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chrX-106900843-T-C

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_138382.3(RIPPLY1):ā€‹c.362A>Gā€‹(p.Asn121Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00121 in 1,209,909 control chromosomes in the GnomAD database, including 2 homozygotes. There are 481 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 11/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.00090 ( 1 hom., 33 hem., cov: 23)
Exomes š‘“: 0.0012 ( 1 hom. 448 hem. )

Consequence

RIPPLY1
NM_138382.3 missense

Scores

1
5
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 2.91
Variant links:
Genes affected
RIPPLY1 (HGNC:25117): (ripply transcriptional repressor 1) This gene encodes a protein similar to a zebrafish protein which acts as a transcriptional repressor in and is required for somite segmentation in zebrafish embryos (PMID: 16326386). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2011]
CLDN2 (HGNC:2041): (claudin 2) This gene product belongs to the claudin protein family whose members have been identified as major integral membrane proteins localized exclusively at tight junctions. Claudins are expressed in an organ-specific manner and regulate tissue-specific physiologic properties of tight junctions. This protein is expressed in the intestine. Alternatively spliced transcript variants with different 5' untranslated region have been found for this gene.[provided by RefSeq, Jan 2010]
MORC4 (HGNC:23485): (MORC family CW-type zinc finger 4) In human, the four current members of the microrchidia (morc) gene family share an N-terminal ATPase-like ATP-binding region and a CW four-cysteine zinc-finger motif. The protein encoded by this gene also has a nuclear matrix binding domain and a two-stranded coiled-coil motif near its C-terminus. This gene is widely expressed at low levels in normal tissues and has elevated expression in placenta and testis. Alternative splicing results in multiple transcript variants encoding distinct proteins. [provided by RefSeq, Jan 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.020251542).
BP6
Variant X-106900843-T-C is Benign according to our data. Variant chrX-106900843-T-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 725965.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Likely_benign=2}. Variant chrX-106900843-T-C is described in Lovd as [Likely_benign].
BS2
High Hemizygotes in GnomAd4 at 33 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RIPPLY1NM_138382.3 linkuse as main transcriptc.362A>G p.Asn121Ser missense_variant 4/4 ENST00000276173.5
RIPPLY1NM_001171706.2 linkuse as main transcriptc.221A>G p.Asn74Ser missense_variant 2/2
CLDN2NM_001171092.1 linkuse as main transcriptc.-179+339T>C intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RIPPLY1ENST00000276173.5 linkuse as main transcriptc.362A>G p.Asn121Ser missense_variant 4/41 NM_138382.3 P1Q0D2K3-1
RIPPLY1ENST00000411805.1 linkuse as main transcriptc.221A>G p.Asn74Ser missense_variant 2/21 Q0D2K3-2
CLDN2ENST00000541806.6 linkuse as main transcriptc.-179+339T>C intron_variant 1 P1
MORC4ENST00000604604.1 linkuse as main transcriptc.112-85057A>G intron_variant 2

Frequencies

GnomAD3 genomes
AF:
0.000903
AC:
101
AN:
111805
Hom.:
1
Cov.:
23
AF XY:
0.000971
AC XY:
33
AN XY:
33981
show subpopulations
Gnomad AFR
AF:
0.000196
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000947
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:
0.00175
Gnomad OTH
AF:
0.000665
GnomAD3 exomes
AF:
0.000811
AC:
147
AN:
181245
Hom.:
0
AF XY:
0.000877
AC XY:
59
AN XY:
67309
show subpopulations
Gnomad AFR exome
AF:
0.000162
Gnomad AMR exome
AF:
0.0000731
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:
0.00174
Gnomad OTH exome
AF:
0.000449
GnomAD4 exome
AF:
0.00124
AC:
1358
AN:
1098052
Hom.:
1
Cov.:
30
AF XY:
0.00123
AC XY:
448
AN XY:
363482
show subpopulations
Gnomad4 AFR exome
AF:
0.000114
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:
0.0000494
Gnomad4 NFE exome
AF:
0.00156
Gnomad4 OTH exome
AF:
0.000911
GnomAD4 genome
AF:
0.000903
AC:
101
AN:
111857
Hom.:
1
Cov.:
23
AF XY:
0.000969
AC XY:
33
AN XY:
34043
show subpopulations
Gnomad4 AFR
AF:
0.000195
Gnomad4 AMR
AF:
0.0000946
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00175
Gnomad4 OTH
AF:
0.000657
Alfa
AF:
0.00148
Hom.:
63
Bravo
AF:
0.000680
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00104
AC:
3
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00139
AC:
9
ExAC
AF:
0.000728
AC:
88
EpiCase
AF:
0.000873
EpiControl
AF:
0.00154

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:3
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, criteria provided, single submitterclinical testingInvitaeDec 31, 2019- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 15, 2021The c.362A>G (p.N121S) alteration is located in exon 4 (coding exon 4) of the RIPPLY1 gene. This alteration results from a A to G substitution at nucleotide position 362, causing the asparagine (N) at amino acid position 121 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
RIPPLY1-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesOct 27, 2022This 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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.54
D;.
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.87
D;D
M_CAP
Benign
0.0092
T
MetaRNN
Benign
0.020
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.2
M;.
MutationTaster
Benign
0.50
N;N;D
PrimateAI
Benign
0.47
T
PROVEAN
Pathogenic
-4.8
D;D
REVEL
Benign
0.073
Sift
Benign
0.24
T;T
Sift4G
Benign
0.089
T;T
Polyphen
0.13
B;P
Vest4
0.16
MVP
0.63
MPC
0.10
ClinPred
0.061
T
GERP RS
2.5
Varity_R
0.17
gMVP
0.25

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs41306259; hg19: chrX-106144073; API