rs1206863775

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP3BS2_Supporting

The NM_000044.6(AR):​c.172_173insTGCAGC​(p.Leu57_Gln58insLeuGln) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000359 in 1,003,926 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000090 ( 0 hom., 0 hem., cov: 0)
Exomes 𝑓: 0.000032 ( 0 hom. 3 hem. )

Consequence

AR
NM_000044.6 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.337

Publications

2 publications found
Variant links:
Genes affected
AR (HGNC:644): (androgen receptor) The androgen receptor gene is more than 90 kb long and codes for a protein that has 3 major functional domains: the N-terminal domain, DNA-binding domain, and androgen-binding domain. The protein functions as a steroid-hormone activated transcription factor. Upon binding the hormone ligand, the receptor dissociates from accessory proteins, translocates into the nucleus, dimerizes, and then stimulates transcription of androgen responsive genes. This gene contains 2 polymorphic trinucleotide repeat segments that encode polyglutamine and polyglycine tracts in the N-terminal transactivation domain of its protein. Expansion of the polyglutamine tract from the normal 9-34 repeats to the pathogenic 38-62 repeats causes spinal bulbar muscular atrophy (SBMA, also known as Kennedy's disease). Mutations in this gene are also associated with complete androgen insensitivity (CAIS). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jan 2017]
AR Gene-Disease associations (from GenCC):
  • androgen insensitivity syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
  • Kennedy disease
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen, G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • partial androgen insensitivity syndrome
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
  • complete androgen insensitivity syndrome
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_000044.6
BS2
High Hemizygotes in GnomAdExome4 at 3 XL geneVariant has number of hemizygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000044.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AR
NM_000044.6
MANE Select
c.172_173insTGCAGCp.Leu57_Gln58insLeuGln
disruptive_inframe_insertion
Exon 1 of 8NP_000035.2
AR
NM_001348063.1
c.172_173insTGCAGCp.Leu57_Gln58insLeuGln
disruptive_inframe_insertion
Exon 1 of 4NP_001334992.1
AR
NM_001348061.1
c.172_173insTGCAGCp.Leu57_Gln58insLeuGln
disruptive_inframe_insertion
Exon 1 of 4NP_001334990.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AR
ENST00000374690.9
TSL:1 MANE Select
c.172_173insTGCAGCp.Leu57_Gln58insLeuGln
disruptive_inframe_insertion
Exon 1 of 8ENSP00000363822.3
AR
ENST00000396044.8
TSL:1
c.172_173insTGCAGCp.Leu57_Gln58insLeuGln
disruptive_inframe_insertion
Exon 1 of 5ENSP00000379359.3
AR
ENST00000504326.5
TSL:1
c.172_173insTGCAGCp.Leu57_Gln58insLeuGln
disruptive_inframe_insertion
Exon 1 of 4ENSP00000421155.1

Frequencies

GnomAD3 genomes
AF:
0.0000900
AC:
6
AN:
66636
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.000160
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:
0.0000864
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000320
AC:
30
AN:
937303
Hom.:
0
Cov.:
40
AF XY:
0.0000102
AC XY:
3
AN XY:
295395
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000421
AC:
1
AN:
23762
American (AMR)
AF:
0.0000773
AC:
2
AN:
25861
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
16268
East Asian (EAS)
AF:
0.000211
AC:
6
AN:
28383
South Asian (SAS)
AF:
0.0000442
AC:
2
AN:
45244
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
36188
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2596
European-Non Finnish (NFE)
AF:
0.0000250
AC:
18
AN:
719100
Other (OTH)
AF:
0.0000251
AC:
1
AN:
39901
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000000000278999), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.334
Heterozygous variant carriers
0
3
6
8
11
14
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:
0.0000901
AC:
6
AN:
66623
Hom.:
0
Cov.:
0
AF XY:
0.00
AC XY:
0
AN XY:
8259
show subpopulations
African (AFR)
AF:
0.000160
AC:
3
AN:
18799
American (AMR)
AF:
0.00
AC:
0
AN:
5236
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
1715
East Asian (EAS)
AF:
0.00
AC:
0
AN:
1843
South Asian (SAS)
AF:
0.00
AC:
0
AN:
901
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
2025
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
133
European-Non Finnish (NFE)
AF:
0.0000864
AC:
3
AN:
34713
Other (OTH)
AF:
0.00
AC:
0
AN:
812
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
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

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

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.34

Splicing

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

Publications

Other links and lift over

dbSNP: rs1206863775; hg19: chrX-66765158; API