chrX-137566825-ACGCCGC-A

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP3BS2

The NM_003413.4(ZIC3):​c.156_161del​(p.Ala54_Ala55del) variant causes a inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000224 in 1,160,640 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 14 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (β˜…).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 2 hem., cov: 24)
Exomes 𝑓: 0.000022 ( 0 hom. 12 hem. )

Consequence

ZIC3
NM_003413.4 inframe_deletion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.41
Variant links:
Genes affected
ZIC3 (HGNC:12874): (Zic family member 3) This gene encodes a member of the ZIC family of C2H2-type zinc finger proteins. This nuclear protein probably functions as a transcription factor in early stages of left-right body axis formation. Mutations in this gene cause X-linked visceral heterotaxy, which includes congenital heart disease and left-right axis defects in organs. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_003413.4
BS2
High Hemizygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ZIC3NM_003413.4 linkuse as main transcriptc.156_161del p.Ala54_Ala55del inframe_deletion 1/3 ENST00000287538.10
ZIC3NM_001330661.1 linkuse as main transcriptc.156_161del p.Ala54_Ala55del inframe_deletion 1/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ZIC3ENST00000287538.10 linkuse as main transcriptc.156_161del p.Ala54_Ala55del inframe_deletion 1/31 NM_003413.4 P1O60481-1
ZIC3ENST00000370606.3 linkuse as main transcriptc.156_161del p.Ala54_Ala55del inframe_deletion 1/35 O60481-2

Frequencies

GnomAD3 genomes
AF:
0.0000268
AC:
3
AN:
111761
Hom.:
0
Cov.:
24
AF XY:
0.0000586
AC XY:
2
AN XY:
34147
show subpopulations
Gnomad AFR
AF:
0.0000324
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000285
Gnomad SAS
AF:
0.000371
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000415
AC:
4
AN:
96477
Hom.:
0
AF XY:
0.0000307
AC XY:
1
AN XY:
32583
show subpopulations
Gnomad AFR exome
AF:
0.000396
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000132
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000340
GnomAD4 exome
AF:
0.0000219
AC:
23
AN:
1048836
Hom.:
0
AF XY:
0.0000351
AC XY:
12
AN XY:
341490
show subpopulations
Gnomad4 AFR exome
AF:
0.0000800
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000536
Gnomad4 EAS exome
AF:
0.0000366
Gnomad4 SAS exome
AF:
0.0000200
Gnomad4 FIN exome
AF:
0.0000319
Gnomad4 NFE exome
AF:
0.0000195
Gnomad4 OTH exome
AF:
0.0000226
GnomAD4 genome
AF:
0.0000268
AC:
3
AN:
111804
Hom.:
0
Cov.:
24
AF XY:
0.0000585
AC XY:
2
AN XY:
34200
show subpopulations
Gnomad4 AFR
AF:
0.0000323
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000286
Gnomad4 SAS
AF:
0.000372
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000340

ClinVar

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

Submissions by phenotype

Heterotaxy, visceral, 1, X-linked Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 10, 2018This variant has not been reported in the literature in individuals with ZIC3-related disease. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate insufficient coverage at this position in the ExAC database. This variant, c.156_161delCGCCGC, results in the deletion of 2 amino acid(s) of the ZIC3 protein (p.Ala54_Ala55del), but otherwise preserves the integrity of the reading frame. Experimental studies and prediction algorithms are not available for this variant, and the functional significance of the affected amino acid(s) is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs748325646; hg19: chrX-136648984; API