chrX-67546514-T-TGGCGGC

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2

The NM_000044.6(AR):​c.1415_1420dup​(p.Gly472_Gly473dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. G456G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.028 ( 54 hom., 325 hem., cov: 0)
Exomes 𝑓: 0.017 ( 147 hom. 1890 hem. )
Failed GnomAD Quality Control

Consequence

AR
NM_000044.6 inframe_insertion

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.29
Variant links:
Genes affected
AR (HGNC:644): (androgen receptor) The androgen receptor gene is more than 90 kb long and codes for a protein that has 3 major functional domains: the N-terminal domain, DNA-binding domain, and androgen-binding domain. The protein functions as a steroid-hormone activated transcription factor. Upon binding the hormone ligand, the receptor dissociates from accessory proteins, translocates into the nucleus, dimerizes, and then stimulates transcription of androgen responsive genes. This gene contains 2 polymorphic trinucleotide repeat segments that encode polyglutamine and polyglycine tracts in the N-terminal transactivation domain of its protein. Expansion of the polyglutamine tract from the normal 9-34 repeats to the pathogenic 38-62 repeats causes spinal bulbar muscular atrophy (SBMA, also known as Kennedy's disease). Mutations in this gene are also associated with complete androgen insensitivity (CAIS). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jan 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP6
Variant X-67546514-T-TGGCGGC is Benign according to our data. Variant chrX-67546514-T-TGGCGGC is described in ClinVar as [Likely_benign]. Clinvar id is 434265.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0285 (2363/83023) while in subpopulation AFR AF= 0.0457 (989/21636). AF 95% confidence interval is 0.0433. There are 54 homozygotes in gnomad4. There are 325 alleles in male gnomad4 subpopulation. Median coverage is 0. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 54 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ARNM_000044.6 linkuse as main transcriptc.1415_1420dup p.Gly472_Gly473dup inframe_insertion 1/8 ENST00000374690.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ARENST00000374690.9 linkuse as main transcriptc.1415_1420dup p.Gly472_Gly473dup inframe_insertion 1/81 NM_000044.6 P1P10275-1

Frequencies

GnomAD3 genomes
AF:
0.0284
AC:
2360
AN:
83019
Hom.:
54
Cov.:
0
AF XY:
0.0196
AC XY:
325
AN XY:
16609
show subpopulations
Gnomad AFR
AF:
0.0456
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0233
Gnomad ASJ
AF:
0.0257
Gnomad EAS
AF:
0.0163
Gnomad SAS
AF:
0.0242
Gnomad FIN
AF:
0.00462
Gnomad MID
AF:
0.0513
Gnomad NFE
AF:
0.0232
Gnomad OTH
AF:
0.0340
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0170
AC:
8096
AN:
475254
Hom.:
147
Cov.:
25
AF XY:
0.0161
AC XY:
1890
AN XY:
117724
show subpopulations
Gnomad4 AFR exome
AF:
0.0267
Gnomad4 AMR exome
AF:
0.00163
Gnomad4 ASJ exome
AF:
0.00555
Gnomad4 EAS exome
AF:
0.00156
Gnomad4 SAS exome
AF:
0.0137
Gnomad4 FIN exome
AF:
0.000595
Gnomad4 NFE exome
AF:
0.0192
Gnomad4 OTH exome
AF:
0.0139
GnomAD4 genome
AF:
0.0285
AC:
2363
AN:
83023
Hom.:
54
Cov.:
0
AF XY:
0.0196
AC XY:
325
AN XY:
16619
show subpopulations
Gnomad4 AFR
AF:
0.0457
Gnomad4 AMR
AF:
0.0233
Gnomad4 ASJ
AF:
0.0257
Gnomad4 EAS
AF:
0.0164
Gnomad4 SAS
AF:
0.0243
Gnomad4 FIN
AF:
0.00462
Gnomad4 NFE
AF:
0.0232
Gnomad4 OTH
AF:
0.0335

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoOct 04, 2016- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMay 14, 2024Variant summary: AR c.1415_1420dupGCGGCG (p.Gly472_Gly473dup) results in an in-frame duplication that is predicted to duplicate two amino acids into the encoded protein. The variant allele was found at a frequency of 0.019 in 558277 control chromosomes in the gnomAD database, including 201 homozygotes. The observed variant frequency is above the estimated maximal expected allele frequency for a pathogenic variant in AR causing Androgen Resistance Syndrome strongly suggesting that the variant is benign. c.1415_1420dupGCGGCG has been reported in the literature in an individual affected with Androgen Resistance Syndrome (Wu_2018). These data do not allow any conclusion about variant significance. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication have been ascertained in the context of this evaluation (PMID: 29693241). ClinVar contains an entry for this variant (Variation ID: 434265). Based on the evidence outlined above, the variant was classified as benign. -
Androgen resistance syndrome;C1839259:Kennedy disease Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2023AR: BS1, BS2 -
Androgen resistance syndrome;C0268301:Partial androgen insensitivity syndrome;C0376358:Malignant tumor of prostate;C1839259:Kennedy disease;C2678098:Hypospadias 1, X-linked Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsFeb 14, 2022- -
AR-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesApr 19, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs746853821; hg19: chrX-66766356; API