rs1577005361

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_001441509.1(FXR1):​c.1764_1767delACAG​(p.Arg588SerfsTer37) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000539 in 1,113,656 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 30)
Exomes 𝑓: 0.0000054 ( 0 hom. )

Consequence

FXR1
NM_001441509.1 frameshift

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.79

Publications

0 publications found
Variant links:
Genes affected
FXR1 (HGNC:4023): (FMR1 autosomal homolog 1) The protein encoded by this gene is an RNA binding protein that interacts with the functionally-similar proteins FMR1 and FXR2. These proteins shuttle between the nucleus and cytoplasm and associate with polyribosomes, predominantly with the 60S ribosomal subunit. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
FXR1 Gene-Disease associations (from GenCC):
  • congenital myopathy
    Inheritance: AR Classification: STRONG Submitted by: G2P
  • myopathy, congenital, with respiratory insufficiency and bone fractures
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • myopathy, congenital proximal, with minicore lesions
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 3-180971145-TAGAC-T is Pathogenic according to our data. Variant chr3-180971145-TAGAC-T is described in ClinVar as Pathogenic. ClinVar VariationId is 828056.Status of the report is no_assertion_criteria_provided, 0 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001441509.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FXR1
NM_005087.4
MANE Select
c.1603+790_1603+793delACAG
intron
N/ANP_005078.2P51114-1
FXR1
NM_001441509.1
c.1764_1767delACAGp.Arg588SerfsTer37
frameshift
Exon 15 of 17NP_001428438.1
FXR1
NM_001441512.1
c.1677_1680delACAGp.Arg559SerfsTer37
frameshift
Exon 16 of 18NP_001428441.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FXR1
ENST00000357559.9
TSL:1 MANE Select
c.1603+790_1603+793delACAG
intron
N/AENSP00000350170.3P51114-1
FXR1
ENST00000445140.6
TSL:1
c.1603+790_1603+793delACAG
intron
N/AENSP00000388828.2P51114-2
FXR1
ENST00000963215.1
c.1764_1767delACAGp.Arg588SerfsTer35
frameshift
Exon 15 of 17ENSP00000633274.1

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD4 exome
AF:
0.00000539
AC:
6
AN:
1113656
Hom.:
0
AF XY:
0.00000732
AC XY:
4
AN XY:
546452
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000854
AC:
2
AN:
23430
American (AMR)
AF:
0.00
AC:
0
AN:
25206
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
15336
East Asian (EAS)
AF:
0.00
AC:
0
AN:
12634
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73856
European-Finnish (FIN)
AF:
0.0000784
AC:
1
AN:
12754
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4208
European-Non Finnish (NFE)
AF:
0.00000331
AC:
3
AN:
905682
Other (OTH)
AF:
0.00
AC:
0
AN:
40550
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0203910), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.383
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
Cov.:
30
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions as Germline
Significance:Pathogenic
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Myopathy, congenital, with respiratory insufficiency and bone fractures (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
8.8
Mutation Taster
=1/99
disease causing (ClinVar)

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: rs1577005361; hg19: chr3-180688933; API