66
Variant links:
Genes affected
XKRX (HGNC:29845): (XK related X-linked) This gene encodes a protein that is related to a component of the XK/Kell complex of the Kell blood group system. The encoded protein includes several transmembrane domains, is known to be exposed to the cell surface, and may function as a membrane transporter. [provided by RefSeq, May 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
XKRXNM_212559.3 linkuse as main transcriptc.475C>T p.Arg159Trp missense_variant 2/3 ENST00000372956.3 NP_997724.2 Q6PP77-1
XKRXXM_011530954.4 linkuse as main transcriptc.514C>T p.Arg172Trp missense_variant 2/4 XP_011529256.1
XKRXXM_011530955.2 linkuse as main transcriptc.127C>T p.Arg43Trp missense_variant 3/4 XP_011529257.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
XKRXENST00000372956.3 linkuse as main transcriptc.475C>T p.Arg159Trp missense_variant 2/31 NM_212559.3 ENSP00000362047.2 Q6PP77-1
XKRXENST00000468904.1 linkuse as main transcriptc.335+5048C>T intron_variant 2 ENSP00000419884.1 C9JYI8

Frequencies

GnomAD3 genomes
AF:
0.0000450
AC:
5
AN:
111110
Hom.:
0
Cov.:
22
AF XY:
0.0000601
AC XY:
2
AN XY:
33298
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00113
Gnomad SAS
AF:
0.000384
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000147
AC:
27
AN:
183494
Hom.:
0
AF XY:
0.000132
AC XY:
9
AN XY:
67928
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00144
Gnomad SAS exome
AF:
0.000210
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000244
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000310
AC:
34
AN:
1098241
Hom.:
1
Cov.:
31
AF XY:
0.0000330
AC XY:
12
AN XY:
363595
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000568
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000563
Gnomad4 SAS exome
AF:
0.000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000356
Gnomad4 OTH exome
AF:
0.0000434
GnomAD4 genome
AF:
0.0000450
AC:
5
AN:
111162
Hom.:
0
Cov.:
22
AF XY:
0.0000600
AC XY:
2
AN XY:
33360
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00114
Gnomad4 SAS
AF:
0.000385
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000869
ExAC
AF:
0.000115
AC:
14
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

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 06, 2023The c.475C>T (p.R159W) alteration is located in exon 2 (coding exon 2) of the XKRX gene. This alteration results from a C to T substitution at nucleotide position 475, causing the arginine (R) at amino acid position 159 to be replaced by a tryptophan (W). 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
0.96
BayesDel_addAF
Uncertain
0.047
T
BayesDel_noAF
Pathogenic
0.26
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.14
T
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.91
D
M_CAP
Pathogenic
0.85
D
MetaRNN
Uncertain
0.68
D
MetaSVM
Uncertain
-0.25
T
MutationAssessor
Benign
1.8
L
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-3.3
D
REVEL
Uncertain
0.52
Sift
Uncertain
0.020
D
Sift4G
Uncertain
0.051
T
Polyphen
1.0
D
Vest4
0.83
MutPred
0.75
Loss of MoRF binding (P = 0.087);
MVP
0.28
MPC
0.52
ClinPred
0.26
T
GERP RS
5.9
Varity_R
0.58
gMVP
0.71

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: rs779822972; hg19: chrX-100177911; COSMIC: COSV60709445; API