rs144830740

Variant summary

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

The NM_003923.3(FOXH1):​c.338G>C​(p.Ser113Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00576 in 1,606,692 control chromosomes in the GnomAD database, including 38 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0045 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0059 ( 37 hom. )

Consequence

FOXH1
NM_003923.3 missense

Scores

2
5
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.0440

Publications

7 publications found
Variant links:
Genes affected
FOXH1 (HGNC:3814): (forkhead box H1) FOXH1 encodes a human homolog of Xenopus forkhead activin signal transducer-1. FOXH1 protein binds SMAD2 and activates an activin response element via binding the DNA motif TGT(G/T)(T/G)ATT. [provided by RefSeq, Jul 2008]
FOXH1 Gene-Disease associations (from GenCC):
  • congenital heart malformation
    Inheritance: Unknown Classification: LIMITED Submitted by: Laboratory for Molecular Medicine

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=0.009800464).
BP6
Variant 8-144474998-C-G is Benign according to our data. Variant chr8-144474998-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 94385.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0045 (685/152338) while in subpopulation NFE AF = 0.00845 (575/68020). AF 95% confidence interval is 0.00788. There are 1 homozygotes in GnomAd4. There are 280 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 37 Unknown gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FOXH1NM_003923.3 linkc.338G>C p.Ser113Thr missense_variant Exon 3 of 3 ENST00000377317.5 NP_003914.1 O75593

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FOXH1ENST00000377317.5 linkc.338G>C p.Ser113Thr missense_variant Exon 3 of 3 1 NM_003923.3 ENSP00000366534.4 O75593
FOXH1ENST00000525197.1 linkn.367G>C non_coding_transcript_exon_variant Exon 3 of 3 3

Frequencies

GnomAD3 genomes
AF:
0.00450
AC:
685
AN:
152220
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000820
Gnomad AMI
AF:
0.0186
Gnomad AMR
AF:
0.00105
Gnomad ASJ
AF:
0.00490
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00845
Gnomad OTH
AF:
0.00239
GnomAD2 exomes
AF:
0.00395
AC:
911
AN:
230876
AF XY:
0.00403
show subpopulations
Gnomad AFR exome
AF:
0.000802
Gnomad AMR exome
AF:
0.000539
Gnomad ASJ exome
AF:
0.00711
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00133
Gnomad NFE exome
AF:
0.00753
Gnomad OTH exome
AF:
0.00297
GnomAD4 exome
AF:
0.00589
AC:
8563
AN:
1454354
Hom.:
37
Cov.:
35
AF XY:
0.00590
AC XY:
4266
AN XY:
722986
show subpopulations
African (AFR)
AF:
0.000991
AC:
33
AN:
33308
American (AMR)
AF:
0.000658
AC:
29
AN:
44058
Ashkenazi Jewish (ASJ)
AF:
0.00562
AC:
146
AN:
25964
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39342
South Asian (SAS)
AF:
0.0000235
AC:
2
AN:
85196
European-Finnish (FIN)
AF:
0.00217
AC:
111
AN:
51204
Middle Eastern (MID)
AF:
0.000174
AC:
1
AN:
5752
European-Non Finnish (NFE)
AF:
0.00723
AC:
8018
AN:
1109468
Other (OTH)
AF:
0.00371
AC:
223
AN:
60062
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
573
1147
1720
2294
2867
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
260
520
780
1040
1300
<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:
0.00450
AC:
685
AN:
152338
Hom.:
1
Cov.:
33
AF XY:
0.00376
AC XY:
280
AN XY:
74498
show subpopulations
African (AFR)
AF:
0.000818
AC:
34
AN:
41576
American (AMR)
AF:
0.00105
AC:
16
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00490
AC:
17
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00188
AC:
20
AN:
10632
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00845
AC:
575
AN:
68020
Other (OTH)
AF:
0.00236
AC:
5
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
35
69
104
138
173
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.00697
Hom.:
1
Bravo
AF:
0.00396
TwinsUK
AF:
0.00431
AC:
16
ALSPAC
AF:
0.00804
AC:
31
ESP6500AA
AF:
0.000684
AC:
3
ESP6500EA
AF:
0.00666
AC:
57
ExAC
AF:
0.00424
AC:
512
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Feb 24, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 18538293, 25093829, 32859249) -

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

- -

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

- -

Apr 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

FOXH1: BS1, BS2 -

not specified Benign:4
Aug 09, 2013
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 22, 2025
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 23, 2015
Genomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of Philadelphia
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Holoprosencephaly sequence Benign:2
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.090
T
BayesDel_noAF
Uncertain
0.11
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.41
T
Eigen
Benign
0.049
Eigen_PC
Benign
0.024
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Benign
0.64
T
M_CAP
Pathogenic
0.40
D
MetaRNN
Benign
0.0098
T
MetaSVM
Uncertain
0.46
D
MutationAssessor
Benign
1.0
L
PhyloP100
0.044
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-0.92
N
REVEL
Pathogenic
0.66
Sift
Benign
0.13
T
Sift4G
Benign
0.17
T
Polyphen
0.99
D
Vest4
0.26
MVP
0.93
MPC
0.10
ClinPred
0.029
T
GERP RS
3.4
Varity_R
0.11
gMVP
0.41
Mutation Taster
=73/27
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs144830740; hg19: chr8-145700381; API