rs145347140

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 1P and 3B. PP3BP4_ModerateBS1_Supporting

The NM_003764.4(STX11):​c.616G>A​(p.Glu206Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00181 in 1,613,776 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. E206E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00091 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0019 ( 1 hom. )

Consequence

STX11
NM_003764.4 missense

Scores

6
7
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:6B:1O:2

Conservation

PhyloP100: 8.09

Publications

13 publications found
Variant links:
Genes affected
STX11 (HGNC:11429): (syntaxin 11) This gene encodes a member of the syntaxin family. Syntaxins have been implicated in the targeting and fusion of intracellular transport vesicles. This family member may regulate protein transport among late endosomes and the trans-Golgi network. Mutations in this gene have been associated with familial hemophagocytic lymphohistiocytosis. [provided by RefSeq, Jul 2008]
STX11 Gene-Disease associations (from GenCC):
  • familial hemophagocytic lymphohistiocytosis 4
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • hereditary hemophagocytic lymphohistiocytosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PP3
Multiple lines of computational evidence support a deleterious effect 7: AlphaMissense, Cadd, Dann, Eigen, FATHMM_MKL, MutationAssessor, phyloP100way_vertebrate [when BayesDel_addAF, max_spliceai, M_CAP, MetaRNN, MutationTaster was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.15228361).
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000913 (139/152322) while in subpopulation NFE AF = 0.00162 (110/68018). AF 95% confidence interval is 0.00137. There are 0 homozygotes in GnomAd4. There are 60 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003764.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STX11
NM_003764.4
MANE Select
c.616G>Ap.Glu206Lys
missense
Exon 2 of 2NP_003755.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STX11
ENST00000367568.5
TSL:1 MANE Select
c.616G>Ap.Glu206Lys
missense
Exon 2 of 2ENSP00000356540.4O75558
STX11
ENST00000698355.1
c.616G>Ap.Glu206Lys
missense
Exon 3 of 3ENSP00000513678.1O75558
STX11
ENST00000698356.1
c.616G>Ap.Glu206Lys
missense
Exon 4 of 4ENSP00000513679.1O75558

Frequencies

GnomAD3 genomes
AF:
0.000913
AC:
139
AN:
152204
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00162
Gnomad OTH
AF:
0.00143
GnomAD2 exomes
AF:
0.00107
AC:
267
AN:
250278
AF XY:
0.00124
show subpopulations
Gnomad AFR exome
AF:
0.000309
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000465
Gnomad NFE exome
AF:
0.00173
Gnomad OTH exome
AF:
0.000655
GnomAD4 exome
AF:
0.00191
AC:
2786
AN:
1461454
Hom.:
1
Cov.:
31
AF XY:
0.00190
AC XY:
1378
AN XY:
727074
show subpopulations
African (AFR)
AF:
0.000388
AC:
13
AN:
33476
American (AMR)
AF:
0.000201
AC:
9
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.0000766
AC:
2
AN:
26116
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39694
South Asian (SAS)
AF:
0.00140
AC:
121
AN:
86250
European-Finnish (FIN)
AF:
0.000151
AC:
8
AN:
53106
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5768
European-Non Finnish (NFE)
AF:
0.00228
AC:
2534
AN:
1111954
Other (OTH)
AF:
0.00162
AC:
98
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
221
442
662
883
1104
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
100
200
300
400
500
<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:
0.000913
AC:
139
AN:
152322
Hom.:
0
Cov.:
33
AF XY:
0.000805
AC XY:
60
AN XY:
74494
show subpopulations
African (AFR)
AF:
0.000409
AC:
17
AN:
41584
American (AMR)
AF:
0.000196
AC:
3
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.00124
AC:
6
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00162
AC:
110
AN:
68018
Other (OTH)
AF:
0.00142
AC:
3
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
8
17
25
34
42
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.00146
Hom.:
1
Bravo
AF:
0.00105
TwinsUK
AF:
0.00297
AC:
11
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00233
AC:
20
ExAC
AF:
0.00109
AC:
132
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00218
EpiControl
AF:
0.00184

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
Familial hemophagocytic lymphohistiocytosis 4 (3)
-
2
-
not provided (2)
-
1
1
not specified (2)
-
-
-
Familial hemophagocytic lymphohistiocytosis (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.81
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Uncertain
0.010
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.33
T
Eigen
Pathogenic
0.82
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.89
D
M_CAP
Benign
0.040
D
MetaRNN
Benign
0.15
T
MetaSVM
Benign
-0.63
T
MutationAssessor
Pathogenic
3.3
M
PhyloP100
8.1
PrimateAI
Uncertain
0.69
T
PROVEAN
Uncertain
-3.6
D
REVEL
Uncertain
0.41
Sift
Uncertain
0.013
D
Sift4G
Uncertain
0.0050
D
Polyphen
1.0
D
Vest4
0.81
MVP
0.74
MPC
0.61
ClinPred
0.23
T
GERP RS
4.3
Varity_R
0.83
gMVP
0.75
Mutation Taster
=57/43
polymorphism

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: rs145347140; hg19: chr6-144508380; COSMIC: COSV100845472; API