rs143577015

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001008537.3(NEXMIF):​c.4246C>T​(p.Pro1416Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00363 in 1,209,131 control chromosomes in the GnomAD database, including 11 homozygotes. There are 1,713 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P1416R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0030 ( 0 hom., 94 hem., cov: 22)
Exomes 𝑓: 0.0037 ( 11 hom. 1619 hem. )

Consequence

NEXMIF
NM_001008537.3 missense

Scores

15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 2.79

Publications

6 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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005046755).
BP6
Variant X-74740311-G-A is Benign according to our data. Variant chrX-74740311-G-A is described in ClinVar as [Benign]. Clinvar id is 211269.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.00369 (4054/1097738) while in subpopulation MID AF = 0.021 (87/4135). AF 95% confidence interval is 0.0179. There are 11 homozygotes in GnomAdExome4. There are 1619 alleles in the male GnomAdExome4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 94 Unknown,XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NEXMIFNM_001008537.3 linkc.4246C>T p.Pro1416Ser missense_variant Exon 3 of 4 ENST00000055682.12 NP_001008537.1 Q5QGS0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NEXMIFENST00000055682.12 linkc.4246C>T p.Pro1416Ser missense_variant Exon 3 of 4 1 NM_001008537.3 ENSP00000055682.5 Q5QGS0
NEXMIFENST00000616200.2 linkc.4246C>T p.Pro1416Ser missense_variant Exon 3 of 5 1 ENSP00000480284.1 Q5QGS0
NEXMIFENST00000642681.2 linkc.4246C>T p.Pro1416Ser missense_variant Exon 3 of 3 ENSP00000495800.1 A0A2R8YEQ5

Frequencies

GnomAD3 genomes
AF:
0.00297
AC:
331
AN:
111339
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.000458
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00210
Gnomad ASJ
AF:
0.00189
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0191
Gnomad FIN
AF:
0.000999
Gnomad MID
AF:
0.0169
Gnomad NFE
AF:
0.00420
Gnomad OTH
AF:
0.00469
GnomAD2 exomes
AF:
0.00422
AC:
772
AN:
183046
AF XY:
0.00555
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.00310
Gnomad ASJ exome
AF:
0.00375
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000627
Gnomad NFE exome
AF:
0.00359
Gnomad OTH exome
AF:
0.00266
GnomAD4 exome
AF:
0.00369
AC:
4054
AN:
1097738
Hom.:
11
Cov.:
31
AF XY:
0.00446
AC XY:
1619
AN XY:
363126
show subpopulations
African (AFR)
AF:
0.000379
AC:
10
AN:
26391
American (AMR)
AF:
0.00298
AC:
105
AN:
35203
Ashkenazi Jewish (ASJ)
AF:
0.00356
AC:
69
AN:
19379
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30200
South Asian (SAS)
AF:
0.0189
AC:
1021
AN:
54138
European-Finnish (FIN)
AF:
0.000568
AC:
23
AN:
40496
Middle Eastern (MID)
AF:
0.0210
AC:
87
AN:
4135
European-Non Finnish (NFE)
AF:
0.00301
AC:
2532
AN:
841711
Other (OTH)
AF:
0.00449
AC:
207
AN:
46085
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
160
320
481
641
801
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
98
196
294
392
490
<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:
0.00296
AC:
330
AN:
111393
Hom.:
0
Cov.:
22
AF XY:
0.00280
AC XY:
94
AN XY:
33625
show subpopulations
African (AFR)
AF:
0.000457
AC:
14
AN:
30640
American (AMR)
AF:
0.00210
AC:
22
AN:
10495
Ashkenazi Jewish (ASJ)
AF:
0.00189
AC:
5
AN:
2639
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3538
South Asian (SAS)
AF:
0.0187
AC:
49
AN:
2616
European-Finnish (FIN)
AF:
0.000999
AC:
6
AN:
6004
Middle Eastern (MID)
AF:
0.0186
AC:
4
AN:
215
European-Non Finnish (NFE)
AF:
0.00420
AC:
223
AN:
53049
Other (OTH)
AF:
0.00463
AC:
7
AN:
1513
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
11
22
32
43
54
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00341
Hom.:
163
Bravo
AF:
0.00232
TwinsUK
AF:
0.00324
AC:
12
ALSPAC
AF:
0.00346
AC:
10
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00386
AC:
26
ExAC
AF:
0.00459
AC:
557

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:7
Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Sep 17, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 24, 2018
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 01, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:3
Jun 24, 2016
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Aug 04, 2017
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.087
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
12
DANN
Benign
0.79
DEOGEN2
Benign
0.026
T;T;.
FATHMM_MKL
Benign
0.64
D
LIST_S2
Benign
0.63
.;T;T
MetaRNN
Benign
0.0050
T;T;T
MetaSVM
Benign
-1.0
T
PhyloP100
2.8
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.26
N;.;.
REVEL
Benign
0.043
Sift
Benign
0.16
T;.;.
Sift4G
Benign
0.54
T;T;.
Polyphen
0.0030
B;B;.
Vest4
0.043
MVP
0.11
MPC
0.23
ClinPred
0.0017
T
GERP RS
0.95
Varity_R
0.033
gMVP
0.054
Mutation Taster
=98/2
polymorphism (auto)

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: rs143577015; hg19: chrX-73960146; API