rs190382829

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_020223.4(FAM20C):​c.252C>A​(p.Asn84Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000326 in 1,462,000 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N84S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0018 ( 2 hom., cov: 33)
Exomes 𝑓: 0.00016 ( 1 hom. )

Consequence

FAM20C
NM_020223.4 missense

Scores

2
3
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:2

Conservation

PhyloP100: 0.564

Publications

0 publications found
Variant links:
Genes affected
FAM20C (HGNC:22140): (FAM20C golgi associated secretory pathway kinase) This gene encodes a member of the family of secreted protein kinases. The encoded protein binds calcium and phosphorylates proteins involved in bone mineralization. Mutations in this gene are associated with the autosomal recessive disorder Raine syndrome. [provided by RefSeq, Apr 2014]
FAM20C Gene-Disease associations (from GenCC):
  • lethal osteosclerotic bone dysplasia
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Genomics England PanelApp, Ambry Genetics, G2P, Orphanet, Labcorp Genetics (formerly Invitae)

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=0.005661905).
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00176 (267/151432) while in subpopulation AFR AF = 0.00603 (250/41484). AF 95% confidence interval is 0.00541. There are 2 homozygotes in GnomAd4. There are 127 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020223.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FAM20C
NM_020223.4
MANE Select
c.252C>Ap.Asn84Lys
missense
Exon 1 of 10NP_064608.2Q8IXL6-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FAM20C
ENST00000313766.6
TSL:1 MANE Select
c.252C>Ap.Asn84Lys
missense
Exon 1 of 10ENSP00000322323.5Q8IXL6-1
FAM20C
ENST00000942064.1
c.252C>Ap.Asn84Lys
missense
Exon 1 of 11ENSP00000612123.1
FAM20C
ENST00000866115.1
c.252C>Ap.Asn84Lys
missense
Exon 1 of 11ENSP00000536174.1

Frequencies

GnomAD3 genomes
AF:
0.00176
AC:
267
AN:
151324
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00604
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000790
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000148
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.0000824
AC:
8
AN:
97108
AF XY:
0.0000741
show subpopulations
Gnomad AFR exome
AF:
0.00462
Gnomad AMR exome
AF:
0.0000570
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000160
AC:
210
AN:
1310568
Hom.:
1
Cov.:
31
AF XY:
0.000139
AC XY:
90
AN XY:
646160
show subpopulations
African (AFR)
AF:
0.00696
AC:
183
AN:
26300
American (AMR)
AF:
0.000178
AC:
5
AN:
28060
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22148
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27082
South Asian (SAS)
AF:
0.0000140
AC:
1
AN:
71192
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
45958
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4934
European-Non Finnish (NFE)
AF:
0.00000581
AC:
6
AN:
1031898
Other (OTH)
AF:
0.000283
AC:
15
AN:
52996
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
12
24
37
49
61
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:
0.00176
AC:
267
AN:
151432
Hom.:
2
Cov.:
33
AF XY:
0.00172
AC XY:
127
AN XY:
74018
show subpopulations
African (AFR)
AF:
0.00603
AC:
250
AN:
41484
American (AMR)
AF:
0.000789
AC:
12
AN:
15218
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.000195
AC:
1
AN:
5134
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10240
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67758
Other (OTH)
AF:
0.00143
AC:
3
AN:
2102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
13
26
39
52
65
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:
0.000690
Hom.:
0
Bravo
AF:
0.00194
ExAC
AF:
0.000143
AC:
3

ClinVar

ClinVar submissions as Germline
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
4
-
not provided (4)
-
-
1
FAM20C-related disorder (1)
-
-
1
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0083
T
Eigen
Benign
0.048
Eigen_PC
Benign
0.094
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.81
T
M_CAP
Pathogenic
0.91
D
MetaRNN
Benign
0.0057
T
MetaSVM
Benign
-0.36
T
PhyloP100
0.56
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
-2.3
N
REVEL
Uncertain
0.29
Sift
Benign
0.071
T
Sift4G
Benign
0.12
T
Polyphen
0.61
P
Vest4
0.23
MutPred
0.25
Gain of ubiquitination at N84 (P = 0.0128)
MVP
0.41
MPC
0.55
ClinPred
0.057
T
GERP RS
3.6
Varity_R
0.27
gMVP
0.49
Mutation Taster
=76/24
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: rs190382829; hg19: chr7-193451; API