rs140927355

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002025.4(AFF2):​c.2780G>A​(p.Arg927His) variant causes a missense change. The variant allele was found at a frequency of 0.00101 in 1,208,209 control chromosomes in the GnomAD database, including 2 homozygotes. There are 482 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00080 ( 0 hom., 29 hem., cov: 23)
Exomes 𝑓: 0.0010 ( 2 hom. 453 hem. )

Consequence

AFF2
NM_002025.4 missense

Scores

2
6
9

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 3.61
Variant links:
Genes affected
AFF2 (HGNC:3776): (ALF transcription elongation factor 2) This gene encodes a putative transcriptional activator that is a member of the AF4\FMR2 gene family. This gene is associated with the folate-sensitive fragile X E locus on chromosome X. A repeat polymorphism in the fragile X E locus results in silencing of this gene causing Fragile X E syndrome. Fragile X E syndrome is a form of nonsyndromic X-linked cognitive disability. In addition, this gene contains 6-25 GCC repeats that are expanded to >200 repeats in the disease state. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Jul 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0070457757).
BP6
Variant X-148962804-G-A is Benign according to our data. Variant chrX-148962804-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 194202.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-148962804-G-A is described in Lovd as [Benign]. Variant chrX-148962804-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.000804 (90/111989) while in subpopulation SAS AF= 0.0034 (9/2649). AF 95% confidence interval is 0.00177. There are 0 homozygotes in gnomad4. There are 29 alleles in male gnomad4 subpopulation. Median coverage is 23. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 29 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AFF2NM_002025.4 linkc.2780G>A p.Arg927His missense_variant Exon 13 of 21 ENST00000370460.7 NP_002016.2 P51816-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AFF2ENST00000370460.7 linkc.2780G>A p.Arg927His missense_variant Exon 13 of 21 5 NM_002025.4 ENSP00000359489.2 P51816-1

Frequencies

GnomAD3 genomes
AF:
0.000804
AC:
90
AN:
111939
Hom.:
0
Cov.:
23
AF XY:
0.000850
AC XY:
29
AN XY:
34125
show subpopulations
Gnomad AFR
AF:
0.0000325
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000285
Gnomad ASJ
AF:
0.0170
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00339
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000564
Gnomad OTH
AF:
0.00132
GnomAD3 exomes
AF:
0.00170
AC:
311
AN:
183174
Hom.:
0
AF XY:
0.00197
AC XY:
133
AN XY:
67672
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000475
Gnomad ASJ exome
AF:
0.0169
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00488
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000758
Gnomad OTH exome
AF:
0.00376
GnomAD4 exome
AF:
0.00103
AC:
1126
AN:
1096220
Hom.:
2
Cov.:
30
AF XY:
0.00125
AC XY:
453
AN XY:
361702
show subpopulations
Gnomad4 AFR exome
AF:
0.000417
Gnomad4 AMR exome
AF:
0.000568
Gnomad4 ASJ exome
AF:
0.0171
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.00544
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000447
Gnomad4 OTH exome
AF:
0.00182
GnomAD4 genome
AF:
0.000804
AC:
90
AN:
111989
Hom.:
0
Cov.:
23
AF XY:
0.000848
AC XY:
29
AN XY:
34185
show subpopulations
Gnomad4 AFR
AF:
0.0000324
Gnomad4 AMR
AF:
0.000285
Gnomad4 ASJ
AF:
0.0170
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00340
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000564
Gnomad4 OTH
AF:
0.00131
Alfa
AF:
0.00137
Hom.:
51
Bravo
AF:
0.000861
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000892
AC:
6
ExAC
AF:
0.00165
AC:
200
EpiCase
AF:
0.000927
EpiControl
AF:
0.000830

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

AFF2: BP4, BS1, BS2 -

not specified Benign:2
Jul 20, 2015
Eurofins Ntd Llc (ga)
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 21, 2016
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

FRAXE Benign:2
May 28, 2019
Mendelics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 14, 2022
Fulgent Genetics, Fulgent Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

AFF2-related disorder Benign:1
May 20, 2021
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.073
T
BayesDel_noAF
Uncertain
0.12
CADD
Benign
23
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.41
T;.;.;.
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.87
D;D;D;D
M_CAP
Pathogenic
0.79
D
MetaRNN
Benign
0.0070
T;T;T;T
MetaSVM
Uncertain
-0.18
T
MutationAssessor
Uncertain
2.1
M;.;.;.
PrimateAI
Benign
0.42
T
PROVEAN
Benign
0.13
N;N;.;N
REVEL
Benign
0.29
Sift
Uncertain
0.0030
D;D;.;D
Sift4G
Benign
0.23
T;T;T;T
Polyphen
1.0
D;D;D;.
Vest4
0.059
MVP
0.93
MPC
0.65
ClinPred
0.042
T
GERP RS
5.9
Varity_R
0.19
gMVP
0.32

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs140927355; hg19: chrX-148044334; COSMIC: COSV54000778; API