rs148208753

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBS1BS2

The NM_002547.3(OPHN1):​c.2362C>T​(p.Arg788Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000124 in 1,204,966 control chromosomes in the GnomAD database, including 1 homozygotes. There are 48 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R788Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., 3 hem., cov: 23)
Exomes 𝑓: 0.00012 ( 1 hom. 45 hem. )

Consequence

OPHN1
NM_002547.3 missense

Scores

6
11

Clinical Significance

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

Conservation

PhyloP100: 1.92

Publications

2 publications found
Variant links:
Genes affected
OPHN1 (HGNC:8148): (oligophrenin 1) This gene encodes a Rho-GTPase-activating protein that promotes GTP hydrolysis of Rho subfamily members. Rho proteins are important mediators of intracellular signal transduction, which affects cell migration and cell morphogenesis. Mutations in this gene are responsible for OPHN1-related X-linked cognitive disability with cerebellar hypoplasia and distinctive facial dysmorhphism. [provided by RefSeq, Jul 2008]
OPHN1 Gene-Disease associations (from GenCC):
  • X-linked intellectual disability-cerebellar hypoplasia syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen, G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.077751756).
BP6
Variant X-68052553-G-A is Benign according to our data. Variant chrX-68052553-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 378314.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 = 0.000161 (18/111815) while in subpopulation NFE AF = 0.000207 (11/53188). AF 95% confidence interval is 0.000116. There are 0 homozygotes in GnomAd4. There are 3 alleles in the male GnomAd4 subpopulation. Median coverage is 23. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 3 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
OPHN1NM_002547.3 linkc.2362C>T p.Arg788Trp missense_variant Exon 23 of 25 ENST00000355520.6 NP_002538.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
OPHN1ENST00000355520.6 linkc.2362C>T p.Arg788Trp missense_variant Exon 23 of 25 1 NM_002547.3 ENSP00000347710.5

Frequencies

GnomAD3 genomes
AF:
0.000161
AC:
18
AN:
111815
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000163
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000945
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:
0.000207
Gnomad OTH
AF:
0.000667
GnomAD2 exomes
AF:
0.000240
AC:
41
AN:
170737
AF XY:
0.000246
show subpopulations
Gnomad AFR exome
AF:
0.000243
Gnomad AMR exome
AF:
0.000604
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000757
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000201
Gnomad OTH exome
AF:
0.00117
GnomAD4 exome
AF:
0.000121
AC:
132
AN:
1093151
Hom.:
1
Cov.:
30
AF XY:
0.000125
AC XY:
45
AN XY:
359309
show subpopulations
African (AFR)
AF:
0.000569
AC:
15
AN:
26342
American (AMR)
AF:
0.000519
AC:
18
AN:
34714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19276
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30076
South Asian (SAS)
AF:
0.0000566
AC:
3
AN:
52973
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40276
Middle Eastern (MID)
AF:
0.00218
AC:
9
AN:
4128
European-Non Finnish (NFE)
AF:
0.0000810
AC:
68
AN:
839420
Other (OTH)
AF:
0.000414
AC:
19
AN:
45946
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
5
11
16
22
27
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:
0.000161
AC:
18
AN:
111815
Hom.:
0
Cov.:
23
AF XY:
0.0000882
AC XY:
3
AN XY:
34021
show subpopulations
African (AFR)
AF:
0.000163
AC:
5
AN:
30691
American (AMR)
AF:
0.0000945
AC:
1
AN:
10585
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2644
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3553
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2656
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6075
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.000207
AC:
11
AN:
53188
Other (OTH)
AF:
0.000667
AC:
1
AN:
1500
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
1
2
3
4
5
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:
0.000167
Hom.:
4
Bravo
AF:
0.000181
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.000289
AC:
35

ClinVar

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

Submissions by phenotype

not provided Benign:7
-
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

- -

Oct 20, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 23552953) -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
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

- -

Nov 24, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

OPHN1: PM5, BS2 -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

not specified Benign:1
Aug 23, 2018
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Nov 13, 2017
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as 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. -

X-linked intellectual disability-cerebellar hypoplasia syndrome Benign:1
Sep 29, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

OPHN1-related disorder Benign:1
Jul 05, 2021
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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.50
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T
FATHMM_MKL
Benign
0.73
D
LIST_S2
Uncertain
0.93
D
M_CAP
Benign
0.082
D
MetaRNN
Benign
0.078
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.8
L
PhyloP100
1.9
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-2.8
D
REVEL
Benign
0.19
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.0080
D
Polyphen
1.0
D
Vest4
0.17
MVP
0.37
MPC
0.41
ClinPred
0.084
T
GERP RS
2.0
Varity_R
0.21
gMVP
0.42
Mutation Taster
=91/9
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: rs148208753; hg19: chrX-67272395; API