chrX-71096776-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_005938.4(FOXO4):​c.248G>A​(p.Gly83Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000125 in 1,197,552 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 2 hem., cov: 23)
Exomes 𝑓: 0.000010 ( 0 hom. 1 hem. )

Consequence

FOXO4
NM_005938.4 missense

Scores

1
2
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.31
Variant links:
Genes affected
FOXO4 (HGNC:7139): (forkhead box O4) This gene encodes a member of the O class of winged helix/forkhead transcription factor family. Proteins encoded by this class are regulated by factors involved in growth and differentiation indicating they play a role in these processes. A translocation involving this gene on chromosome X and the homolog of the Drosophila trithorax gene, encoding a DNA binding protein, located on chromosome 11 is associated with leukemia. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.016977668).
BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FOXO4NM_005938.4 linkuse as main transcriptc.248G>A p.Gly83Glu missense_variant 1/3 ENST00000374259.8 NP_005929.2 P98177-1
FOXO4NM_001170931.2 linkuse as main transcriptc.171+77G>A intron_variant NP_001164402.1 P98177-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FOXO4ENST00000374259.8 linkuse as main transcriptc.248G>A p.Gly83Glu missense_variant 1/31 NM_005938.4 ENSP00000363377.3 P98177-1
FOXO4ENST00000341558.3 linkuse as main transcriptc.171+77G>A intron_variant 5 ENSP00000342209.3 P98177-2
FOXO4ENST00000466874.1 linkuse as main transcriptn.447+77G>A intron_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000446
AC:
5
AN:
112149
Hom.:
0
Cov.:
23
AF XY:
0.0000874
AC XY:
3
AN XY:
34333
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00142
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000929
AC:
14
AN:
150671
Hom.:
0
AF XY:
0.000107
AC XY:
5
AN XY:
46703
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00122
Gnomad SAS 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:
0.0000101
AC:
11
AN:
1085351
Hom.:
0
Cov.:
31
AF XY:
0.00000282
AC XY:
1
AN XY:
354013
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000339
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000220
GnomAD4 genome
AF:
0.0000357
AC:
4
AN:
112201
Hom.:
0
Cov.:
23
AF XY:
0.0000581
AC XY:
2
AN XY:
34395
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00114
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000756
ExAC
AF:
0.0000919
AC:
11

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 28, 2023The c.248G>A (p.G83E) alteration is located in exon 1 (coding exon 1) of the FOXO4 gene. This alteration results from a G to A substitution at nucleotide position 248, causing the glycine (G) at amino acid position 83 to be replaced by a glutamic acid (E). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.24
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
19
DANN
Benign
0.57
DEOGEN2
Uncertain
0.58
D
FATHMM_MKL
Benign
0.70
D
LIST_S2
Benign
0.62
T
M_CAP
Pathogenic
0.66
D
MetaRNN
Benign
0.017
T
MetaSVM
Benign
-0.56
T
MutationAssessor
Benign
-0.69
N
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-1.5
N
REVEL
Benign
0.19
Sift
Benign
1.0
T
Sift4G
Benign
0.21
T
Polyphen
0.0
B
Vest4
0.076
MutPred
0.37
Loss of MoRF binding (P = 0.1006);
MVP
0.57
MPC
0.45
ClinPred
0.038
T
GERP RS
1.8
Varity_R
0.19
gMVP
0.74

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: rs756310763; hg19: chrX-70316626; API