chrX-49251381-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_014009.4(FOXP3):​c.1249C>T​(p.Arg417Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000191 in 1,097,532 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 7 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.000019 ( 0 hom. 7 hem. )

Consequence

FOXP3
NM_014009.4 missense

Scores

9
7
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.53
Variant links:
Genes affected
FOXP3 (HGNC:6106): (forkhead box P3) The protein encoded by this gene is a member of the forkhead/winged-helix family of transcriptional regulators. Defects in this gene are the cause of immunodeficiency polyendocrinopathy, enteropathy, X-linked syndrome (IPEX), also known as X-linked autoimmunity-immunodeficiency syndrome. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 7 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FOXP3NM_014009.4 linkuse as main transcriptc.1249C>T p.Arg417Trp missense_variant 12/12 ENST00000376207.10 NP_054728.2
FOXP3NM_001114377.2 linkuse as main transcriptc.1144C>T p.Arg382Trp missense_variant 11/11 NP_001107849.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FOXP3ENST00000376207.10 linkuse as main transcriptc.1249C>T p.Arg417Trp missense_variant 12/121 NM_014009.4 ENSP00000365380 P1Q9BZS1-1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.0000222
AC:
4
AN:
180302
Hom.:
0
AF XY:
0.0000307
AC XY:
2
AN XY:
65182
show subpopulations
Gnomad AFR exome
AF:
0.0000776
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000538
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000249
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000191
AC:
21
AN:
1097532
Hom.:
0
Cov.:
31
AF XY:
0.0000193
AC XY:
7
AN XY:
362932
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000556
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000202
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
Cov.:
23
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000330
AC:
4

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Insulin-dependent diabetes mellitus secretory diarrhea syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 12, 2023This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 417 of the FOXP3 protein (p.Arg417Trp). This variant is present in population databases (rs145368924, gnomAD 0.005%). This variant has not been reported in the literature in individuals affected with FOXP3-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on FOXP3 protein function. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.83
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Uncertain
0.13
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.93
D;.;D;.;.;.
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.96
D;D;D;D;.;D
M_CAP
Pathogenic
0.79
D
MetaRNN
Uncertain
0.62
D;D;D;D;D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Pathogenic
3.9
H;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;N;N
PrimateAI
Uncertain
0.68
T
PROVEAN
Pathogenic
-5.8
D;D;.;D;D;D
REVEL
Pathogenic
0.82
Sift
Pathogenic
0.0
D;D;.;D;D;D
Sift4G
Pathogenic
0.0
D;D;D;D;D;D
Polyphen
1.0
D;D;D;D;D;.
Vest4
0.57
MVP
0.98
MPC
1.2
ClinPred
1.0
D
GERP RS
3.4
Varity_R
0.93
gMVP
0.94

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs145368924; hg19: chrX-49107842; COSMIC: COSV66050838; COSMIC: COSV66050838; API