chrX-47619358-G-A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4BP6BS2

The NM_006950.3(SYN1):​c.371C>T​(p.Thr124Ile) variant causes a missense change. The variant allele was found at a frequency of 0.00000921 in 1,086,269 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000092 ( 0 hom. 2 hem. )

Consequence

SYN1
NM_006950.3 missense

Scores

1
6
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 5.46

Publications

0 publications found
Variant links:
Genes affected
SYN1 (HGNC:11494): (synapsin I) This gene is a member of the synapsin gene family. Synapsins encode neuronal phosphoproteins which associate with the cytoplasmic surface of synaptic vesicles. Family members are characterized by common protein domains, and they are implicated in synaptogenesis and the modulation of neurotransmitter release, suggesting a potential role in several neuropsychiatric diseases. This member of the synapsin family plays a role in regulation of axonogenesis and synaptogenesis. The protein encoded serves as a substrate for several different protein kinases and phosphorylation may function in the regulation of this protein in the nerve terminal. Mutations in this gene may be associated with X-linked disorders with primary neuronal degeneration such as Rett syndrome. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]
SYN1 Gene-Disease associations (from GenCC):
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • epilepsy, X-linked 1, with variable learning disabilities and behavior disorders
    Inheritance: XL Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, G2P, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), 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=0.31314594).
BP6
Variant X-47619358-G-A is Benign according to our data. Variant chrX-47619358-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 499415.
BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SYN1NM_006950.3 linkc.371C>T p.Thr124Ile missense_variant Exon 1 of 13 ENST00000295987.13 NP_008881.2 P17600-1
SYN1NM_133499.2 linkc.371C>T p.Thr124Ile missense_variant Exon 1 of 13 NP_598006.1 P17600-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SYN1ENST00000295987.13 linkc.371C>T p.Thr124Ile missense_variant Exon 1 of 13 2 NM_006950.3 ENSP00000295987.7 P17600-1
SYN1ENST00000340666.5 linkc.371C>T p.Thr124Ile missense_variant Exon 1 of 13 1 ENSP00000343206.4 P17600-2
SYN1ENST00000639776.1 linkc.29C>T p.Thr10Ile missense_variant Exon 1 of 6 3 ENSP00000492521.1 A0A1W2PS00
ENSG00000283743ENST00000638776.2 linkn.2833+3732C>T intron_variant Intron 7 of 15 5

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD2 exomes
AF:
0.0000445
AC:
7
AN:
157162
AF XY:
0.0000178
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000264
Gnomad ASJ exome
AF:
0.00
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:
0.00000921
AC:
10
AN:
1086269
Hom.:
0
Cov.:
31
AF XY:
0.00000558
AC XY:
2
AN XY:
358167
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26300
American (AMR)
AF:
0.000257
AC:
9
AN:
35002
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19287
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30098
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53481
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
32676
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2898
European-Non Finnish (NFE)
AF:
0.00000119
AC:
1
AN:
840790
Other (OTH)
AF:
0.00
AC:
0
AN:
45737
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1
2
2
3
4
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
Cov.:
23
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000227

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
Jan 13, 2017
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Epilepsy, X-linked 1, with variable learning disabilities and behavior disorders Uncertain:1
Oct 20, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces threonine, which is neutral and polar, with isoleucine, which is neutral and non-polar, at codon 124 of the SYN1 protein (p.Thr124Ile). This variant is present in population databases (no rsID available, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with SYN1-related conditions. ClinVar contains an entry for this variant (Variation ID: 499415). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. 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. -

Inborn genetic diseases Benign:1
Jun 03, 2025
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.50
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.74
D;.
FATHMM_MKL
Benign
0.66
D
LIST_S2
Benign
0.77
T;T
M_CAP
Uncertain
0.23
D
MetaRNN
Benign
0.31
T;T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
0.85
L;L
PhyloP100
5.5
PrimateAI
Pathogenic
0.88
D
PROVEAN
Uncertain
-4.0
D;D
REVEL
Benign
0.18
Sift
Benign
0.061
T;D
Sift4G
Uncertain
0.0050
D;D
Polyphen
0.45
B;B
Vest4
0.46
MutPred
0.64
Gain of methylation at K128 (P = 0.0502);Gain of methylation at K128 (P = 0.0502);
MVP
0.35
MPC
1.4
ClinPred
0.36
T
GERP RS
4.0
PromoterAI
0.039
Neutral
Varity_R
0.52
gMVP
0.81
Mutation Taster
=99/1
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: rs1339768860; hg19: chrX-47478757; API