rs148721221

Variant summary

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

The NM_020717.5(SHROOM4):​c.3611A>G​(p.Glu1204Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00147 in 1,209,350 control chromosomes in the GnomAD database, including 19 homozygotes. There are 541 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/21 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 0.0017 ( 2 hom., 55 hem., cov: 21)
Exomes 𝑓: 0.0014 ( 17 hom. 486 hem. )

Consequence

SHROOM4
NM_020717.5 missense

Scores

1
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3

Conservation

PhyloP100: 1.67

Publications

7 publications found
Variant links:
Genes affected
SHROOM4 (HGNC:29215): (shroom family member 4) This gene encodes a member of the APX/Shroom family, which contain an N-terminal PDZ domain and a C-terminal ASD2 motif. The encoded protein may play a role in cytoskeletal architecture. Mutations in this gene have been linked to the X-linked Stocco dos Santos syndrome characterized by cognitive disabilities. Alternatively spliced transcript variants have been described. [provided by RefSeq, Jul 2017]
SHROOM4 Gene-Disease associations (from GenCC):
  • congenital anomaly of kidney and urinary tract
    Inheritance: XL Classification: STRONG Submitted by: PanelApp Australia
  • idiopathic generalized epilepsy
    Inheritance: XL Classification: STRONG Submitted by: PanelApp Australia
  • X-linked intellectual disability, Stocco dos Santos type
    Inheritance: XL Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • complex neurodevelopmental disorder
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics
  • X-linked complex neurodevelopmental disorder
    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=0.004429966).
BP6
Variant X-50607531-T-C is Benign according to our data. Variant chrX-50607531-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 130310.
BS2
High Homozygotes in GnomAd4 at 2 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020717.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SHROOM4
NM_020717.5
MANE Select
c.3611A>Gp.Glu1204Gly
missense
Exon 6 of 9NP_065768.2Q9ULL8-1
SHROOM4
NR_027121.3
n.3787A>G
non_coding_transcript_exon
Exon 6 of 10
SHROOM4
NR_172068.1
n.3652A>G
non_coding_transcript_exon
Exon 5 of 9

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SHROOM4
ENST00000376020.9
TSL:2 MANE Select
c.3611A>Gp.Glu1204Gly
missense
Exon 6 of 9ENSP00000365188.2Q9ULL8-1
SHROOM4
ENST00000289292.11
TSL:1
c.3611A>Gp.Glu1204Gly
missense
Exon 6 of 10ENSP00000289292.7Q9ULL8-1
SHROOM4
ENST00000898514.1
c.3476A>Gp.Glu1159Gly
missense
Exon 5 of 8ENSP00000568573.1

Frequencies

GnomAD3 genomes
AF:
0.00168
AC:
186
AN:
111044
Hom.:
2
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.000131
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000955
Gnomad ASJ
AF:
0.0479
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00427
Gnomad NFE
AF:
0.000755
Gnomad OTH
AF:
0.00336
GnomAD2 exomes
AF:
0.00251
AC:
461
AN:
183465
AF XY:
0.00200
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.000510
Gnomad ASJ exome
AF:
0.0466
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000916
Gnomad OTH exome
AF:
0.00441
GnomAD4 exome
AF:
0.00145
AC:
1590
AN:
1098253
Hom.:
17
Cov.:
32
AF XY:
0.00134
AC XY:
486
AN XY:
363609
show subpopulations
African (AFR)
AF:
0.000227
AC:
6
AN:
26403
American (AMR)
AF:
0.000483
AC:
17
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.0479
AC:
929
AN:
19386
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30205
South Asian (SAS)
AF:
0.000129
AC:
7
AN:
54147
European-Finnish (FIN)
AF:
0.0000247
AC:
1
AN:
40533
Middle Eastern (MID)
AF:
0.00193
AC:
8
AN:
4137
European-Non Finnish (NFE)
AF:
0.000511
AC:
430
AN:
842137
Other (OTH)
AF:
0.00417
AC:
192
AN:
46098
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
80
160
240
320
400
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
30
60
90
120
150
<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:
0.00167
AC:
186
AN:
111097
Hom.:
2
Cov.:
21
AF XY:
0.00165
AC XY:
55
AN XY:
33325
show subpopulations
African (AFR)
AF:
0.000131
AC:
4
AN:
30568
American (AMR)
AF:
0.000954
AC:
10
AN:
10487
Ashkenazi Jewish (ASJ)
AF:
0.0479
AC:
126
AN:
2631
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3502
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2576
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5992
Middle Eastern (MID)
AF:
0.00469
AC:
1
AN:
213
European-Non Finnish (NFE)
AF:
0.000755
AC:
40
AN:
52947
Other (OTH)
AF:
0.00332
AC:
5
AN:
1506
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
7
13
20
26
33
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:
0.00312
Hom.:
145
Bravo
AF:
0.00169
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000346
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00268
AC:
18
ExAC
AF:
0.00198
AC:
241
EpiCase
AF:
0.00158
EpiControl
AF:
0.00172

ClinVar

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

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
21
DANN
Benign
0.95
DEOGEN2
Benign
0.0085
T
FATHMM_MKL
Benign
0.48
N
LIST_S2
Benign
0.67
T
M_CAP
Benign
0.0061
T
MetaRNN
Benign
0.0044
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.41
N
PhyloP100
1.7
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-2.1
N
REVEL
Benign
0.047
Sift
Uncertain
0.0010
D
Sift4G
Benign
0.077
T
Polyphen
0.010
B
Vest4
0.10
MVP
0.082
MPC
0.47
ClinPred
0.042
T
GERP RS
3.2
Varity_R
0.14
gMVP
0.44
Mutation Taster
=100/0
polymorphism (auto)

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: rs148721221; hg19: chrX-50350531; API