rs147131853

Variant summary

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

The NM_004840.3(ARHGEF6):​c.169T>C​(p.Cys57Arg) variant causes a missense change. The variant allele was found at a frequency of 0.000351 in 1,203,906 control chromosomes in the GnomAD database, including 1 homozygotes. There are 102 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0018 ( 0 hom., 47 hem., cov: 23)
Exomes 𝑓: 0.00020 ( 1 hom. 55 hem. )

Consequence

ARHGEF6
NM_004840.3 missense

Scores

3
5
9

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 5.50

Publications

2 publications found
Variant links:
Genes affected
ARHGEF6 (HGNC:685): (Rac/Cdc42 guanine nucleotide exchange factor 6) Rho GTPases play a fundamental role in numerous cellular processes that are initiated by extracellular stimuli that work through G protein coupled receptors. The encoded protein belongs to a family of cytoplasmic proteins that activate the Ras-like family of Rho proteins by exchanging bound GDP for GTP. It may form a complex with G proteins and stimulate Rho-dependent signals. This protein is activated by PI3-kinase. Mutations in this gene can cause X-chromosomal non-specific cognitive disability. [provided by RefSeq, Jul 2008]
ARHGEF6 Gene-Disease associations (from GenCC):
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE, LIMITED, NO_KNOWN Submitted by: Orphanet, ClinGen, Illumina
  • complex neurodevelopmental disorder
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • congenital anomaly of kidney and urinary tract
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics
  • intellectual disability, X-linked 46
    Inheritance: XL Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • X-linked intellectual disability
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics

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=0.014819652).
BP6
Variant X-136779494-A-G is Benign according to our data. Variant chrX-136779494-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 210251.
BS2
High AC in GnomAd4 at 203 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ARHGEF6NM_004840.3 linkc.169T>C p.Cys57Arg missense_variant Exon 2 of 22 ENST00000250617.7 NP_004831.1 Q15052-1Q8N4Q3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ARHGEF6ENST00000250617.7 linkc.169T>C p.Cys57Arg missense_variant Exon 2 of 22 1 NM_004840.3 ENSP00000250617.6 Q15052-1

Frequencies

GnomAD3 genomes
AF:
0.00181
AC:
202
AN:
111815
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00619
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000858
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00133
GnomAD2 exomes
AF:
0.000611
AC:
112
AN:
183413
AF XY:
0.000295
show subpopulations
Gnomad AFR exome
AF:
0.00745
Gnomad AMR exome
AF:
0.000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000366
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.000201
AC:
220
AN:
1092036
Hom.:
1
Cov.:
29
AF XY:
0.000154
AC XY:
55
AN XY:
357694
show subpopulations
African (AFR)
AF:
0.00662
AC:
174
AN:
26271
American (AMR)
AF:
0.000540
AC:
19
AN:
35202
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19347
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53996
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40521
Middle Eastern (MID)
AF:
0.000970
AC:
4
AN:
4125
European-Non Finnish (NFE)
AF:
0.0000108
AC:
9
AN:
836492
Other (OTH)
AF:
0.000305
AC:
14
AN:
45898
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
10
20
30
40
50
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.00181
AC:
203
AN:
111870
Hom.:
0
Cov.:
23
AF XY:
0.00138
AC XY:
47
AN XY:
34050
show subpopulations
African (AFR)
AF:
0.00621
AC:
191
AN:
30763
American (AMR)
AF:
0.000857
AC:
9
AN:
10498
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2650
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3566
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2699
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6042
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53220
Other (OTH)
AF:
0.00131
AC:
2
AN:
1527
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
7
14
22
29
36
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.000788
Hom.:
34
Bravo
AF:
0.00201
ESP6500AA
AF:
0.00756
AC:
29
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000585
AC:
71
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
May 12, 2015
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Intellectual disability, X-linked 46 Benign:1
May 28, 2019
Mendelics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

History of neurodevelopmental disorder Benign:1
May 15, 2013
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: 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.019
T
BayesDel_noAF
Pathogenic
0.20
CADD
Uncertain
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.68
D
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.71
T
M_CAP
Pathogenic
0.51
D
MetaRNN
Benign
0.015
T
MetaSVM
Uncertain
0.66
D
MutationAssessor
Benign
1.2
L
PhyloP100
5.5
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-2.2
N
REVEL
Pathogenic
0.84
Sift
Benign
0.050
D
Sift4G
Benign
0.24
T
Polyphen
0.99
D
Vest4
0.52
MVP
0.97
MPC
0.93
ClinPred
0.040
T
GERP RS
4.6
Varity_R
0.93
gMVP
0.74
Mutation Taster
=85/15
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: rs147131853; hg19: chrX-135861653; API