rs146063801

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_014467.3(SRPX2):​c.737G>A​(p.Arg246Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000768 in 1,210,298 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 26 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/21 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 0.00025 ( 0 hom., 3 hem., cov: 23)
Exomes 𝑓: 0.000059 ( 0 hom. 23 hem. )

Consequence

SRPX2
NM_014467.3 missense

Scores

2
14

Clinical Significance

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

Conservation

PhyloP100: 0.242

Publications

3 publications found
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]
SRPX2 Gene-Disease associations (from GenCC):
  • rolandic epilepsy-speech dyspraxia syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • polymicrogyria, bilateral perisylvian, X-linked
    Inheritance: XL Classification: LIMITED Submitted by: G2P
  • rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked
    Inheritance: XL Classification: LIMITED, NO_KNOWN Submitted by: PanelApp Australia, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • epilepsy
    Inheritance: XL Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.025209785).
BP6
Variant X-100665613-G-A is Benign according to our data. Variant chrX-100665613-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 590220.
BS2
High AC in GnomAd4 at 28 XL,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_014467.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SRPX2
NM_014467.3
MANE Select
c.737G>Ap.Arg246Gln
missense
Exon 7 of 11NP_055282.1O60687

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SRPX2
ENST00000373004.5
TSL:1 MANE Select
c.737G>Ap.Arg246Gln
missense
Exon 7 of 11ENSP00000362095.3O60687
SRPX2
ENST00000638458.1
TSL:5
c.761G>Ap.Arg254Gln
missense
Exon 6 of 7ENSP00000492168.1A0A1W2PR88
SRPX2
ENST00000638920.1
TSL:5
n.740G>A
non_coding_transcript_exon
Exon 6 of 10

Frequencies

GnomAD3 genomes
AF:
0.000250
AC:
28
AN:
112017
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000584
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000282
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000279
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000940
Gnomad OTH
AF:
0.000665
GnomAD2 exomes
AF:
0.000109
AC:
20
AN:
183252
AF XY:
0.000133
show subpopulations
Gnomad AFR exome
AF:
0.000684
Gnomad AMR exome
AF:
0.0000729
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000289
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000592
AC:
65
AN:
1098229
Hom.:
0
Cov.:
32
AF XY:
0.0000633
AC XY:
23
AN XY:
363583
show subpopulations
African (AFR)
AF:
0.000871
AC:
23
AN:
26402
American (AMR)
AF:
0.0000852
AC:
3
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19386
East Asian (EAS)
AF:
0.0000993
AC:
3
AN:
30206
South Asian (SAS)
AF:
0.000166
AC:
9
AN:
54148
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40533
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4136
European-Non Finnish (NFE)
AF:
0.0000202
AC:
17
AN:
842113
Other (OTH)
AF:
0.000217
AC:
10
AN:
46098
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.000250
AC:
28
AN:
112069
Hom.:
0
Cov.:
23
AF XY:
0.0000876
AC XY:
3
AN XY:
34263
show subpopulations
African (AFR)
AF:
0.000583
AC:
18
AN:
30869
American (AMR)
AF:
0.000282
AC:
3
AN:
10643
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2653
East Asian (EAS)
AF:
0.000280
AC:
1
AN:
3575
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2639
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6103
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.0000940
AC:
5
AN:
53167
Other (OTH)
AF:
0.000657
AC:
1
AN:
1522
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.527
Heterozygous variant carriers
0
2
4
5
7
9
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:
0.0000411
Hom.:
3
Bravo
AF:
0.000268
ESP6500AA
AF:
0.000782
AC:
3
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.0000988
AC:
12
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
History of neurodevelopmental disorder (1)
-
1
-
Rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.083
BayesDel_addAF
Benign
-0.77
T
BayesDel_noAF
Benign
-0.98
CADD
Benign
12
DANN
Uncertain
0.98
DEOGEN2
Benign
0.037
T
FATHMM_MKL
Benign
0.67
D
LIST_S2
Uncertain
0.91
D
M_CAP
Benign
0.0057
T
MetaRNN
Benign
0.025
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
-0.65
N
PhyloP100
0.24
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.41
N
REVEL
Benign
0.060
Sift
Benign
0.27
T
Sift4G
Benign
0.45
T
Polyphen
0.0030
B
Vest4
0.044
MVP
0.32
MPC
0.18
ClinPred
0.014
T
GERP RS
0.040
Varity_R
0.081
gMVP
0.38
Mutation Taster
=96/4
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs146063801; hg19: chrX-99920610; COSMIC: COSV65933811; COSMIC: COSV65933811; API