rs149960650

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_002448.3(MSX1):​c.561G>A​(p.Leu187Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00727 in 1,613,562 control chromosomes in the GnomAD database, including 45 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0050 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0075 ( 44 hom. )

Consequence

MSX1
NM_002448.3 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.79

Publications

3 publications found
Variant links:
Genes affected
MSX1 (HGNC:7391): (msh homeobox 1) This gene encodes a member of the muscle segment homeobox gene family. The encoded protein functions as a transcriptional repressor during embryogenesis through interactions with components of the core transcription complex and other homeoproteins. It may also have roles in limb-pattern formation, craniofacial development, particularly odontogenesis, and tumor growth inhibition. Mutations in this gene, which was once known as homeobox 7, have been associated with nonsyndromic cleft lip with or without cleft palate 5, Witkop syndrome, Wolf-Hirschom syndrome, and autosomoal dominant hypodontia. [provided by RefSeq, Jul 2008]
MSX1 Gene-Disease associations (from GenCC):
  • orofacial cleft 5
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • tooth agenesis, selective, 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
  • tooth agenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • tooth and nail syndrome
    Inheritance: AD Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56).
BP6
Variant 4-4862792-G-A is Benign according to our data. Variant chr4-4862792-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 461601.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=2.79 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00496 (755/152362) while in subpopulation NFE AF = 0.00747 (508/68038). AF 95% confidence interval is 0.00693. There are 1 homozygotes in GnomAd4. There are 347 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High AC in GnomAd4 at 755 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MSX1NM_002448.3 linkc.561G>A p.Leu187Leu synonymous_variant Exon 2 of 2 ENST00000382723.5 NP_002439.2 P28360

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MSX1ENST00000382723.5 linkc.561G>A p.Leu187Leu synonymous_variant Exon 2 of 2 1 NM_002448.3 ENSP00000372170.4 P28360
MSX1ENST00000468421.1 linkn.273G>A non_coding_transcript_exon_variant Exon 2 of 2 3
ENSG00000308455ENST00000834195.1 linkn.304-6003C>T intron_variant Intron 2 of 2
ENSG00000308455ENST00000834196.1 linkn.48+4871C>T intron_variant Intron 1 of 1

Frequencies

GnomAD3 genomes
AF:
0.00496
AC:
755
AN:
152244
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00219
Gnomad AMI
AF:
0.00220
Gnomad AMR
AF:
0.00517
Gnomad ASJ
AF:
0.00806
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.00301
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00747
Gnomad OTH
AF:
0.00478
GnomAD2 exomes
AF:
0.00468
AC:
1168
AN:
249414
AF XY:
0.00471
show subpopulations
Gnomad AFR exome
AF:
0.00183
Gnomad AMR exome
AF:
0.00284
Gnomad ASJ exome
AF:
0.0112
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00315
Gnomad NFE exome
AF:
0.00705
Gnomad OTH exome
AF:
0.00524
GnomAD4 exome
AF:
0.00752
AC:
10983
AN:
1461200
Hom.:
44
Cov.:
34
AF XY:
0.00726
AC XY:
5280
AN XY:
726920
show subpopulations
African (AFR)
AF:
0.00170
AC:
57
AN:
33476
American (AMR)
AF:
0.00322
AC:
144
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.0104
AC:
272
AN:
26128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00137
AC:
118
AN:
86248
European-Finnish (FIN)
AF:
0.00328
AC:
173
AN:
52814
Middle Eastern (MID)
AF:
0.00139
AC:
8
AN:
5768
European-Non Finnish (NFE)
AF:
0.00880
AC:
9788
AN:
1111956
Other (OTH)
AF:
0.00700
AC:
423
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
751
1502
2254
3005
3756
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
396
792
1188
1584
1980
<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:
0.00496
AC:
755
AN:
152362
Hom.:
1
Cov.:
33
AF XY:
0.00466
AC XY:
347
AN XY:
74502
show subpopulations
African (AFR)
AF:
0.00219
AC:
91
AN:
41598
American (AMR)
AF:
0.00516
AC:
79
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00806
AC:
28
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00104
AC:
5
AN:
4826
European-Finnish (FIN)
AF:
0.00301
AC:
32
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00747
AC:
508
AN:
68038
Other (OTH)
AF:
0.00473
AC:
10
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
40
80
119
159
199
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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
Alfa
AF:
0.00631
Hom.:
1
Bravo
AF:
0.00508
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00725
EpiControl
AF:
0.00682

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

MSX1: BP4, BP7, BS2 -

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

- -

Hypoplastic enamel-onycholysis-hypohidrosis syndrome Benign:1
Dec 24, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

MSX1-related disorder Benign:1
May 10, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as 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
BayesDel_noAF
Benign
-0.56
CADD
Benign
7.4
DANN
Benign
0.97
PhyloP100
2.8
Mutation Taster
=91/9
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: rs149960650; hg19: chr4-4864519; COSMIC: COSV101235675; API