rs121908280

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001319074.4(RAX2):​c.260G>T​(p.Arg87Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000712 in 1,405,100 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R87W) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.1e-7 ( 0 hom. )

Consequence

RAX2
NM_001319074.4 missense

Scores

1
6
10

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 3.53

Publications

5 publications found
Variant links:
Genes affected
RAX2 (HGNC:18286): (retina and anterior neural fold homeobox 2) This gene encodes a homeodomain-containing protein that plays a role in eye development. Mutation of this gene causes age-related macular degeneration type 6, an eye disorder resulting in accumulations of protein and lipid beneath the retinal pigment epithelium and within the Bruch's membrane. Defects in this gene can also cause cone-rod dystrophy type 11, a disease characterized by the initial degeneration of cone photoreceptor cells and resulting in loss of color vision and visual acuity, followed by the degeneration of rod photoreceptor cells, which progresses to night blindness and the loss of peripheral vision. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016]
RAX2 Gene-Disease associations (from GenCC):
  • retinitis pigmentosa
    Inheritance: AR Classification: DEFINITIVE, MODERATE Submitted by: G2P, Franklin by Genoox
  • cone-rod dystrophy 11
    Inheritance: AD Classification: STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • retinitis pigmentosa 95
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.22382966).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RAX2NM_001319074.4 linkc.260G>T p.Arg87Leu missense_variant Exon 3 of 3 ENST00000555633.3 NP_001306003.2 Q96IS3
RAX2NM_032753.4 linkc.260G>T p.Arg87Leu missense_variant Exon 3 of 3 NP_116142.1 Q96IS3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RAX2ENST00000555633.3 linkc.260G>T p.Arg87Leu missense_variant Exon 3 of 3 1 NM_001319074.4 ENSP00000450456.3 Q96IS3
RAX2ENST00000555978.5 linkc.260G>T p.Arg87Leu missense_variant Exon 3 of 3 1 ENSP00000450687.2 Q96IS3

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000622
AC:
1
AN:
160832
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:
7.12e-7
AC:
1
AN:
1405100
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
695610
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
32644
American (AMR)
AF:
0.00
AC:
0
AN:
37948
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25418
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37764
South Asian (SAS)
AF:
0.0000123
AC:
1
AN:
81320
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34680
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5486
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1091026
Other (OTH)
AF:
0.00
AC:
0
AN:
58814
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.325
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

Exome 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
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Benign
-0.029
T
BayesDel_noAF
Benign
-0.16
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T;T
Eigen
Benign
0.11
Eigen_PC
Benign
0.012
FATHMM_MKL
Benign
0.75
D
LIST_S2
Benign
0.85
.;T
M_CAP
Pathogenic
0.37
D
MetaRNN
Benign
0.22
T;T
MetaSVM
Uncertain
0.20
D
MutationAssessor
Benign
0.90
L;L
PhyloP100
3.5
PrimateAI
Uncertain
0.71
T
REVEL
Uncertain
0.42
Sift4G
Uncertain
0.0020
D;D
Polyphen
0.98
D;D
Vest4
0.17
MutPred
0.54
Loss of MoRF binding (P = 0.0266);Loss of MoRF binding (P = 0.0266);
MVP
0.10
MPC
0.33
ClinPred
0.64
D
GERP RS
0.80
Varity_R
0.28
gMVP
0.69
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: rs121908280; hg19: chr19-3770914; API