rs143889976

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_002024.6(FMR1):​c.1572C>T​(p.Ser524Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00166 in 1,204,544 control chromosomes in the GnomAD database, including 4 homozygotes. There are 668 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 0.0012 ( 0 hom., 39 hem., cov: 22)
Exomes 𝑓: 0.0017 ( 4 hom. 629 hem. )

Consequence

FMR1
NM_002024.6 synonymous

Scores

2
9

Clinical Significance

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

Conservation

PhyloP100: 0.707

Publications

2 publications found
Variant links:
Genes affected
FMR1 (HGNC:3775): (fragile X messenger ribonucleoprotein 1) The protein encoded by this gene binds RNA and is associated with polysomes. The encoded protein may be involved in mRNA trafficking from the nucleus to the cytoplasm. A trinucleotide repeat (CGG) in the 5' UTR is normally found at 6-53 copies, but an expansion to 55-230 repeats is the cause of fragile X syndrome. Expansion of the trinucleotide repeat may also cause one form of premature ovarian failure (POF1). Multiple alternatively spliced transcript variants that encode different protein isoforms and which are located in different cellular locations have been described for this gene. [provided by RefSeq, May 2010]
FMR1 Gene-Disease associations (from GenCC):
  • fragile X syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Myriad Women’s Health, Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics
  • fragile X-associated tremor/ataxia syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P, Ambry Genetics
  • premature ovarian failure 1
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • symptomatic form of fragile X syndrome in female carrier
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009594232).
BP6
Variant X-147944969-C-T is Benign according to our data. Variant chrX-147944969-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 211027.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.707 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00117 (128/109560) while in subpopulation NFE AF = 0.00213 (112/52566). AF 95% confidence interval is 0.00181. There are 0 homozygotes in GnomAd4. There are 39 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 39 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FMR1NM_002024.6 linkc.1572C>T p.Ser524Ser synonymous_variant Exon 15 of 17 ENST00000370475.9 NP_002015.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FMR1ENST00000370475.9 linkc.1572C>T p.Ser524Ser synonymous_variant Exon 15 of 17 1 NM_002024.6 ENSP00000359506.5

Frequencies

GnomAD3 genomes
AF:
0.00117
AC:
128
AN:
109507
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.000267
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000195
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000832
Gnomad FIN
AF:
0.000343
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00213
Gnomad OTH
AF:
0.00138
GnomAD2 exomes
AF:
0.000983
AC:
172
AN:
175013
AF XY:
0.000880
show subpopulations
Gnomad AFR exome
AF:
0.0000796
Gnomad AMR exome
AF:
0.000298
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000320
Gnomad NFE exome
AF:
0.00202
Gnomad OTH exome
AF:
0.000455
GnomAD4 exome
AF:
0.00171
AC:
1873
AN:
1094984
Hom.:
4
Cov.:
33
AF XY:
0.00174
AC XY:
629
AN XY:
360620
show subpopulations
African (AFR)
AF:
0.000341
AC:
9
AN:
26369
American (AMR)
AF:
0.000229
AC:
8
AN:
34967
Ashkenazi Jewish (ASJ)
AF:
0.0000519
AC:
1
AN:
19282
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30158
South Asian (SAS)
AF:
0.0000933
AC:
5
AN:
53608
European-Finnish (FIN)
AF:
0.000545
AC:
22
AN:
40362
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4129
European-Non Finnish (NFE)
AF:
0.00209
AC:
1760
AN:
840139
Other (OTH)
AF:
0.00148
AC:
68
AN:
45970
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
72
143
215
286
358
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
64
128
192
256
320
<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:
0.00117
AC:
128
AN:
109560
Hom.:
0
Cov.:
22
AF XY:
0.00122
AC XY:
39
AN XY:
31896
show subpopulations
African (AFR)
AF:
0.000266
AC:
8
AN:
30056
American (AMR)
AF:
0.000195
AC:
2
AN:
10266
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2615
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3459
South Asian (SAS)
AF:
0.000834
AC:
2
AN:
2397
European-Finnish (FIN)
AF:
0.000343
AC:
2
AN:
5831
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
213
European-Non Finnish (NFE)
AF:
0.00213
AC:
112
AN:
52566
Other (OTH)
AF:
0.00136
AC:
2
AN:
1474
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.461
Heterozygous variant carriers
0
4
8
13
17
21
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:
0.00180
Hom.:
54
TwinsUK
AF:
0.00189
AC:
7
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00253
AC:
17
ExAC
AF:
0.000981
AC:
119

ClinVar

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

Submissions by phenotype

not specified Benign:3
Apr 05, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 23, 2015
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 16, 2025
Laboratory of Genetics, Children's Clinical University Hospital Latvia
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:2
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

Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

FMR1-related disorder Benign:1
Jan 16, 2024
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).

Inborn genetic diseases Benign:1
Jun 08, 2016
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely 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.

Fragile X syndrome Benign:1
Sep 16, 2020
Natera, Inc.
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
12
DANN
Uncertain
0.99
LIST_S2
Benign
0.50
T
M_CAP
Uncertain
0.14
D
MetaRNN
Benign
0.0096
T
MetaSVM
Benign
-0.82
T
PhyloP100
0.71
PROVEAN
Benign
0.48
N
Sift
Benign
0.043
D
Sift4G
Benign
0.24
T
Vest4
0.097
ClinPred
0.015
T
GERP RS
5.1
Mutation Taster
=99/1
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: rs143889976; hg19: chrX-147026489; API