rs104894963

Variant summary

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

The NM_003413.4(ZIC3):​c.649C>G​(p.Pro217Ala) variant causes a missense change. The variant allele was found at a frequency of 0.00106 in 1,210,097 control chromosomes in the GnomAD database, including 14 homozygotes. There are 310 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0060 ( 9 hom., 168 hem., cov: 25)
Exomes 𝑓: 0.00056 ( 5 hom. 142 hem. )

Consequence

ZIC3
NM_003413.4 missense

Scores

4
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:8

Conservation

PhyloP100: 5.97

Publications

7 publications found
Variant links:
Genes affected
ZIC3 (HGNC:12874): (Zic family member 3) This gene encodes a member of the ZIC family of C2H2-type zinc finger proteins. This nuclear protein probably functions as a transcription factor in early stages of left-right body axis formation. Mutations in this gene cause X-linked visceral heterotaxy, which includes congenital heart disease and left-right axis defects in organs. [provided by RefSeq, Jul 2008]
LINC02931 (HGNC:55853): (long intergenic non-protein coding RNA 2931)

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=0.005806178).
BP6
Variant X-137567340-C-G is Benign according to our data. Variant chrX-137567340-C-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 11439.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 = 0.006 (675/112410) while in subpopulation AFR AF = 0.0208 (646/31003). AF 95% confidence interval is 0.0195. There are 9 homozygotes in GnomAd4. There are 168 alleles in the male GnomAd4 subpopulation. Median coverage is 25. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 9 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ZIC3NM_003413.4 linkc.649C>G p.Pro217Ala missense_variant Exon 1 of 3 ENST00000287538.10 NP_003404.1
ZIC3NM_001330661.1 linkc.649C>G p.Pro217Ala missense_variant Exon 1 of 3 NP_001317590.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ZIC3ENST00000287538.10 linkc.649C>G p.Pro217Ala missense_variant Exon 1 of 3 1 NM_003413.4 ENSP00000287538.5
ZIC3ENST00000370606.3 linkc.649C>G p.Pro217Ala missense_variant Exon 1 of 3 5 ENSP00000359638.3
LINC02931ENST00000786828.1 linkn.130+1734G>C intron_variant Intron 1 of 5

Frequencies

GnomAD3 genomes
AF:
0.00600
AC:
674
AN:
112356
Hom.:
9
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.0209
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00223
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000376
Gnomad OTH
AF:
0.00199
GnomAD2 exomes
AF:
0.00151
AC:
272
AN:
180381
AF XY:
0.000838
show subpopulations
Gnomad AFR exome
AF:
0.0191
Gnomad AMR exome
AF:
0.00110
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000669
GnomAD4 exome
AF:
0.000558
AC:
612
AN:
1097687
Hom.:
5
Cov.:
33
AF XY:
0.000391
AC XY:
142
AN XY:
363377
show subpopulations
African (AFR)
AF:
0.0192
AC:
508
AN:
26403
American (AMR)
AF:
0.00108
AC:
38
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19386
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30206
South Asian (SAS)
AF:
0.0000369
AC:
2
AN:
54147
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39969
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4135
European-Non Finnish (NFE)
AF:
0.00000356
AC:
3
AN:
842142
Other (OTH)
AF:
0.00132
AC:
61
AN:
46092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
36
73
109
146
182
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00600
AC:
675
AN:
112410
Hom.:
9
Cov.:
25
AF XY:
0.00486
AC XY:
168
AN XY:
34580
show subpopulations
African (AFR)
AF:
0.0208
AC:
646
AN:
31003
American (AMR)
AF:
0.00223
AC:
24
AN:
10754
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2648
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3522
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2721
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6157
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
217
European-Non Finnish (NFE)
AF:
0.0000376
AC:
2
AN:
53180
Other (OTH)
AF:
0.00196
AC:
3
AN:
1530
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
28
56
84
112
140
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:
0.00107
Hom.:
24
Bravo
AF:
0.00680
ESP6500AA
AF:
0.0205
AC:
78
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00156
AC:
189

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jan 17, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 22995991, 23427188, 24123890, 14681828, 17764085) -

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

- -

Apr 27, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Heterotaxy, visceral, 1, X-linked Benign:2
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 21, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Congenital heart defects, multiple types, 1, X-linked Uncertain:1
Jan 01, 2004
OMIM
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:literature only

- -

not specified Benign:1
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

VACTERL association, X-linked, with or without hydrocephalus Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Congenital heart defects 1, nonsyndromic, 1 Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.69
T
BayesDel_noAF
Benign
-0.74
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.19
T;.
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.72
T;T
MetaRNN
Benign
0.0058
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
N;N
PhyloP100
6.0
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-0.47
N;N
REVEL
Benign
0.10
Sift
Uncertain
0.014
D;D
Sift4G
Benign
0.51
T;T
Polyphen
0.0
B;.
Vest4
0.12
MVP
0.18
MPC
1.2
ClinPred
0.044
T
GERP RS
3.7
Varity_R
0.10
gMVP
0.30
Mutation Taster
=90/10
polymorphism (auto)

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

Other links and lift over

dbSNP: rs104894963; hg19: chrX-136649499; COSMIC: COSV54974078; API