rs121918363

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_014467.3(SRPX2):​c.980A>G​(p.Asn327Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000871 in 1,209,994 control chromosomes in the GnomAD database, including 2 homozygotes. There are 334 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N327K) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00040 ( 0 hom., 12 hem., cov: 24)
Exomes 𝑓: 0.00092 ( 2 hom. 322 hem. )

Consequence

SRPX2
NM_014467.3 missense

Scores

4
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:6

Conservation

PhyloP100: 1.70

Publications

14 publications found
Variant links:
Genes affected
SRPX2 (HGNC:30668): (sushi repeat containing protein X-linked 2) This gene encodes a secreted protein that contains three sushi repeat motifs. The encoded protein may play a role in the development of speech and language centers in the brain. This protein may also be involved in angiogenesis. Mutations in this gene are the cause of bilateral perisylvian polymicrogyria, rolandic epilepsy, speech dyspraxia and cognitive disability. [provided by RefSeq, May 2010]
SRPX2 Gene-Disease associations (from GenCC):
  • rolandic epilepsy-speech dyspraxia syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • polymicrogyria, bilateral perisylvian, X-linked
    Inheritance: XL Classification: LIMITED Submitted by: G2P
  • rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked
    Inheritance: XL Classification: LIMITED, NO_KNOWN Submitted by: PanelApp Australia, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • epilepsy
    Inheritance: XL Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.04739812).
BP6
Variant X-100667292-A-G is Benign according to our data. Variant chrX-100667292-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 10775.
BS2
High AC in GnomAd4 at 45 XL,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_014467.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SRPX2
NM_014467.3
MANE Select
c.980A>Gp.Asn327Ser
missense
Exon 9 of 11NP_055282.1O60687

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SRPX2
ENST00000373004.5
TSL:1 MANE Select
c.980A>Gp.Asn327Ser
missense
Exon 9 of 11ENSP00000362095.3O60687
SRPX2
ENST00000640282.1
TSL:5
c.26A>Gp.Asn9Ser
missense
Exon 2 of 3ENSP00000491188.1A0A1W2PNZ6
SRPX2
ENST00000638920.1
TSL:5
n.983A>G
non_coding_transcript_exon
Exon 8 of 10

Frequencies

GnomAD3 genomes
AF:
0.000402
AC:
45
AN:
111823
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.000130
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000946
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:
0.000752
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000572
AC:
105
AN:
183471
AF XY:
0.000383
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000125
Gnomad NFE exome
AF:
0.00121
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.000919
AC:
1009
AN:
1098171
Hom.:
2
Cov.:
31
AF XY:
0.000886
AC XY:
322
AN XY:
363529
show subpopulations
African (AFR)
AF:
0.0000758
AC:
2
AN:
26400
American (AMR)
AF:
0.0000284
AC:
1
AN:
35202
Ashkenazi Jewish (ASJ)
AF:
0.0000516
AC:
1
AN:
19385
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30203
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54139
European-Finnish (FIN)
AF:
0.000370
AC:
15
AN:
40524
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4137
European-Non Finnish (NFE)
AF:
0.00116
AC:
973
AN:
842091
Other (OTH)
AF:
0.000369
AC:
17
AN:
46090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
47
93
140
186
233
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
38
76
114
152
190
<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:
0.000402
AC:
45
AN:
111823
Hom.:
0
Cov.:
24
AF XY:
0.000353
AC XY:
12
AN XY:
33993
show subpopulations
African (AFR)
AF:
0.000130
AC:
4
AN:
30726
American (AMR)
AF:
0.0000946
AC:
1
AN:
10569
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2646
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3546
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2653
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6058
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
240
European-Non Finnish (NFE)
AF:
0.000752
AC:
40
AN:
53182
Other (OTH)
AF:
0.00
AC:
0
AN:
1516
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
2
4
5
7
9
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.000715
Hom.:
34
Bravo
AF:
0.000374
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00138
AC:
4
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00163
AC:
11
ExAC
AF:
0.000469
AC:
57
EpiCase
AF:
0.000709
EpiControl
AF:
0.000533

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
3
not provided (5)
-
2
2
Rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked (4)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.70
T
BayesDel_noAF
Benign
-0.82
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.063
T
FATHMM_MKL
Benign
0.53
D
LIST_S2
Uncertain
0.93
D
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.047
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.4
L
PhyloP100
1.7
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-0.39
N
REVEL
Benign
0.080
Sift
Benign
0.036
D
Sift4G
Benign
0.14
T
Polyphen
0.063
B
Vest4
0.69
MVP
0.43
MPC
0.13
ClinPred
0.047
T
GERP RS
5.5
PromoterAI
-0.0070
Neutral
Varity_R
0.11
gMVP
0.21
Mutation Taster
=96/4
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: rs121918363; hg19: chrX-99922289; API