chrX-67546514-T-TGGCGGCGGCGGCGGCGGC
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2
The NM_000044.6(AR):c.1403_1420dup(p.Gly468_Gly473dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Uncertain significance (no stars). Synonymous variant affecting the same amino acid position (i.e. G456G) has been classified as Likely benign.
Frequency
Genomes: 𝑓 0.0011 ( 2 hom., 11 hem., cov: 0)
Exomes 𝑓: 0.000031 ( 0 hom. 8 hem. )
Failed GnomAD Quality Control
Consequence
AR
NM_000044.6 inframe_insertion
NM_000044.6 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 1.29
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 Likely_benign. Variant got -4 ACMG points.
BS2
High Homozygotes in GnomAd4 at 2 XL gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
AR | NM_000044.6 | c.1403_1420dup | p.Gly468_Gly473dup | inframe_insertion | 1/8 | ENST00000374690.9 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
AR | ENST00000374690.9 | c.1403_1420dup | p.Gly468_Gly473dup | inframe_insertion | 1/8 | 1 | NM_000044.6 | P1 |
Frequencies
GnomAD3 genomes AF: 0.00106 AC: 88AN: 83056Hom.: 2 Cov.: 0 AF XY: 0.000662 AC XY: 11AN XY: 16622
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GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.0000315 AC: 15AN: 476300Hom.: 0 Cov.: 25 AF XY: 0.0000676 AC XY: 8AN XY: 118280
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GnomAD4 genome AF: 0.00106 AC: 88AN: 83060Hom.: 2 Cov.: 0 AF XY: 0.000661 AC XY: 11AN XY: 16632
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
AR-related disorder Uncertain:1
Uncertain significance, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | May 02, 2024 | The AR c.1403_1420dup18 variant is predicted to result in an in-frame duplication (p.Gly468_Gly473dup). To our knowledge, this variant has not been reported in the literature or in a large population database. However, the allele frequency of variant in gnomAD is not reliable due to the repetitive nature of the affected region. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. - |
Computational scores
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Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at