chrX-22168377-A-T

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

Scores

9
8

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 5.23
Variant links:
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]
PHEX-AS1 (HGNC:40445): (PHEX antisense RNA 1)

Genome browser will be placed here

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
PHEXNM_000444.6 linkuse as main transcriptc.1470A>T p.Glu490Asp missense_variant 13/22 ENST00000379374.5 NP_000435.3
PHEX-AS1NR_046639.1 linkuse as main transcriptn.1267+1417T>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PHEXENST00000379374.5 linkuse as main transcriptc.1470A>T p.Glu490Asp missense_variant 13/221 NM_000444.6 ENSP00000368682 P1
PHEX-AS1ENST00000424650.1 linkuse as main transcriptn.1267+1417T>A intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
AF:
0.000107
AC:
12
AN:
112111
Hom.:
0
Cov.:
22
AF XY:
0.0000292
AC XY:
1
AN XY:
34283
show subpopulations
Gnomad AFR
AF:
0.000356
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000948
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000273
AC:
5
AN:
183193
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67729
show subpopulations
Gnomad AFR exome
AF:
0.000304
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:
0.0000142
AC:
15
AN:
1059251
Hom.:
0
Cov.:
25
AF XY:
0.0000182
AC XY:
6
AN XY:
328875
show subpopulations
Gnomad4 AFR exome
AF:
0.000428
Gnomad4 AMR exome
AF:
0.0000285
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:
0.00000124
Gnomad4 OTH exome
AF:
0.0000447
GnomAD4 genome
AF:
0.000107
AC:
12
AN:
112111
Hom.:
0
Cov.:
22
AF XY:
0.0000292
AC XY:
1
AN XY:
34283
show subpopulations
Gnomad4 AFR
AF:
0.000356
Gnomad4 AMR
AF:
0.0000948
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000945
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000165
AC:
2

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 submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpApr 21, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.076
T
BayesDel_noAF
Uncertain
-0.040
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.48
T
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.71
T
M_CAP
Uncertain
0.22
D
MetaRNN
Benign
0.28
T
MetaSVM
Uncertain
0.11
D
MutationAssessor
Uncertain
2.3
M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-2.1
N
REVEL
Uncertain
0.58
Sift
Benign
0.041
D
Sift4G
Benign
0.092
T
Polyphen
0.96
P
Vest4
0.26
MutPred
0.44
Loss of loop (P = 0.1242);
MVP
0.78
MPC
1.1
ClinPred
0.25
T
GERP RS
5.0
Varity_R
0.66
gMVP
0.83

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: rs371934258; hg19: chrX-22186494; API