chrX-11298573-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001142.2(AMELX):ā€‹c.170T>Cā€‹(p.Met57Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00000273 in 1,098,232 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M57I) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 23)
Exomes š‘“: 0.0000027 ( 0 hom. 0 hem. )

Consequence

AMELX
NM_001142.2 missense

Scores

8
7
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.63
Variant links:
Genes affected
AMELX (HGNC:461): (amelogenin X-linked) This gene encodes a member of the amelogenin family of extracellular matrix proteins. Amelogenins are involved in biomineralization during tooth enamel development. Mutations in this gene cause X-linked amelogenesis imperfecta. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]
ARHGAP6 (HGNC:676): (Rho GTPase activating protein 6) This gene encodes a member of the rhoGAP family of proteins which play a role in the regulation of actin polymerization at the plasma membrane during several cellular processes. This protein is thought to have two independent functions, one as a GTPase-activating protein with specificity for RhoA, and another as a cytoskeletal protein that promotes actin remodeling. Multiple alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.909

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AMELXNM_001142.2 linkuse as main transcriptc.170T>C p.Met57Thr missense_variant 5/6 ENST00000380714.7
ARHGAP6NM_013427.3 linkuse as main transcriptc.589-43866A>G intron_variant ENST00000337414.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AMELXENST00000380714.7 linkuse as main transcriptc.170T>C p.Met57Thr missense_variant 5/61 NM_001142.2 P1Q99217-1
ARHGAP6ENST00000337414.9 linkuse as main transcriptc.589-43866A>G intron_variant 1 NM_013427.3 P2O43182-1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000545
AC:
1
AN:
183419
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67845
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:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000273
AC:
3
AN:
1098232
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
363590
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:
0.0000185
Gnomad4 FIN exome
AF:
0.0000247
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
ExAC
AF:
0.00000824
AC:
1

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 GeneticsFeb 02, 2022The c.212T>C (p.M71T) alteration is located in exon 6 (coding exon 5) of the AMELX gene. This alteration results from a T to C substitution at nucleotide position 212, causing the methionine (M) at amino acid position 71 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
AlphaMissense
Benign
0.18
BayesDel_addAF
Pathogenic
0.31
D
BayesDel_noAF
Pathogenic
0.21
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.93
.;D;.
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.87
D;D;D
M_CAP
Pathogenic
0.74
D
MetaRNN
Pathogenic
0.91
D;D;D
MetaSVM
Pathogenic
0.88
D
MutationAssessor
Pathogenic
3.1
.;M;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Uncertain
-2.7
D;N;N
REVEL
Pathogenic
0.80
Sift
Uncertain
0.0010
D;D;T
Sift4G
Uncertain
0.045
D;T;T
Polyphen
0.98
D;D;D
Vest4
0.79
MutPred
0.61
.;Gain of relative solvent accessibility (P = 0.005);.;
MVP
0.99
MPC
0.81
ClinPred
0.70
D
GERP RS
5.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.84
gMVP
0.84

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: rs761996476; hg19: chrX-11316693; API