chrX-22168377-A-T
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Variant summary
Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4BP6_ModerateBS2
The NM_000444.6(PHEX):c.1470A>T(p.Glu490Asp) variant causes a missense change. The variant allele was found at a frequency of 0.0000231 in 1,171,362 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 7 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 0.00011 ( 0 hom., 1 hem., cov: 22)
Exomes 𝑓: 0.000014 ( 0 hom. 6 hem. )
Consequence
PHEX
NM_000444.6 missense
NM_000444.6 missense
Scores
9
8
Clinical Significance
Conservation
PhyloP100: 5.23
Genes affected
PHEX (HGNC:8918): (phosphate regulating endopeptidase X-linked) The protein encoded by this gene is a transmembrane endopeptidase that belongs to the type II integral membrane zinc-dependent endopeptidase family. The protein is thought to be involved in bone and dentin mineralization and renal phosphate reabsorption. Mutations in this gene cause X-linked hypophosphatemic rickets. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2013]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -7 ACMG points.
BP4
Computational evidence support a benign effect (MetaRNN=0.27847445).
BP6
Variant X-22168377-A-T is Benign according to our data. Variant chrX-22168377-A-T is described in ClinVar as [Likely_benign]. Clinvar id is 1158266.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Hemizygotes in GnomAdExome4 at 6 XL gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
PHEX | NM_000444.6 | c.1470A>T | p.Glu490Asp | missense_variant | 13/22 | ENST00000379374.5 | NP_000435.3 | |
PHEX-AS1 | NR_046639.1 | n.1267+1417T>A | intron_variant, non_coding_transcript_variant |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
PHEX | ENST00000379374.5 | c.1470A>T | p.Glu490Asp | missense_variant | 13/22 | 1 | NM_000444.6 | ENSP00000368682 | P1 | |
PHEX-AS1 | ENST00000424650.1 | n.1267+1417T>A | intron_variant, non_coding_transcript_variant | 2 |
Frequencies
GnomAD3 genomes AF: 0.000107 AC: 12AN: 112111Hom.: 0 Cov.: 22 AF XY: 0.0000292 AC XY: 1AN XY: 34283
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GnomAD3 exomes AF: 0.0000273 AC: 5AN: 183193Hom.: 0 AF XY: 0.0000148 AC XY: 1AN XY: 67729
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GnomAD4 exome AF: 0.0000142 AC: 15AN: 1059251Hom.: 0 Cov.: 25 AF XY: 0.0000182 AC XY: 6AN XY: 328875
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GnomAD4 genome AF: 0.000107 AC: 12AN: 112111Hom.: 0 Cov.: 22 AF XY: 0.0000292 AC XY: 1AN XY: 34283
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ClinVar
Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Apr 21, 2022 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Uncertain
CADD
Benign
DANN
Uncertain
DEOGEN2
Uncertain
T
FATHMM_MKL
Uncertain
D
LIST_S2
Benign
T
M_CAP
Uncertain
D
MetaRNN
Benign
T
MetaSVM
Uncertain
D
MutationAssessor
Uncertain
M
MutationTaster
Benign
D;D;D;D
PrimateAI
Uncertain
T
PROVEAN
Benign
N
REVEL
Uncertain
Sift
Benign
D
Sift4G
Benign
T
Polyphen
P
Vest4
MutPred
Loss of loop (P = 0.1242);
MVP
MPC
ClinPred
T
GERP RS
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gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at