chrX-41123638-A-G

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001039591.3(USP9X):​c.10A>G​(p.Thr4Ala) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000107 in 1,209,688 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000010 ( 0 hom. 3 hem. )

Consequence

USP9X
NM_001039591.3 missense

Scores

2
2
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.87

Publications

9 publications found
Variant links:
Genes affected
USP9X (HGNC:12632): (ubiquitin specific peptidase 9 X-linked) This gene is a member of the peptidase C19 family and encodes a protein that is similar to ubiquitin-specific proteases. Though this gene is located on the X chromosome, it escapes X-inactivation. Mutations in this gene have been associated with Turner syndrome. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Jul 2008]
USP9X Gene-Disease associations (from GenCC):
  • intellectual disability, X-linked 99, syndromic, female-restricted
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P
  • X-linked syndromic intellectual disability
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • intellectual disability, X-linked 99
    Inheritance: XL Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • X-linked female restricted facial dysmorphism-short stature-choanal atresia-intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.1865552).
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001039591.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
USP9X
NM_001039591.3
MANE Select
c.10A>Gp.Thr4Ala
missense
Exon 2 of 45NP_001034680.2Q93008-1
USP9X
NM_001410748.1
c.10A>Gp.Thr4Ala
missense
Exon 3 of 46NP_001397677.1A0A994J4R6
USP9X
NM_001039590.3
c.10A>Gp.Thr4Ala
missense
Exon 2 of 45NP_001034679.2Q93008-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
USP9X
ENST00000378308.7
TSL:5 MANE Select
c.10A>Gp.Thr4Ala
missense
Exon 2 of 45ENSP00000367558.2Q93008-1
USP9X
ENST00000703987.1
c.10A>Gp.Thr4Ala
missense
Exon 2 of 45ENSP00000515604.1A0A994J4R6
USP9X
ENST00000324545.9
TSL:5
c.10A>Gp.Thr4Ala
missense
Exon 2 of 45ENSP00000316357.6Q93008-3

Frequencies

GnomAD3 genomes
AF:
0.0000178
AC:
2
AN:
112189
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000941
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:
0.00
GnomAD2 exomes
AF:
0.0000445
AC:
8
AN:
179726
AF XY:
0.0000152
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000220
Gnomad ASJ exome
AF:
0.000269
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000100
AC:
11
AN:
1097499
Hom.:
0
Cov.:
29
AF XY:
0.00000827
AC XY:
3
AN XY:
362873
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26389
American (AMR)
AF:
0.000142
AC:
5
AN:
35184
Ashkenazi Jewish (ASJ)
AF:
0.000103
AC:
2
AN:
19358
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30185
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54033
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40500
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4134
European-Non Finnish (NFE)
AF:
0.00000356
AC:
3
AN:
841655
Other (OTH)
AF:
0.0000217
AC:
1
AN:
46061
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000178
AC:
2
AN:
112189
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34331
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30838
American (AMR)
AF:
0.0000941
AC:
1
AN:
10631
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2652
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3580
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2717
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6102
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
240
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53237
Other (OTH)
AF:
0.00
AC:
0
AN:
1506
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.00000826
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.43
CADD
Uncertain
23
DANN
Uncertain
0.98
DEOGEN2
Benign
0.17
T
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.64
T
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.19
T
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
0.46
N
PhyloP100
8.9
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
-0.54
N
REVEL
Uncertain
0.36
Sift
Benign
0.49
T
Sift4G
Benign
0.47
T
Polyphen
0.0
B
Vest4
0.52
MutPred
0.15
Loss of glycosylation at T4 (P = 0.0242)
MVP
0.77
MPC
0.77
ClinPred
0.13
T
GERP RS
5.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.8
Varity_R
0.26
gMVP
0.49
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs775400408; hg19: chrX-40982891; API