rs1135363

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1

The NM_000061.3(BTK):​c.1899C>T​(p.Cys633Cys) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.225 in 1,206,338 control chromosomes in the GnomAD database, including 32,609 homozygotes. There are 88,939 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.37 ( 8809 hom., 11848 hem., cov: 22)
Exomes 𝑓: 0.21 ( 23800 hom. 77091 hem. )

Consequence

BTK
NM_000061.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 2.50

Publications

18 publications found
Variant links:
Genes affected
BTK (HGNC:1133): (Bruton tyrosine kinase) The protein encoded by this gene plays a crucial role in B-cell development. Mutations in this gene cause X-linked agammaglobulinemia type 1, which is an immunodeficiency characterized by the failure to produce mature B lymphocytes, and associated with a failure of Ig heavy chain rearrangement. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2013]
BTK Gene-Disease associations (from GenCC):
  • Bruton-type agammaglobulinemia
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Myriad Women’s Health, Orphanet, ClinGen
  • isolated growth hormone deficiency type III
    Inheritance: XL Classification: STRONG, NO_KNOWN Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
  • short stature due to isolated growth hormone deficiency with X-linked hypogammaglobulinemia
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP6
Variant X-101353203-G-A is Benign according to our data. Variant chrX-101353203-G-A is described in ClinVar as Benign. ClinVar VariationId is 254784.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.8 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BTKNM_000061.3 linkc.1899C>T p.Cys633Cys synonymous_variant Exon 18 of 19 ENST00000308731.8 NP_000052.1 Q06187-1Q5JY90
BTKNM_001287344.2 linkc.2001C>T p.Cys667Cys synonymous_variant Exon 18 of 19 NP_001274273.1 Q06187-2
BTKNM_001287345.2 linkc.1371C>T p.Cys457Cys synonymous_variant Exon 16 of 17 NP_001274274.1 Q06187Q5JY90

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BTKENST00000308731.8 linkc.1899C>T p.Cys633Cys synonymous_variant Exon 18 of 19 1 NM_000061.3 ENSP00000308176.8 Q06187-1

Frequencies

GnomAD3 genomes
AF:
0.373
AC:
41024
AN:
110014
Hom.:
8803
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.808
Gnomad AMI
AF:
0.0987
Gnomad AMR
AF:
0.374
Gnomad ASJ
AF:
0.157
Gnomad EAS
AF:
0.440
Gnomad SAS
AF:
0.448
Gnomad FIN
AF:
0.157
Gnomad MID
AF:
0.193
Gnomad NFE
AF:
0.157
Gnomad OTH
AF:
0.319
GnomAD2 exomes
AF:
0.314
AC:
57197
AN:
182369
AF XY:
0.288
show subpopulations
Gnomad AFR exome
AF:
0.821
Gnomad AMR exome
AF:
0.518
Gnomad ASJ exome
AF:
0.151
Gnomad EAS exome
AF:
0.446
Gnomad FIN exome
AF:
0.160
Gnomad NFE exome
AF:
0.160
Gnomad OTH exome
AF:
0.243
GnomAD4 exome
AF:
0.210
AC:
230566
AN:
1096272
Hom.:
23800
Cov.:
31
AF XY:
0.213
AC XY:
77091
AN XY:
362110
show subpopulations
African (AFR)
AF:
0.828
AC:
21836
AN:
26359
American (AMR)
AF:
0.501
AC:
17617
AN:
35144
Ashkenazi Jewish (ASJ)
AF:
0.157
AC:
3044
AN:
19364
East Asian (EAS)
AF:
0.469
AC:
14148
AN:
30189
South Asian (SAS)
AF:
0.435
AC:
23440
AN:
53918
European-Finnish (FIN)
AF:
0.158
AC:
6403
AN:
40518
Middle Eastern (MID)
AF:
0.192
AC:
791
AN:
4110
European-Non Finnish (NFE)
AF:
0.157
AC:
131846
AN:
840647
Other (OTH)
AF:
0.249
AC:
11441
AN:
46023
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
5261
10522
15783
21044
26305
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
5472
10944
16416
21888
27360
<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:
0.373
AC:
41088
AN:
110066
Hom.:
8809
Cov.:
22
AF XY:
0.366
AC XY:
11848
AN XY:
32336
show subpopulations
African (AFR)
AF:
0.808
AC:
24344
AN:
30128
American (AMR)
AF:
0.374
AC:
3834
AN:
10248
Ashkenazi Jewish (ASJ)
AF:
0.157
AC:
414
AN:
2631
East Asian (EAS)
AF:
0.440
AC:
1537
AN:
3496
South Asian (SAS)
AF:
0.448
AC:
1160
AN:
2592
European-Finnish (FIN)
AF:
0.157
AC:
905
AN:
5770
Middle Eastern (MID)
AF:
0.207
AC:
45
AN:
217
European-Non Finnish (NFE)
AF:
0.157
AC:
8301
AN:
52818
Other (OTH)
AF:
0.323
AC:
481
AN:
1487
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
593
1185
1778
2370
2963
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
364
728
1092
1456
1820
<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:
0.221
Hom.:
8305
Bravo
AF:
0.415
EpiCase
AF:
0.161
EpiControl
AF:
0.151

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Jan 28, 2016
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 11, 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. -

Dec 14, 2020
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

proposed classification - variant undergoing re-assessment, contact laboratory -

Jan 24, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 53% of patients studied by a panel of primary immunodeficiencies. Number of patients: 50. Only high quality variants are reported. -

X-linked agammaglobulinemia with growth hormone deficiency Benign:3
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: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 was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Nov 23, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

X-linked agammaglobulinemia Benign:2
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: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). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -

Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.50
CADD
Benign
12
DANN
Benign
0.64
PhyloP100
2.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.22
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.22
Position offset: 24

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1135363; hg19: chrX-100608191; COSMIC: COSV58117908; COSMIC: COSV58117908; API