chrX-136668145-G-T

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_004840.3(ARHGEF6):​c.2215C>A​(p.Leu739Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000203 in 1,209,565 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 53 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.0010 ( 0 hom., 30 hem., cov: 22)
Exomes 𝑓: 0.00012 ( 0 hom. 23 hem. )

Consequence

ARHGEF6
NM_004840.3 missense

Scores

1
3
13

Clinical Significance

Likely benign criteria provided, single submitter B:2

Conservation

PhyloP100: 2.90
Variant links:
Genes affected
ARHGEF6 (HGNC:685): (Rac/Cdc42 guanine nucleotide exchange factor 6) Rho GTPases play a fundamental role in numerous cellular processes that are initiated by extracellular stimuli that work through G protein coupled receptors. The encoded protein belongs to a family of cytoplasmic proteins that activate the Ras-like family of Rho proteins by exchanging bound GDP for GTP. It may form a complex with G proteins and stimulate Rho-dependent signals. This protein is activated by PI3-kinase. Mutations in this gene can cause X-chromosomal non-specific cognitive disability. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011134952).
BP6
Variant X-136668145-G-T is Benign according to our data. Variant chrX-136668145-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 769329.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chrX-136668145-G-T is described in Lovd as [Likely_benign].
BS2
High Hemizygotes in GnomAd4 at 30 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ARHGEF6NM_004840.3 linkuse as main transcriptc.2215C>A p.Leu739Met missense_variant 22/22 ENST00000250617.7 NP_004831.1 Q15052-1Q8N4Q3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ARHGEF6ENST00000250617.7 linkuse as main transcriptc.2215C>A p.Leu739Met missense_variant 22/221 NM_004840.3 ENSP00000250617.6 Q15052-1
ARHGEF6ENST00000370622.5 linkuse as main transcriptc.1753C>A p.Leu585Met missense_variant 21/211 ENSP00000359656.1 Q15052-2
ARHGEF6ENST00000370620.5 linkuse as main transcriptc.1753C>A p.Leu585Met missense_variant 21/212 ENSP00000359654.1 Q15052-2

Frequencies

GnomAD3 genomes
AF:
0.00103
AC:
115
AN:
111526
Hom.:
0
Cov.:
22
AF XY:
0.000889
AC XY:
30
AN XY:
33728
show subpopulations
Gnomad AFR
AF:
0.00359
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000284
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:
0.0000188
Gnomad OTH
AF:
0.000668
GnomAD3 exomes
AF:
0.000242
AC:
44
AN:
181487
Hom.:
1
AF XY:
0.000104
AC XY:
7
AN XY:
67269
show subpopulations
Gnomad AFR exome
AF:
0.00319
Gnomad AMR exome
AF:
0.0000365
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:
0.00
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.000118
AC:
130
AN:
1097987
Hom.:
0
Cov.:
31
AF XY:
0.0000633
AC XY:
23
AN XY:
363349
show subpopulations
Gnomad4 AFR exome
AF:
0.00432
Gnomad4 AMR exome
AF:
0.0000852
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:
0.00000238
Gnomad4 OTH exome
AF:
0.000239
GnomAD4 genome
AF:
0.00103
AC:
115
AN:
111578
Hom.:
0
Cov.:
22
AF XY:
0.000888
AC XY:
30
AN XY:
33790
show subpopulations
Gnomad4 AFR
AF:
0.00359
Gnomad4 AMR
AF:
0.000284
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000189
Gnomad4 OTH
AF:
0.000660
Alfa
AF:
0.0000593
Hom.:
0
Bravo
AF:
0.00104
ESP6500AA
AF:
0.00261
AC:
10
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000198
AC:
24

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpMay 24, 2018- -
ARHGEF6-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesApr 05, 2019This 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
0.28
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Benign
0.32
.;.;T
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.89
.;D;D
M_CAP
Benign
0.055
D
MetaRNN
Benign
0.011
T;T;T
MetaSVM
Benign
-0.78
T
MutationAssessor
Benign
1.9
.;.;L
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-0.93
N;N;N
REVEL
Benign
0.091
Sift
Benign
0.095
T;T;T
Sift4G
Benign
0.15
T;T;T
Polyphen
0.17
.;.;B
Vest4
0.45
MVP
0.84
MPC
0.47
ClinPred
0.025
T
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.36
gMVP
0.20

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: rs140378313; hg19: chrX-135750304; API