chrX-77698596-A-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 8P and 2B. PVS1BP6_Moderate

The ENST00000623321.3(ATRX):ā€‹c.2T>Cā€‹(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000823 in 1,093,154 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: not found (cov: 23)
Exomes š‘“: 0.0000082 ( 0 hom. 0 hem. )

Consequence

ATRX
ENST00000623321.3 start_lost

Scores

6
10

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 3.07
Variant links:
Genes affected
ATRX (HGNC:886): (ATRX chromatin remodeler) The protein encoded by this gene contains an ATPase/helicase domain, and thus it belongs to the SWI/SNF family of chromatin remodeling proteins. This protein is found to undergo cell cycle-dependent phosphorylation, which regulates its nuclear matrix and chromatin association, and suggests its involvement in the gene regulation at interphase and chromosomal segregation in mitosis. Mutations in this gene are associated with X-linked syndromes exhibiting cognitive disabilities as well as alpha-thalassemia (ATRX) syndrome. These mutations have been shown to cause diverse changes in the pattern of DNA methylation, which may provide a link between chromatin remodeling, DNA methylation, and gene expression in developmental processes. Multiple alternatively spliced transcript variants encoding distinct isoforms have been reported. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PVS1
Start lost variant, no new inframe start found.
BP6
Variant X-77698596-A-G is Benign according to our data. Variant chrX-77698596-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 1596846.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATRXNM_000489.6 linkuse as main transcriptc.167T>C p.Met56Thr missense_variant 3/35 ENST00000373344.11 NP_000480.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATRXENST00000373344.11 linkuse as main transcriptc.167T>C p.Met56Thr missense_variant 3/351 NM_000489.6 ENSP00000362441.4 P46100-1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000547
AC:
1
AN:
182739
Hom.:
0
AF XY:
0.0000149
AC XY:
1
AN XY:
67309
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000823
AC:
9
AN:
1093154
Hom.:
0
Cov.:
27
AF XY:
0.00
AC XY:
0
AN XY:
359160
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000107
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Alpha thalassemia-X-linked intellectual disability syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJun 25, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.021
.;.;T;T;.;T;.
FATHMM_MKL
Benign
0.51
D
LIST_S2
Benign
0.82
T;.;T;T;D;D;T
M_CAP
Uncertain
0.24
D
MetaRNN
Benign
0.18
T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.071
T
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.27
N;N;.;.;.;.;.
REVEL
Uncertain
0.40
Sift
Benign
0.18
T;T;.;.;.;.;.
Sift4G
Benign
0.53
T;T;T;.;D;D;.
Polyphen
0.26
B;.;.;.;.;.;.
Vest4
0.39
MutPred
0.14
Gain of phosphorylation at M56 (P = 0.0186);Gain of phosphorylation at M56 (P = 0.0186);Gain of phosphorylation at M56 (P = 0.0186);Gain of phosphorylation at M56 (P = 0.0186);.;.;.;
MVP
0.90
MPC
1.3
ClinPred
0.19
T
GERP RS
3.5
gMVP
0.059

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: rs782553856; hg19: chrX-76954084; API