chrX-68206604-G-A

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002547.3(OPHN1):​c.902C>T​(p.Thr301Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00144 in 1,208,730 control chromosomes in the GnomAD database, including 6 homozygotes. There are 572 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. T301T) has been classified as Benign.

Frequency

Genomes: 𝑓 0.0040 ( 1 hom., 134 hem., cov: 22)
Exomes 𝑓: 0.0012 ( 5 hom. 438 hem. )

Consequence

OPHN1
NM_002547.3 missense

Scores

16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 1.06

Publications

6 publications found
Variant links:
Genes affected
OPHN1 (HGNC:8148): (oligophrenin 1) This gene encodes a Rho-GTPase-activating protein that promotes GTP hydrolysis of Rho subfamily members. Rho proteins are important mediators of intracellular signal transduction, which affects cell migration and cell morphogenesis. Mutations in this gene are responsible for OPHN1-related X-linked cognitive disability with cerebellar hypoplasia and distinctive facial dysmorhphism. [provided by RefSeq, Jul 2008]
OPHN1 Gene-Disease associations (from GenCC):
  • X-linked intellectual disability-cerebellar hypoplasia syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen, G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005182892).
BP6
Variant X-68206604-G-A is Benign according to our data. Variant chrX-68206604-G-A is described in ClinVar as Benign. ClinVar VariationId is 159480.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 = 0.004 (448/112000) while in subpopulation AFR AF = 0.0109 (337/30889). AF 95% confidence interval is 0.00995. There are 1 homozygotes in GnomAd4. There are 134 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 134 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
OPHN1NM_002547.3 linkc.902C>T p.Thr301Met missense_variant Exon 10 of 25 ENST00000355520.6 NP_002538.1 O60890-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
OPHN1ENST00000355520.6 linkc.902C>T p.Thr301Met missense_variant Exon 10 of 25 1 NM_002547.3 ENSP00000347710.5 O60890-1

Frequencies

GnomAD3 genomes
AF:
0.00401
AC:
449
AN:
111946
Hom.:
1
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.0110
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00407
Gnomad ASJ
AF:
0.00189
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000373
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0170
Gnomad NFE
AF:
0.000996
Gnomad OTH
AF:
0.00329
GnomAD2 exomes
AF:
0.00223
AC:
409
AN:
183356
AF XY:
0.00195
show subpopulations
Gnomad AFR exome
AF:
0.0116
Gnomad AMR exome
AF:
0.00459
Gnomad ASJ exome
AF:
0.00174
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000626
Gnomad NFE exome
AF:
0.00101
Gnomad OTH exome
AF:
0.00663
GnomAD4 exome
AF:
0.00118
AC:
1298
AN:
1096730
Hom.:
5
Cov.:
29
AF XY:
0.00121
AC XY:
438
AN XY:
362136
show subpopulations
African (AFR)
AF:
0.0129
AC:
341
AN:
26368
American (AMR)
AF:
0.00491
AC:
173
AN:
35206
Ashkenazi Jewish (ASJ)
AF:
0.00181
AC:
35
AN:
19371
East Asian (EAS)
AF:
0.0000662
AC:
2
AN:
30203
South Asian (SAS)
AF:
0.000111
AC:
6
AN:
54118
European-Finnish (FIN)
AF:
0.0000740
AC:
3
AN:
40515
Middle Eastern (MID)
AF:
0.00605
AC:
25
AN:
4133
European-Non Finnish (NFE)
AF:
0.000718
AC:
604
AN:
840769
Other (OTH)
AF:
0.00237
AC:
109
AN:
46047
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
46
93
139
186
232
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
30
60
90
120
150
<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:
0.00400
AC:
448
AN:
112000
Hom.:
1
Cov.:
22
AF XY:
0.00392
AC XY:
134
AN XY:
34190
show subpopulations
African (AFR)
AF:
0.0109
AC:
337
AN:
30889
American (AMR)
AF:
0.00407
AC:
43
AN:
10566
Ashkenazi Jewish (ASJ)
AF:
0.00189
AC:
5
AN:
2650
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3550
South Asian (SAS)
AF:
0.000375
AC:
1
AN:
2670
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6019
Middle Eastern (MID)
AF:
0.0186
AC:
4
AN:
215
European-Non Finnish (NFE)
AF:
0.000996
AC:
53
AN:
53221
Other (OTH)
AF:
0.00325
AC:
5
AN:
1538
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
15
31
46
62
77
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00187
Hom.:
80
Bravo
AF:
0.00495
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.000346
AC:
1
ESP6500AA
AF:
0.0112
AC:
43
ESP6500EA
AF:
0.00119
AC:
8
ExAC
AF:
0.00254
AC:
308
EpiCase
AF:
0.00125
EpiControl
AF:
0.00166

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:6
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Sep 15, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 31, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:2
Jul 30, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Feb 08, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

X-linked intellectual disability-cerebellar hypoplasia syndrome Benign:2
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Sep 17, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Sep 06, 2016
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as 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. -

OPHN1-related disorder Benign:1
Aug 07, 2024
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as 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
AlphaMissense
Benign
0.054
BayesDel_addAF
Benign
-0.80
T
BayesDel_noAF
Benign
-0.91
CADD
Benign
11
DANN
Benign
0.92
DEOGEN2
Benign
0.14
T
FATHMM_MKL
Benign
0.17
N
LIST_S2
Benign
0.67
T
MetaRNN
Benign
0.0052
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N
PhyloP100
1.1
PrimateAI
Benign
0.38
T
PROVEAN
Benign
0.52
N
REVEL
Benign
0.019
Sift
Benign
0.22
T
Sift4G
Benign
0.098
T
Polyphen
0.0080
B
Vest4
0.17
MVP
0.19
MPC
1.0
ClinPred
0.0029
T
GERP RS
0.34
Varity_R
0.028
gMVP
0.52
Mutation Taster
=94/6
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs138108344; hg19: chrX-67426446; API