chrX-74740848-T-A

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_001008537.3(NEXMIF):​c.3709A>T​(p.Met1237Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000652 in 1,210,938 control chromosomes in the GnomAD database, including 3 homozygotes. There are 204 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0034 ( 2 hom., 104 hem., cov: 23)
Exomes 𝑓: 0.00037 ( 1 hom. 100 hem. )

Consequence

NEXMIF
NM_001008537.3 missense

Scores

1
14

Clinical Significance

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

Conservation

PhyloP100: 1.60
Variant links:
Genes affected
NEXMIF (HGNC:29433): (neurite extension and migration factor) An inversion on the X chromosome which disrupts this gene and a G-protein coupled purinergic receptor gene located in the pseudoautosomal region of the X chromosome has been linked to X linked cognitive disability.[provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0062289536).
BP6
Variant X-74740848-T-A is Benign according to our data. Variant chrX-74740848-T-A is described in ClinVar as [Likely_benign]. Clinvar id is 474071.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NEXMIFNM_001008537.3 linkuse as main transcriptc.3709A>T p.Met1237Leu missense_variant 3/4 ENST00000055682.12 NP_001008537.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NEXMIFENST00000055682.12 linkuse as main transcriptc.3709A>T p.Met1237Leu missense_variant 3/41 NM_001008537.3 ENSP00000055682 P1
NEXMIFENST00000616200.2 linkuse as main transcriptc.3709A>T p.Met1237Leu missense_variant 3/51 ENSP00000480284 P1
NEXMIFENST00000642681.2 linkuse as main transcriptc.3709A>T p.Met1237Leu missense_variant 3/3 ENSP00000495800

Frequencies

GnomAD3 genomes
AF:
0.00341
AC:
384
AN:
112751
Hom.:
2
Cov.:
23
AF XY:
0.00304
AC XY:
106
AN XY:
34893
show subpopulations
Gnomad AFR
AF:
0.0118
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000934
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000364
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00327
GnomAD3 exomes
AF:
0.000961
AC:
176
AN:
183057
Hom.:
1
AF XY:
0.000518
AC XY:
35
AN XY:
67587
show subpopulations
Gnomad AFR exome
AF:
0.0121
Gnomad AMR exome
AF:
0.000585
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000222
GnomAD4 exome
AF:
0.000370
AC:
406
AN:
1098132
Hom.:
1
Cov.:
32
AF XY:
0.000275
AC XY:
100
AN XY:
363508
show subpopulations
Gnomad4 AFR exome
AF:
0.0124
Gnomad4 AMR exome
AF:
0.000483
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.00124
GnomAD4 genome
AF:
0.00340
AC:
383
AN:
112806
Hom.:
2
Cov.:
23
AF XY:
0.00298
AC XY:
104
AN XY:
34958
show subpopulations
Gnomad4 AFR
AF:
0.0118
Gnomad4 AMR
AF:
0.000933
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000365
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00323
Alfa
AF:
0.00126
Hom.:
4
Bravo
AF:
0.00405
ESP6500AA
AF:
0.0128
AC:
49
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00118
AC:
143

ClinVar

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

Submissions by phenotype

not provided Benign:4
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingAthena DiagnosticsJun 14, 2018- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 30, 2024- -
Benign, criteria provided, single submitterclinical testingGeneDxSep 13, 2019- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 30, 2014This 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. -
X-linked intellectual disability, Cantagrel type Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMay 24, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
BayesDel_addAF
Benign
-0.71
T
BayesDel_noAF
Benign
-0.79
CADD
Benign
11
DANN
Benign
0.90
DEOGEN2
Benign
0.032
T;T;.
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.67
.;T;T
MetaRNN
Benign
0.0062
T;T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
0.99
N;N
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-0.47
N;.;.
REVEL
Benign
0.032
Sift
Benign
0.37
T;.;.
Sift4G
Benign
0.33
T;T;.
Polyphen
0.0010
B;B;.
Vest4
0.23
MutPred
0.28
Gain of catalytic residue at M1237 (P = 0.0035);Gain of catalytic residue at M1237 (P = 0.0035);Gain of catalytic residue at M1237 (P = 0.0035);
MVP
0.23
MPC
0.21
ClinPred
0.0097
T
GERP RS
3.8
Varity_R
0.18
gMVP
0.073

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: rs61731613; hg19: chrX-73960683; API