rs121908359

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 5P and 4B. PP2PP3_StrongBS2

The NM_023067.4(FOXL2):​c.560G>A​(p.Gly187Asp) variant causes a missense change. The variant allele was found at a frequency of 0.000033 in 1,484,576 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000035 ( 0 hom. )

Consequence

FOXL2
NM_023067.4 missense

Scores

8
7
3

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:2B:1O:1

Conservation

PhyloP100: 4.90

Publications

9 publications found
Variant links:
Genes affected
FOXL2 (HGNC:1092): (forkhead box L2) This gene encodes a forkhead transcription factor. The protein contains a fork-head DNA-binding domain and may play a role in ovarian development and function. Expansion of a polyalanine repeat region and other mutations in this gene are a cause of blepharophimosis syndrome and premature ovarian failure 3. [provided by RefSeq, Jul 2016]
FOXL2 Gene-Disease associations (from GenCC):
  • blepharophimosis, ptosis, and epicanthus inversus syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • premature ovarian failure 3
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 31 curated pathogenic missense variants (we use a threshold of 10). The gene has 3 curated benign missense variants. Trascript score misZ: -0.80149 (below the threshold of 3.09). GenCC associations: The gene is linked to blepharophimosis, ptosis, and epicanthus inversus syndrome, premature ovarian failure 3.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.949
BS2
High AC in GnomAdExome4 at 47 AD,Unknown gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_023067.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXL2
NM_023067.4
MANE Select
c.560G>Ap.Gly187Asp
missense
Exon 1 of 1NP_075555.1Q53ZD3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXL2
ENST00000648323.1
MANE Select
c.560G>Ap.Gly187Asp
missense
Exon 1 of 1ENSP00000497217.1P58012

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151714
Hom.:
0
Cov.:
32
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:
0.00321
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000455
AC:
4
AN:
87950
AF XY:
0.0000804
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000638
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000586
Gnomad OTH exome
AF:
0.000388
GnomAD4 exome
AF:
0.0000353
AC:
47
AN:
1332754
Hom.:
0
Cov.:
32
AF XY:
0.0000456
AC XY:
30
AN XY:
657386
show subpopulations
African (AFR)
AF:
0.0000373
AC:
1
AN:
26782
American (AMR)
AF:
0.0000370
AC:
1
AN:
27028
Ashkenazi Jewish (ASJ)
AF:
0.0000427
AC:
1
AN:
23408
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29880
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73636
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
35074
Middle Eastern (MID)
AF:
0.000230
AC:
1
AN:
4352
European-Non Finnish (NFE)
AF:
0.0000303
AC:
32
AN:
1057222
Other (OTH)
AF:
0.000199
AC:
11
AN:
55372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
4
8
11
15
19
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
AF:
0.0000132
AC:
2
AN:
151822
Hom.:
0
Cov.:
32
AF XY:
0.0000270
AC XY:
2
AN XY:
74200
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41470
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5038
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10560
Middle Eastern (MID)
AF:
0.00345
AC:
1
AN:
290
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67874
Other (OTH)
AF:
0.00
AC:
0
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000949
Hom.:
0
Bravo
AF:
0.0000302

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
2
-
-
Premature ovarian failure 3 (2)
-
-
1
Blepharophimosis, ptosis, and epicanthus inversus syndrome (2)
-
1
-
not provided (1)
-
1
-
See cases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.82
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.16
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.91
D
M_CAP
Pathogenic
0.96
D
MetaRNN
Pathogenic
0.95
D
MetaSVM
Pathogenic
0.84
D
MutationAssessor
Benign
1.4
L
PhyloP100
4.9
PrimateAI
Pathogenic
0.96
D
PROVEAN
Benign
-0.89
N
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.025
D
Polyphen
1.0
D
Vest4
0.62
MutPred
0.80
Loss of catalytic residue at G185 (P = 0.0679)
MVP
0.90
ClinPred
0.48
T
GERP RS
3.7
Varity_R
0.52
gMVP
0.72
Mutation Taster
=53/47
disease causing (ClinVar)

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: rs121908359; hg19: chr3-138665005; API