rs1181669285

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_000390.4(CHM):​c.1907C>T​(p.Ser636Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000662 in 1,207,834 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. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. S636S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000064 ( 0 hom. 3 hem. )

Consequence

CHM
NM_000390.4 missense

Scores

1
1
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.12

Publications

0 publications found
Variant links:
Genes affected
CHM (HGNC:1940): (CHM Rab escort protein) This gene encodes component A of the RAB geranylgeranyl transferase holoenzyme. In the dimeric holoenzyme, this subunit binds unprenylated Rab GTPases and then presents them to the catalytic Rab GGTase subunit for the geranylgeranyl transfer reaction. Rab GTPases need to be geranylgeranyled on either one or two cysteine residues in their C-terminus to localize to the correct intracellular membrane. Mutations in this gene are a cause of choroideremia; also known as tapetochoroidal dystrophy (TCD). This X-linked disease is characterized by progressive dystrophy of the choroid, retinal pigment epithelium and retina. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2016]
CHM Gene-Disease associations (from GenCC):
  • choroideremia
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Illumina, Labcorp Genetics (formerly Invitae), ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.18949777).
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000390.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHM
NM_000390.4
MANE Select
c.1907C>Tp.Ser636Leu
missense
Exon 15 of 15NP_000381.1P24386-1
CHM
NM_001320959.1
c.1463C>Tp.Ser488Leu
missense
Exon 15 of 15NP_001307888.1B4DRL9
CHM
NM_001362517.1
c.1463C>Tp.Ser488Leu
missense
Exon 15 of 15NP_001349446.1B4DRL9

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHM
ENST00000357749.7
TSL:1 MANE Select
c.1907C>Tp.Ser636Leu
missense
Exon 15 of 15ENSP00000350386.2P24386-1
CHM
ENST00000891168.1
c.1904C>Tp.Ser635Leu
missense
Exon 15 of 15ENSP00000561227.1
CHM
ENST00000891170.1
c.1892C>Tp.Ser631Leu
missense
Exon 15 of 15ENSP00000561229.1

Frequencies

GnomAD3 genomes
AF:
0.00000898
AC:
1
AN:
111343
Hom.:
0
Cov.:
23
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000558
AC:
1
AN:
179238
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000638
AC:
7
AN:
1096491
Hom.:
0
Cov.:
29
AF XY:
0.00000829
AC XY:
3
AN XY:
362073
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000379
AC:
1
AN:
26378
American (AMR)
AF:
0.00
AC:
0
AN:
35135
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19358
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30112
South Asian (SAS)
AF:
0.0000186
AC:
1
AN:
53827
European-Finnish (FIN)
AF:
0.0000247
AC:
1
AN:
40443
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4114
European-Non Finnish (NFE)
AF:
0.00000476
AC:
4
AN:
841104
Other (OTH)
AF:
0.00
AC:
0
AN:
46020
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000148366), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.350
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.00000898
AC:
1
AN:
111343
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33529
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30599
American (AMR)
AF:
0.00
AC:
0
AN:
10461
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2649
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3527
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2634
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5956
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
234
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53118
Other (OTH)
AF:
0.00
AC:
0
AN:
1483
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.063
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
15
DANN
Benign
0.96
DEOGEN2
Benign
0.31
T
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.73
T
M_CAP
Benign
0.055
D
MetaRNN
Benign
0.19
T
MetaSVM
Uncertain
0.012
D
MutationAssessor
Benign
1.4
L
PhyloP100
6.1
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-2.0
N
REVEL
Benign
0.24
Sift
Benign
0.34
T
Sift4G
Benign
0.31
T
Polyphen
0.0020
B
Vest4
0.11
MutPred
0.24
Loss of phosphorylation at S636 (P = 0.0172)
MVP
0.79
MPC
0.25
ClinPred
0.29
T
GERP RS
4.9
Varity_R
0.27
gMVP
0.35
Mutation Taster
=88/12
polymorphism

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: rs1181669285; hg19: chrX-85119690; API