chrX-154365245-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001110556.2(FLNA):​c.1582G>A​(p.Val528Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00122 in 1,210,671 control chromosomes in the GnomAD database, including 22 homozygotes. There are 488 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0012 ( 0 hom., 51 hem., cov: 24)
Exomes 𝑓: 0.0012 ( 22 hom. 437 hem. )

Consequence

FLNA
NM_001110556.2 missense

Scores

1
8
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 2.76
Variant links:
Genes affected
FLNA (HGNC:3754): (filamin A) The protein encoded by this gene is an actin-binding protein that crosslinks actin filaments and links actin filaments to membrane glycoproteins. The encoded protein is involved in remodeling the cytoskeleton to effect changes in cell shape and migration. This protein interacts with integrins, transmembrane receptor complexes, and second messengers. Defects in this gene are a cause of several syndromes, including periventricular nodular heterotopias (PVNH1, PVNH4), otopalatodigital syndromes (OPD1, OPD2), frontometaphyseal dysplasia (FMD), Melnick-Needles syndrome (MNS), and X-linked congenital idiopathic intestinal pseudoobstruction (CIIPX). Two transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.007906973).
BP6
Variant X-154365245-C-T is Benign according to our data. Variant chrX-154365245-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 193845.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154365245-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.0012 (135/112928) while in subpopulation EAS AF= 0.0362 (129/3562). AF 95% confidence interval is 0.0311. There are 0 homozygotes in gnomad4. There are 51 alleles in male gnomad4 subpopulation. Median coverage is 24. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 51 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FLNANM_001110556.2 linkc.1582G>A p.Val528Met missense_variant Exon 11 of 48 ENST00000369850.10 NP_001104026.1 P21333-1Q60FE5Q6NXF2
FLNANM_001456.4 linkc.1582G>A p.Val528Met missense_variant Exon 11 of 47 NP_001447.2 P21333-2Q60FE5Q6NXF2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FLNAENST00000369850.10 linkc.1582G>A p.Val528Met missense_variant Exon 11 of 48 1 NM_001110556.2 ENSP00000358866.3 P21333-1

Frequencies

GnomAD3 genomes
AF:
0.00118
AC:
133
AN:
112874
Hom.:
0
Cov.:
24
AF XY:
0.00140
AC XY:
49
AN XY:
35014
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000185
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0355
Gnomad SAS
AF:
0.000357
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000564
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00313
AC:
569
AN:
181549
Hom.:
8
AF XY:
0.00303
AC XY:
205
AN XY:
67611
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0409
Gnomad SAS exome
AF:
0.000262
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000492
Gnomad OTH exome
AF:
0.00112
GnomAD4 exome
AF:
0.00122
AC:
1342
AN:
1097743
Hom.:
22
Cov.:
33
AF XY:
0.00120
AC XY:
437
AN XY:
363315
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0420
Gnomad4 SAS exome
AF:
0.000222
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000214
Gnomad4 OTH exome
AF:
0.000846
GnomAD4 genome
AF:
0.00120
AC:
135
AN:
112928
Hom.:
0
Cov.:
24
AF XY:
0.00145
AC XY:
51
AN XY:
35078
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000185
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0362
Gnomad4 SAS
AF:
0.000358
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000564
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000265
Hom.:
2
Bravo
AF:
0.00204
ExAC
AF:
0.00323
AC:
391

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Jan 01, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Oct 16, 2014
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Feb 14, 2015
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Jun 18, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Heterotopia, periventricular, X-linked dominant Benign:2
May 31, 2018
SIB Swiss Institute of Bioinformatics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: curation

This variant is interpreted as a Benign, for Periventricular nodular heterotopia 1, in X-linked Dominant manner. The following ACMG Tag(s) were applied: BS1 => Allele frequency is greater than expected for disorder. BS2 => Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age. -

Mar 18, 2016
Soonchunhyang University Bucheon Hospital, Soonchunhyang University Medical Center
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: reference population

- -

Familial thoracic aortic aneurysm and aortic dissection Benign:1
Jul 14, 2016
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Melnick-Needles syndrome;C0265293:Frontometaphyseal dysplasia;C1844696:Oto-palato-digital syndrome, type II;C1848213:Heterotopia, periventricular, X-linked dominant Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.78
D;.;.;.;.
FATHMM_MKL
Benign
0.25
N
LIST_S2
Pathogenic
0.98
D;D;.;D;D
MetaRNN
Benign
0.0079
T;T;T;T;T
MetaSVM
Uncertain
0.17
D
MutationAssessor
Uncertain
2.1
M;.;M;M;.
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-2.2
N;N;N;N;.
REVEL
Uncertain
0.45
Sift
Uncertain
0.0010
D;D;D;D;.
Sift4G
Uncertain
0.0020
D;D;D;D;D
Polyphen
1.0
D;.;D;D;.
Vest4
0.21
MVP
0.89
MPC
1.2
ClinPred
0.046
T
GERP RS
4.3
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.6
Varity_R
0.46
gMVP
0.45

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: rs143873938; hg19: chrX-153593613; COSMIC: COSV61041323; COSMIC: COSV61041323; API