rs142719253

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_014467.3(SRPX2):​c.693C>A​(p.His231Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000203 in 1,210,397 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 84 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00020 ( 0 hom., 6 hem., cov: 23)
Exomes 𝑓: 0.00020 ( 0 hom. 78 hem. )

Consequence

SRPX2
NM_014467.3 missense

Scores

17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:6

Conservation

PhyloP100: -2.61
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010327548).
BP6
Variant X-100665569-C-A is Benign according to our data. Variant chrX-100665569-C-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 198562.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Uncertain_significance=1}. Variant chrX-100665569-C-A is described in Lovd as [Likely_benign].
BS2
High Hemizygotes in GnomAd4 at 6 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SRPX2NM_014467.3 linkuse as main transcriptc.693C>A p.His231Gln missense_variant 7/11 ENST00000373004.5 NP_055282.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SRPX2ENST00000373004.5 linkuse as main transcriptc.693C>A p.His231Gln missense_variant 7/111 NM_014467.3 ENSP00000362095 P1

Frequencies

GnomAD3 genomes
AF:
0.000196
AC:
22
AN:
112205
Hom.:
0
Cov.:
23
AF XY:
0.000175
AC XY:
6
AN XY:
34371
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:
0.000975
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000301
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000355
AC:
65
AN:
183066
Hom.:
0
AF XY:
0.000325
AC XY:
22
AN XY:
67610
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00194
Gnomad NFE exome
AF:
0.000405
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.000204
AC:
224
AN:
1098192
Hom.:
0
Cov.:
32
AF XY:
0.000215
AC XY:
78
AN XY:
363546
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00131
Gnomad4 NFE exome
AF:
0.000191
Gnomad4 OTH exome
AF:
0.000217
GnomAD4 genome
AF:
0.000196
AC:
22
AN:
112205
Hom.:
0
Cov.:
23
AF XY:
0.000175
AC XY:
6
AN XY:
34371
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000975
Gnomad4 NFE
AF:
0.000301
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000270
Hom.:
14
Bravo
AF:
0.0000793
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000346
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.000305
AC:
37
EpiCase
AF:
0.000273
EpiControl
AF:
0.000119

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:6
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
Likely benign, criteria provided, single submitterclinical testingGeneDxNov 18, 2020- -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Mar 12, 2015- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 12, 2016- -
Rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 15, 2022- -
SRPX2-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 04, 2022This 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
0.083
BayesDel_addAF
Benign
-0.80
T
BayesDel_noAF
Benign
-1.0
CADD
Benign
1.1
DANN
Benign
0.80
DEOGEN2
Benign
0.035
T;.
FATHMM_MKL
Benign
0.051
N
LIST_S2
Benign
0.43
T;T
M_CAP
Benign
0.0025
T
MetaRNN
Benign
0.010
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.28
N;.
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.35
T
PROVEAN
Benign
0.25
N;.
REVEL
Benign
0.035
Sift
Benign
0.29
T;.
Sift4G
Benign
0.22
T;.
Polyphen
0.0
B;.
Vest4
0.12
MutPred
0.63
Loss of glycosylation at S230 (P = 0.1011);.;
MVP
0.17
MPC
0.16
ClinPred
0.043
T
GERP RS
-4.4
Varity_R
0.059
gMVP
0.24

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: rs142719253; hg19: chrX-99920566; API