rs138236888

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_001008537.3(NEXMIF):​c.3812T>C​(p.Met1271Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00019 in 1,210,659 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 76 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M1271V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., 5 hem., cov: 23)
Exomes 𝑓: 0.00020 ( 0 hom. 71 hem. )

Consequence

NEXMIF
NM_001008537.3 missense

Scores

2
13

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 3.20

Publications

3 publications found
Variant links:
Genes affected
NEXMIF (HGNC:29433): (neurite extension and migration factor) An inversion on the X chromosome which disrupts this gene and a G-protein coupled purinergic receptor gene located in the pseudoautosomal region of the X chromosome has been linked to X linked cognitive disability.[provided by RefSeq, Mar 2009]
NEXMIF Gene-Disease associations (from GenCC):
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • X-linked intellectual disability, Cantagrel type
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • myoclonic-astatic epilepsy
    Inheritance: Unknown Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.050176978).
BP6
Variant X-74740745-A-G is Benign according to our data. Variant chrX-74740745-A-G is described in ClinVar as Likely_benign. ClinVar VariationId is 474072.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Hemizygotes in GnomAd4 at 5 Unknown,XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001008537.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NEXMIF
NM_001008537.3
MANE Select
c.3812T>Cp.Met1271Thr
missense
Exon 3 of 4NP_001008537.1Q5QGS0

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NEXMIF
ENST00000055682.12
TSL:1 MANE Select
c.3812T>Cp.Met1271Thr
missense
Exon 3 of 4ENSP00000055682.5Q5QGS0
NEXMIF
ENST00000616200.2
TSL:1
c.3812T>Cp.Met1271Thr
missense
Exon 3 of 5ENSP00000480284.1Q5QGS0
NEXMIF
ENST00000642681.2
c.3812T>Cp.Met1271Thr
missense
Exon 3 of 3ENSP00000495800.1A0A2R8YEQ5

Frequencies

GnomAD3 genomes
AF:
0.000106
AC:
12
AN:
112747
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000161
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000187
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:
0.0000938
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000767
AC:
14
AN:
182603
AF XY:
0.0000297
show subpopulations
Gnomad AFR exome
AF:
0.000228
Gnomad AMR exome
AF:
0.000110
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000861
Gnomad OTH exome
AF:
0.000222
GnomAD4 exome
AF:
0.000199
AC:
218
AN:
1097860
Hom.:
0
Cov.:
32
AF XY:
0.000195
AC XY:
71
AN XY:
363252
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26394
American (AMR)
AF:
0.000284
AC:
10
AN:
35176
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19380
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30200
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54111
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40508
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4135
European-Non Finnish (NFE)
AF:
0.000236
AC:
199
AN:
841871
Other (OTH)
AF:
0.000195
AC:
9
AN:
46085
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
12
23
35
46
58
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000106
AC:
12
AN:
112799
Hom.:
0
Cov.:
23
AF XY:
0.000143
AC XY:
5
AN XY:
34953
show subpopulations
African (AFR)
AF:
0.000161
AC:
5
AN:
31139
American (AMR)
AF:
0.000187
AC:
2
AN:
10709
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2654
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3559
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2730
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6241
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.0000938
AC:
5
AN:
53316
Other (OTH)
AF:
0.00
AC:
0
AN:
1547
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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
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:
0.000133
Hom.:
6
Bravo
AF:
0.000212
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.000297
AC:
2
ExAC
AF:
0.0000741
AC:
9

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.73
CADD
Benign
14
DANN
Benign
0.33
DEOGEN2
Benign
0.022
T
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.60
T
M_CAP
Benign
0.0078
T
MetaRNN
Benign
0.050
T
MetaSVM
Benign
-1.0
T
PhyloP100
3.2
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.51
N
REVEL
Benign
0.079
Sift
Uncertain
0.016
D
Sift4G
Benign
0.55
T
Polyphen
0.0
B
Vest4
0.28
MVP
0.11
MPC
0.27
ClinPred
0.015
T
GERP RS
1.4
Varity_R
0.21
gMVP
0.23
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: rs138236888; hg19: chrX-73960580; API